Audit reveals need for on-site psychiatrist at Grand Rapids veterans home
Caroline MacGregor May 1, 2013 | WGVU The six
month state audit of the Grand Rapid’s Home for Veteran’s by Auditor General,
Thomas McTavish was conducted in 2012 and reviews years dating back to 2009.
report’s focus is on finances and does not closely examine therapy practices at
the home, it places a big red flag on the lack on an on-site psychiatrist with
a clear emphasis on the need to prevent possible crisis situations. Medicine is
currently administered and monitored by in-house physicians.
The audit called
efforts to control and safeguard food, maintenance and medical supplies not
effective but control over pharmaceutical inventories moderately effective. The
loss of an estimated 104,000 annually in discarded pharmaceuticals and
difficulty to measure use of state and federal funding was blamed on poor inventory
of residents' personal funds and monthly member fees was also called into question.
2009 and May 2012, the home spent 7.5 million on food, maintenance supplies
and medical supplies, but had no inventory system to properly account for all
purchases. While an estimated 4 million is expected to be saved by the
replacement this year of 140 unionized, caregivers with contracted workers, more than 50 million dollars was spent during the fiscal year ending last September.
Department of Veterans Affairs is addressing areas of concern including pursuing
an on-site psychiatrist, examining security measures,accountability and
tracking of prescription medication.
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