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 throughout the Readjustment Counseling Service (RCS). This inspection evaluated four review areas within Pacific District 5 including leadership stability...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess facility leaders’ responses to a dermatologist’s deficiencies in quality of care and documentation. The OIG found supervisory staff and senior leaders failed to adequately address patient care concerns outlined by...

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 Southern Oregon Healthcare System in White City. This evaluation focused on five key content domains: • Culture • Environment of care •...

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 VA Desert Pacific Healthcare Veterans Integrated Service Network (VISN) 22 medical facilities with a community care...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Durham VA Health Care System. This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety • Primary...

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 Chillicothe Healthcare System in Ohio. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

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 Poplar Bluff Health Care System in Missouri. This evaluation focused on five key content domains: • Culture • Environment of care •...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at Fargo VA Health Care System in North Dakota. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

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 Western New York Healthcare System in Buffalo. This evaluation focused on five key content domains: • Culture • Environment of care •...

The PACT Act prompted a rush of new toxic exposure claims and required VA to both immediately train staff on reviewing the claims and provide training at least annually. VBA’s Compensation Service and Pension and Fiduciary Service created mandatory training courses and released them to employees...