Reports

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program (CHIP) report provides a focused evaluation of Veterans Integrated Service Network (VISN) 19 facilities’ COVID-19 pandemic readiness and response. This evaluation focused on emergency preparedness; supplies, equipment, and infrastructure; staffing; access to care; community living center patient care and operations; facility staff feedback; and VA and VISN 19 vaccination efforts. The OIG has aggregated findings on COVID-19 preparedness and responsiveness from routine inspections to ensure prompt dissemination of...

Assess whether the Centers for Medicare and Medicaid Services (CMS) designed and implemented effective internal controls related to hospital preparedness for emerging infectious diseases such as COVID-19.

The purpose of this audit was to provide information on the Department of Public Safety and Corrections’ (DOC) response to the COVID-19 pandemic in the correctional facilities it oversees. Overall, DOC faced multiple issues and challenges in addressing the COVID-19 pandemic. DOC protocols complied with CDC guidance in the areas of testing, medical isolation, screening, visitation, personal protective equipment, social distancing, and transfers. However, it did not have processes to verify that correctional facilities implemented these protocols.

The OIG assessed how effectively VA managed its emergency caches during the first wave of the COVID-19 pandemic in early 2020. These caches contain a standard supply of drugs and medical supplies, including some personal protective equipment, for use during a public health emergency. The review team found that use and oversight of the emergency caches were limited. Only nine of 144 medical facilities activated their emergency caches during the review period (February through June 2020). Among the reasons they were not used included medical facility directors reporting supplies were not needed...

Representative John Barker requested this limited-scope audit, which was authorized by the Legislative Post Audit Committee at its February 24, 2021 meeting. Our audit objective was to answer the following question: How did causes of death during the COVID-19 pandemic compare to those before the pandemic? To answer this question, we reviewed death record data from 2019 and 2020 for the last third of each year (September 1 – December 31).

The purpose of this audit was to provide information on the Office of Juvenile Justice’s (OJJ) response to the COVID-19 pandemic in its secure care facilities. Overall, OJJ faced multiple issues and challenges in addressing the pandemic. We found the agency’s protocols generally complied with guidance from the U.S. Centers for Disease Control and Prevention (CDC) for medical isolation, screening, visitation, personal protective equipment, and social distancing. However, agency officials were unable to verify whether the facilities consistently followed the protocols because of the suspension...

This special report examines and assesses the State of Delaware’s preparation of long-term care facilities (LTCFs) for the COVID-19 pandemic, both in the early stages of the pandemic and again six months later. Our goal was to determine if the state was adequately supporting and resolving pandemic-related issues inside LTCFs and if trends or opportunities for improvement existed. To reach our conclusions, we reviewed publicly available applicable federal and state guidance, agency policies and procedures, and information provided by Delaware’s emergency support function State Health Operations...

This report builds on prior analyses and the results of a body of work published since the beginning of the pandemic to assess the role of the COVID-19 mitigation policy in reducing the impacts of COVID-19 on different populations across the United States and, specifically, in Washington D.C., Maryland, and Virginia.

The purpose of this audit was to provide information on Louisiana’s response to COVID-19 in nursing facilities. We found that nursing facilities in Louisiana faced staffing challenges throughout the COVID-19 pandemic because of staff exposure to COVID-19, illness, or the need to care for family members.

The VA Office of Inspector General (OIG) reviewed community-based outpatient clinic (CBOC) closures that occurred due to the COVID-19 pandemic to evaluate the impact on patient care. The OIG virtually interviewed Veterans Health Administration (VHA) staff at 140 facilities that oversaw the 1,031 CBOCs that were operational prior to the World Health Organization’s pandemic declaration. Of these CBOCs, 173 were closed to face-to-face visits on or after February 1, 2020. Reasons for closure fell into four categories including (a) safety of patients and staff, (b) need for consolidation of...