Watchdog report: Failed VA leadership put patients at risk
WASHINGTON — “Failed leadership” at the Department of Veterans Affairs during the Obama years put patients at a major hospital at risk, an internal probe finds — another blow to Secretary David Shulkin, who served at the VA then and is fighting to keep his job.
The 150-page report released Wednesday by the VA internal watchdog offers new details to its preliminary finding last April of patient safety issues at the Washington, D.C., medical center.
Shulkin acknowledged to reporters the problems were “systemic,” but said he was not aware of the issues at the Washington hospital. He pledged wide-scale change across the VA.
Painting a grim picture of communications breakdowns, chaos and spending waste at the government’s second largest department, the report found at least three VA program offices directly under Shulkin’s watch knew of “serious, persistent deficiencies” when he was VA undersecretary of health from 2015 to 2016. But it stopped short of saying whether he was told about them.
Shulkin, who was elevated to VA secretary last year by President Donald Trump, told government investigators he did “not recall” ever being notified of problems.
Among the changes he promised — unannounced audits of its more than 1,700 medical facilities from health experts in the private sector, immediate hiring to fill vacancies at local hospitals and plans in the coming months to streamline bureaucracy and improve communication.
Shulkin pointed specifically to VA medical centers in the New England, Arizona and Washington, D.C., regions that needed improvements to address patient safety. “Not to act when you identify systemic failures I think would be negligent,” he said.