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Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021.

Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232.

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October 12, 2022

Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232.

Care coordination failures reduce the effectiveness of communication, information transfer, and patient monitoring to the determent of safety. This report examines the current state of interfacility transfers in 45 veteran facilities to find that, while process requirements were basically met, improvements could be made to medication list transfer, nursing communication, and general service evaluation.

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Washington, DC: VA Office of the Inspector General; September 15, 2022. Report no. 22-00815-232.

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