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Source Id
324

Inspection of Information Security at the Battle Creek Healthcare System in Michigan

2025
24-02575-50
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General’s information security inspection program assesses whether VA facilities are meeting federal security requirements related to three control areas the OIG determined to be at highest risk: configuration management controls, security management controls, and access...

Former Orlando VA Medical Center Executive Violated Ethics Rules

2025
23-02157-106
Investigation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Veterans Affairs Office of Inspector General conducted an administrative investigation into alleged ethics violations by Tracy Skala, former deputy director of the Orlando VA Medical Center. Ms. Skala’s son, who had a different last name, was a former VA employee who subsequently worked for a...

Deficiencies in Trainee Onboarding, Physician Oversight, and a Root Cause Analysis at the Overton Brooks VA Medical Center in Shreveport, Louisiana

2025
24-01566-100
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess an allegation that a physician (subject physician), who was not privileged at the Overton Brooks VA Medical Center (facility) in Shreveport, Louisiana, provided care to intensive care unit (ICU) patients. The OIG...

Integrated Financial and Acquisition Management System Interface Development Process Needs Improvement

2025
24-00645-84
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

After previous failed attempts, VA is modernizing its finance and acquisition systems by implementing the Integrated Financial and Acquisition Management System (iFAMS). The system is being deployed by the Financial Management Business Transformation Service (FMBTS) in waves across VA. The six waves...

Improper Sharing of Sensitive Information on Cloud-Based Collaborative Applications

2025
24-01330-29
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG received a hotline allegation from a VA medical center employee regarding the improper sharing of sensitive information on VA’s internal network. The complainant reported that an employee could search for fellow employees on the internal network and find documents and emails that contained...

Delayed Diagnosis and Treatment for a Patient’s Lung Cancer and Deficiencies in the Lung Cancer Screening Program at the VA Eastern Kansas Healthcare System in Topeka and Leavenworth

2025
24-00990-99
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate allegations related to a patient’s care and the lung cancer screening (LCS) program at the VA Eastern Kansas Healthcare System (system) in Topeka and Leavenworth. The OIG substantiated that a patient experienced a...

Veteran Self-Scheduling Process Needs Better Support, Stronger Controls, and Oversight

2025
24-01143-44
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

Veterans are eligible to receive community care under certain circumstances, such as when their local VA medical facility does not provide the requested service or when a provider determines community care is in their best medical interest. In October 2020, the Veterans Health Administration’s (VHA)...

The PACT Act Has Complicated Determining When Veterans’ Benefits Payments Should Take Effect

2025
24-01153-41
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this review to determine whether claims processors are properly assigning effective dates when considering PACT Act–related claims. After reviewing a statistical sample of 100 PACT Act–related claims completed from August 10, 2022, through August 9...

Hiring of Claims Processors Generally Met Requirements and the Attrition Rate Remained Steady

2025
23-02778-51
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The expansion of benefits under the PACT Act of 2022 necessitated VBA increasing capacity to process the influx of claims. By September 2023, VBA had sought to hire 2,520 claims processors—veterans service representatives and rating veterans service representatives—and reported exceeding its goal by...

Lapse in Fiduciary Program Oversight Puts Some Vulnerable Beneficiaries at Risk

2025
24-01219-12
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VBA’s Fiduciary Program protects vulnerable individuals unable to manage their own VA benefits due to injury, disease, infirmities, or age. The program appoints and oversees fiduciaries to manage those payments. Each beneficiary must have a record in the Veterans Benefits Management System–Fiduciary...

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