Healthcare Inspection: Alleged Clinical and Administrative Issues, VA Loma Linda Healthcare System, Loma Linda, California.

摘要

The VA Office of Inspector General Office of Healthcare Inspections conducted an inspection to determine the validity of allegations regarding concerns with Behavioral Medicine Service (BMS) staffing, workload management, patient evaluations, and supervision at the VA Loma Linda Healthcare System (the facility) in Loma Linda, CA. An anonymous complainant alleged that: BMS is understaffed; Primary Care Mental Health Integration and Behavioral Healthcare Intake Program triage social workers are not evaluating patients adequately; Social workers are not required to keep their schedules full like other Behavioral Healthcare Outpatient Services and Treatment (BHOST) staff; Workload rules are not applied fairly to all staff; Patients 'might wait a long time' before an intake or to see BHOST providers; Social workers lack clinical supervision and many are not licensed; and The BMS Chief does not 'ever meet with staff' or supervise mental health (MH) care delivery.