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Source Id
324

VBA Improperly Created Debts When Reducing Veterans’ Disability Levels

2022
21-01351-151
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

In a March 2021 review, the VA OIG identified several cases in which Veterans Benefits Administration (VBA) employees in Chicago, Illinois, improperly created debts in veterans’ accounts when reducing disability levels. The OIG conducted this review to determine the magnitude of the problem...

Deficiencies in Facility Leaders’ Oversight and Response to Allegations of a Provider’s Sexual Assaults and Performance of Acupuncture at the Beckley VA Medical Center in West Virginia

2022
21-03339-208
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted an inspection to examine oversight of a provider who engaged in sexual misconduct toward patients and practiced acupuncture without credentials or privileges. The OIG also reviewed leaders’ awareness and response to these issues. Current and former...

Financial Efficiency Review of the VA Black Hills Health Care System in South Dakota

2022
22-00066-184
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this review to assess the oversight and stewardship of funds by the VA Black Hills Health Care System in South Dakota and to identify potential cost efficiencies in carrying out its functions. The review assessed the following financial activities...

Airborne Hazards and Open Burn Pit Registry Exam Process Needs Improvement

2022
21-02732-153
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

Since 1990, some 3.5 million veterans have served in areas that potentially exposed them to airborne hazards and open burn pit toxins, which have been associated with health problems. In 2013, Congress ordered VA to establish a registry to research the potential health impacts of exposures. The VA...

Review of Veterans Health Administration’s Response to a Medication Recall

2022
21-02194-198
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted an inspection to assess the Veterans Health Administration’s (VHA) process in responding to a December 2020 medication recall. The recall included two medications, an antidepressant and erectile dysfunction treatment, which were incorrectly packaged...

Veterans Prematurely Denied Compensation for Conditions That Could Be Associated with Burn Pit Exposure

2022
21-02704-135
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA recognizes exposure to smoke from the large burn pits used by the US military to dispose of waste from its bases in Iraq, Afghanistan, and Djibouti as a potential cause of disabilities. Veterans Benefits Administration (VBA) staff processed more than 21,100 burn pit-related claims from June 2007...

Inadequate Acceptance of Supplies and Services at Regional Procurement Office West Resulted in $12.8 Million in Questioned Costs

2022
21-01081-155
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The three regional procurement offices (RPO) of the Veterans Health Administration (VHA) procure supplies and services to support the medical facilities within their regions: Central, East, and West. In fiscal year 2021, RPO West obligated about $2.7 billion in contracts. The VA Office of Inspector...

Improvements in Sterile Processing Service and Leadership Oversight at the Edward Hines, Jr. VA Hospital in Hines, Illinois

2022
22-00158-188
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Office of Inspector General (OIG) initiated an inspection to assess allegations of deficient practices within the Sterile Processing Service (SPS) at the Edward Hines, Jr. VA Hospital (facility) in Hines, Illinois, as well as the alleged failure of SPS leaders to provide adequate oversight...

Contract Closeout Compliance Needs Improvement at Regional Procurement Offices Central and West

2022
21-02599-156
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Veterans Health Administration (VHA) has three regional procurement offices (RPOs) that acquire supplies and services to support the medical facilities within their regions (Central, East, and West). In FY 2020, the VA Office of Inspector General (OIG) published a report on contract closeout...

Comprehensive Healthcare Inspection of the Martinsburg VA Medical Center in West Virginia

2022
21-00287-194
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Martinsburg VA Medical Center. The inspection covered key clinical and administrative processes...

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