Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Coatesville Healthcare System in Pennsylvania. This evaluation focused on five key content domains: • Culture • Environment of care •...

VBA’s Pension and Fiduciary Service, which administers the death benefits program, assists eligible claimants with burial expenses, plot costs, and transportation costs for a veteran’s remains. To streamline claims processing for death benefits, VBA launched a system called pension automation. This...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Boston Healthcare System in Massachusetts. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Connecticut Healthcare System in West Haven. This evaluation focused on five key content domains: • Culture • Environment of care •...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate facility leaders’ response to surgical care concerns related to two facility surgeons at the St. Cloud VA Medical Center (facility) in Minnesota. The OIG found facility leaders generally met the Veterans Health...

In July 2022, the VA Office of Inspector General (OIG) published a report finding that Veterans Benefits Administration (VBA) staff prematurely denied service connected compensation to veterans with conditions that could be associated with burn pit exposure. The OIG made seven recommendations, and...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Sheridan VA Health Care System in Wyoming. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

The OIG receives requests from VA’s National Acquisition Center to validate vendors’ data and compliance with Federal Supply Schedule (FSS) contract terms and conditions. The VA FSS program supports the acquisition needs of VA and other government agencies for medical equipment, supplies...

To comply with Section 508 of the Rehabilitation Act of 1973, VA must make the information and communication technology it uses accessible to veterans with disabilities and anyone else seeking VA information. The OIG conducted this audit to follow up on a 2024 report on areas where VA’s...

The OIG’s Mental Health Inspection Program (MHIP) evaluates Veterans Health Administration’s (VHA’s) continuum of mental healthcare services. This inspection focused on inpatient care delivered at the VA Philadelphia Healthcare System (facility) in Pennsylvania. The facility met some VHA...