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Source Id
324

Review of VA’s Compliance with the Payment Integrity Information Act for Fiscal Year 2024

2025
24-03777-113
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Deficiencies in Emergency Care for a Female Veteran at Martinsburg VA Medical Center in West Virginia

2025
24-02359-123
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Healthcare Facility Inspection of the VA North Florida/South Georgia Veterans Health System in Gainesville

2025
24-00604-121
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 North Florida/South Georgia Veterans Health System. This evaluation focused on five key content domains: • Culture • Environment of care •...

Inspection of Information Security at the Battle Creek Healthcare System in Michigan

2025
24-02575-50
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Former Orlando VA Medical Center Executive Violated Ethics Rules

2025
23-02157-106
Investigation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Deficiencies in Trainee Onboarding, Physician Oversight, and a Root Cause Analysis at the Overton Brooks VA Medical Center in Shreveport, Louisiana

2025
24-01566-100
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Integrated Financial and Acquisition Management System Interface Development Process Needs Improvement

2025
24-00645-84
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

After previous failed attempts, VA is modernizing its finance and acquisition systems by implementing the Integrated Financial and Acquisition Management System (iFAMS). The system is being deployed by the Financial Management Business Transformation Service (FMBTS) in waves across VA. The six waves...

Improper Sharing of Sensitive Information on Cloud-Based Collaborative Applications

2025
24-01330-29
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG received a hotline allegation from a VA medical center employee regarding the improper sharing of sensitive information on VA’s internal network. The complainant reported that an employee could search for fellow employees on the internal network and find documents and emails that contained...

Delayed Diagnosis and Treatment for a Patient’s Lung Cancer and Deficiencies in the Lung Cancer Screening Program at the VA Eastern Kansas Healthcare System in Topeka and Leavenworth

2025
24-00990-99
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate allegations related to a patient’s care and the lung cancer screening (LCS) program at the VA Eastern Kansas Healthcare System (system) in Topeka and Leavenworth. The OIG substantiated that a patient experienced a...

Veteran Self-Scheduling Process Needs Better Support, Stronger Controls, and Oversight

2025
24-01143-44
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

Veterans are eligible to receive community care under certain circumstances, such as when their local VA medical facility does not provide the requested service or when a provider determines community care is in their best medical interest. In October 2020, the Veterans Health Administration’s (VHA)...

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