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

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 three randomly selected vet centers throughout North Atlantic district 1 zone 4: Prince George’s County...

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 three randomly selected vet centers throughout North Atlantic district 1 zone 1: New Haven, Connecticut...

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 three randomly selected vet centers throughout North Atlantic district 1 zone 2: Buffalo, Nassau, and...

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 three randomly selected vet centers throughout North Atlantic district 1 zone 3: Dubois, Lancaster, 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 Fayetteville Coastal Healthcare System in North Carolina. This evaluation focused on five key content domains: • Culture • Environment of...

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 seven Veterans Integrated Service Network (VISN) 17: VA Heart of Texas Healthcare Network medical facilities with a community...

The VA Office of Inspector General’s (OIG’s) Mental Health Inspection Program evaluates Veterans Health Administration’s (VHA’s) continuum of mental healthcare services. This inspection focused on inpatient mental health care delivered at the Lexington VA Healthcare System in Kentucky. Facility...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Lovell Federal Healthcare System in North Chicago, Illinois. This evaluation focused on five key content domains: • Culture • Environment of...

The OIG conducted this audit to determine whether VHA national program offices provided effective oversight of contracted community-based outpatient clinics (CBOCs). The audit team found the offices did not effectively oversee contracted CBOCs because oversight ended after vendors were awarded...