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Source Id
324

Healthcare Facility Inspection of the VA Spokane Healthcare System in Washington

2025
24-03417-188
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Spokane Healthcare System in Washington. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Facilities Faced Challenges Retrieving Medical Records from Community Providers and Importing Them into Veterans’ Electronic Health Records

2025
24-02154-154
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA can authorize veterans to receive care in the community in specific circumstances. After the care occurs, the community provider must return associated medical records to VHA and community care staff close the consult. If records are not received, staff must administratively close consults (that...

VA's Compliance with the Statutory Transfer of Funds Authority and Change of Program Requirements During the Presidential Transition

2025
25-01482-165
Other
Department of Veterans Affairs OIG
Department of Veterans Affairs

On November 5, 2024, Senator Bill Hagerty requested that the OIG assess VA’s compliance with statutory transfer of funds limitations listed in relevant appropriations laws in effect during the continuing resolution. According to Senator Hagerty, the statutory transfer of funds authority and change...

Healthcare Facility Inspection of the VA Central Ohio Health Care System in Columbus

2025
24-00593-181
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Central Ohio Health Care System in Columbus. This evaluation focused on five key content domains: • Culture • Environment of care •...

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...

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