“This healthcare report is the first in a trilogy of reports that address allegations associated with implementation of the new electronic health record (new EHR) at the Mann-Grandstaff VA Medical Center (facility) in Spokane, Washington, received after its go-live date in October 2020.1 Due to the magnitude of allegations the VA Office of Inspector General (OIG) received regarding the impact of the new EHR implementation on patient care after go-live at the facility, the OIG initiated two separate, but simultaneous healthcare inspections. The OIG conducted this inspection to assess a range of allegations regarding medication management challenges and potential patient safety issues associated with implementation of the new EHR at the facility.2 The other inspection focused on allegations related to care coordination deficiencies following implementation of the new EHR at the facility.3 These two inspections were limited to a review of the allegations received and did not proactively determine whether other issues existed. During the course of the two inspections, the OIG recognized challenges with identifying, tracking, and resolving problems with the new EHR after go-live at the facility. The OIG discussed those challenges and potential underlying factors related to deficiencies identified in the medication management and care coordination inspections in a third report.4 Following the October 24, 2020, go-live date of the new EHR at the facility, the OIG received a range of complaints related to deficiencies in medication management associated with implementation of the new EHR at the facility. The OIG organized the multiple allegations concerning medication management into three categories…”
Read the full 73-page report here.
Source: VA OIG: Medication Management Deficiencies after the New Electronic Health Record Go-Live – March 17, 2022. VA OIG.
