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 Loma Linda Healthcare System in California. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

The VA Office of Inspector General (OIG) initiated a healthcare inspection at the Richard L. Roudebush VA Medical Center (facility) in Indianapolis, Indiana, to assess allegations and concerns related to the availability of on-call interventional radiology services. In May 2024, VA clarified that...

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 Eastern Colorado Health Care System in Aurora. This evaluation focused on five key content domains: • Culture • Environment of care •...

The OIG’s Mental Health Inspection Program evaluates Veterans Health Administration’s (VHA’s) continuum of mental healthcare services. This inspection focused on the inpatient mental health care delivered at the James A. Haley Veterans’ Hospital (facility), part of VA Tampa Healthcare System in...

The VA OIG is required to report to Congress on the accuracy of VA’s annual special disabilities capacity report, which documents the department’s capacity to provide specialized treatment for veterans with spinal cord injuries and disorders, traumatic brain injuries, blindness, prosthetics 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 VA Beckley Healthcare System in West Virginia. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

The Integrated Financial and Acquisition Management System (iFAMS) is a comprehensive financial management system intended to replace multiple legacy systems and combine both acquisition and financial functions. iFAMS, as part of the system’s financial-related functionality, contains sensitive...

The VA Office of Inspector General’s (OIG) information security inspection program assesses whether VA facilities are meeting federal security requirements related to three high-risk control areas: configuration management, security management, and access. For this inspection, the OIG selected 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 Sierra Nevada Health Care System in Reno. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

The VA Office of Inspector General (OIG) issued a preliminary result advisory memorandum highlighting significant barriers to veterans’ access to specialty care—particularly radiology and mental health—at VA medical facilities. In November 2025, the OIG began a national review to assess whether...