Department of Veterans Affairs

Congress enacted the Comprehensive Addiction and Recovery Act (CARA) of 2016 to improve opioid therapy and pain management for veterans. Within CARA, the Jason Simcakoski Memorial and Promise Act (Jason’s Law) requires each Veterans Health Administration (VHA) medical facility to have a pain...

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 2: Evanston, Illinois; Gary Area...

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 Augusta Health Care System in Georgia. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

The Semiannual Report to Congress summarizes the results of VA OIG oversight, provides statistical information, and lists all 103 oversight reports and other products issued from October 1, 2024, to March 31, 2025. During this reporting period, VA OIG audits, evaluations, investigations, inspections...

The VA OIG conducted this review to determine whether VA complied with the requirements of the Payment Integrity Information Act of 2019 (PIIA) for FY 2024. PIIA requires federal agencies to identify and review all programs and activities they administer that may be susceptible to significant...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations related to the care of a female patient who presented with “near constant” vaginal bleeding to the Martinsburg VA Medical Center (facility) Emergency Department. While no deficiencies were found in the...

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 North Florida/South Georgia Veterans Health System. This evaluation focused on five key content domains: • Culture • Environment of care •...

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...

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...

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...