Common use of Scope and Methodology Clause in Contracts

Scope and Methodology. In 2019, the OIG team conducted an unannounced site visit to inspect the completion and documentation of domiciliary health and safety rounds, and cleanliness. An announced site visit was conducted approximately one month later, which included staff interviews, and inspections of the Emergency Department, and the domiciliary dining area and kitchen. Facility leaders and staff, the VOA domiciliary program manager and staff, representatives and property managers of the CGA, Executive and Deputy Directors of the VA Office of Asset Enterprise Management, and the two county medical examiner physicians involved in the patient’s autopsy were interviewed.19 The OIG reviewed the patient’s electronic health record and autopsy report, as well as facility internal review documents related to the patient’s care. Other pertinent documents that were reviewed included VHA handbooks, directives, and other guidance, facility policies, meeting minutes, nursing schedules, nurse staffing methodology, and relevant organizational charts. The OIG also reviewed VOA documentation for rounding and safety inspections, and domiciliary contract documents. In the absence of current VA or VHA policy, the OIG considered previous guidance to be in effect until superseded by an updated or recertified directive, handbook, or other policy document on the same or similar issue(s). The OIG substantiates an allegation when the available evidence indicates that the alleged event or action more likely than not took place. The OIG does not substantiate an allegation when the available evidence indicates that the alleged event or action more likely than not did not take place. The OIG is unable to determine whether an alleged event or action took place when there is insufficient evidence.