Instructions:
This worksheet has two parts:
1. A table to analyze each of the Office of Inspector General (OIG) allegations and justify corrective action solutions
using IRAC methodology.
2. A series of questions that will target the issues in the Phoenix Veterans Affairs Health Care System (PVAHCS)
case most relevant in the development of a new enterprise risk management (ERM) plan.
Resources:
Use the following resources located in the course to complete this worksheet:
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health
Care System
Enterprise Risk Management: Issues and Cases
Note: This text investigates ERM case studies, both inside the healthcare industry and out. It also explores the key
issues for implementing ERM strategies.
Impact Assessment Framework
Perform an internet search for the VHA Publications Index (policies = regulations and directives)
Below are examples of directives. After reviewing the website, you may find more directives applicable to this
case.
#1604: Data Entry Requirements for Administrative Data
#2011-002: Office of the Medical Inspector Reports
#1231: Outpatient Clinical Practice Management
#1230: Outpatient Scheduling Process and Procedures
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Academic Product Management [VD - Based on review completed 03/17/25.]
, #6300: Records Management
#1128: Timely Scheduling of Surgical Procedures in the Operating Room
#2006-041: Veterans Healthcare Service Standards
#1026: VHA Enterprise Framework for Quality, Safety, and Value
Go to the University of Washington Bioethical Principles site by copying and pasting the following link into your
browser: https://depts.washington.edu/bhdept/ethics-medicine/bioethics-topics/articles/principles-bioethics
Part 1. IRAC Tables
Formulate an IRAC (issue, rule, application, and conclusion) response for each of the five OIG violations that includes the
following:
• Issue: Summarize the relevant facts for each violation in the OIG report.
• Rule: Discuss the relevant ethical principles and legal or regulatory requirements for each violation.
• Application: Analyze how the violations deviated from the ethical principles and legal or regulatory requirements
discussed.
• Conclusion: Recommend appropriate ERM corrective actions or solutions for each of the violations.
Table 1: Clinically significant delays in care
Question Response
Summary of relevant
facts:
Western Governors University 2|Page
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Academic Product Management [VD - Based on review completed 03/17/25.]