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Source Id
324

Inspection of Select Vet Centers in Midwest District 3 Zone 1

2025
24-00393-180
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. This inspection report evaluated four randomly selected vet centers throughout Midwest district 3 zone 1: Fort Wayne, Indiana; Detroit and...

Care in the Community Inspection of Medical Facilities in VISN 4: VA Healthcare

2025
24-00825-176
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Care in the Community healthcare inspection program report describes the results of a focused evaluation of community care processes at eight Veterans Integrated Service Network (VISN) 4: VA Healthcare medical facilities with a community care program. This...

Failures Related to the Care and Discharge of a Patient and Leaders’ Response at the VA New Mexico Healthcare System in Albuquerque

2025
24-02059-177
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the VA New Mexico Healthcare System (facility) to assess allegations and concerns related to the care of a patient who was labeled as ineligible for care and senior leaders’ associated response. In early 2024, the patient...

Deficiencies in Care at the Batavia Community Living Center Contributed to a Resident’s Death at the VA Western New York Healthcare System in Buffalo

2025
24-02930-175
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection related to the care of a resident at the Batavia community living center (CLC), a part of the VA Western New York Healthcare System (system). In late winter 2024, Resident A was admitted to the Buffalo VA Medical Center (VAMC...

Implementation of a Military Sexual Trauma Operations Center Resulted in Minimal Change Despite Planned Intent to Improve Claims-Processing Accuracy

2025
24-01429-145
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VBA has long-standing challenges processing military sexual trauma claims and centralizing the expertise of this work. The OIG conducted this review to assess VBA’s planning and implementation of the Military Sexual Trauma Operations Center and its governance structure for processing claims. The OIG...

Care in the Community Inspection of Medical Facilities in VISN 10: VA Healthcare System Serving Ohio, Indiana, and Michigan

2025
24-00824-174
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Care in the Community healthcare inspection program report describes the results of a focused evaluation of community care processes at eight Veterans Integrated Service Network (VISN) 10: VA Healthcare System Serving Ohio, Indiana, and Michigan medical...

Joint Audit of the Department of Defense and the Department of Veterans Affairs Efforts to Achieve Electronic Health Record System Interoperability

2022
18-04227-91
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

This joint audit led by the DoD OIG examined actions taken by the DoD and VA regarding the Cerner Millennium electronic health record (EHR) system being deployed throughout VA and DoD. The audit assessed internal controls and compliance with legal requirements, as well as actions by DoD, VA, and...

Community Based Outpatient Clinic and Primary Care Clinic Reviews at Wilmington VA Medical Center, Wilmington, Delaware

2014
14-00235-195
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General reviewed the Community Based Outpatient Clinics (CBOCs) and primary care clinics (PCCs) of the Wilmington VA Medical Center. The purpose of the review was to determine whether the CBOCs and PCCs provide safe, consistent, and high-quality health care for our...

Comprehensive Healthcare Inspection of the Beckley VA Medical Center in West Virginia

2022
21-00286-163
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Beckley VA Medical Center and two outpatient clinics in West Virginia. The inspection covered key...

A Summary of OIG Preaward Contract Reports Issued in Fiscal Year 2024 on VA Federal Supply Schedule Nonpharmaceutical Proposals

2025
25-00183-133
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG examines individual nonpharmaceutical proposals submitted by commercial contractors for Federal Supply Schedule contracts with an anticipated annual value of $3 million or more, with an anticipated annual value of $500,000 or more for dealers or resellers without significant sales to the...

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