Earlier this week on July 7, the VA Office of Inspector General released a statement saying that the Department of Veterans Affairs cleared the VA Pittsburgh Healthcare System of allegations that Legionnaires’ disease treatment was delayed and that there were errors in water sampling.
The final report VA Pittsburgh Legionella Report by the Office of Inspector General of the Department of Veterans Affairs was released on July 6, 2015.
The VA OIG Executive Summary said:
“OIG conducted an inspection in response to complaints about delayed reporting of positive Legionella test results in 2012, potentially delaying treatment and causing death for patients at the VA Pittsburgh Healthcare System, Pittsburgh, PA. The complainant also alleged that water samples for Legionella monitoring were collected improperly by excessively flushing the water line prior to collection in order to obtain false negative results. We substantiated that reporting of positive Legionella test results was occasionally delayed but found no evidence of delays in treatment for patients with Legionnaires’ disease, either for those who died or for those who survived. We did not substantiate that water samples collected for environmental cultures of Legionella were collected improperly.
We made no recommendations.”