Department of Veterans Affairs

The Patient Advocacy Program helps advance the Veterans Health Administration’s (VHA) efforts to improve customer service, support veterans’ access to quality care, and provide a mechanism to resolve healthcare issues. Patient advocates document veterans’ concerns, communicate the resolution...

The OIG conducted an administrative investigation that included a congressional request to look into allegations that Charmain Bogue, former executive director of the Veterans Benefits Administration’s Education Service, committed ethical violations arising from her spouse’s consulting work for...

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 W.G. (Bill) Hefner VA Medical Center. The inspection covered key clinical and administrative...

In November 2021, Congress passed the VA Transparency & Trust Act of 2021 to oversee VA’s spending of emergency relief funding related to the COVID-19 pandemic. The law requires VA to report to Congress how it will spend the funding and provide biweekly updates thereafter.The law also requires the...

The VA Office of Inspector General (OIG) reviewed Veterans Health Administration (VHA) assertions required by the Office of National Drug Control Policy (ONDCP) in its fiscal year 2021 detailed accounting report and budget formulation compliance report.The OIG’s review was conducted in accordance...

This report details the OIG’s concerns with the new electronic health record system (new EHR) process for resolving problems and requests for assistance through “tickets.” It also examines the underlying factors that contributed to deficiencies found by the OIG in prior inspections of medication...

This report details the OIG’s healthcare inspection to assess a range of allegations regarding medication management deficiencies and potential patient safety issues associated with implementation of the new electronic health record (new EHR) at the Mann-Grandstaff VA Medical Center in Spokane...

This healthcare inspection report is the second of three associated with implementation of the new electronic health record system (new EHR) at the Mann-Grandstaff VA Medical Center in Spokane, Washington. It details OIG findings on a range of allegations regarding clinical care coordination...

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 Salem VA Medical Center in Virginia. The inspection covered key clinical and administrative...

The US Office of Special Counsel referred a whistleblower disclosure to VA on July 19, 2021. The whistleblower alleged that the Houston National Cemetery’s equipment, headstones, gravesites, and other cemetery features were not maintained as required. VA referred the disclosure to the VA Office of...