Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the VA Eastern Colorado Health Care System (facility) in Aurora to assess allegations that a lack of care coordination and a lack of hepatocellular carcinoma (HCC) surveillance led to a delay in a patient being diagnosed...

VA must submit an annual report to Congress documenting its capacity to provide specialized treatment comparable to that available as of October 9, 1996, for veterans with spinal cord injuries and disorders, traumatic brain injury, blindness, prosthetic and sensory aids, or mental health issues...

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 VA Hudson Valley Health Care System in Montrose, New York. The inspection covered key clinical and...

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 Durham VA Health Care System in North Carolina. The inspection covered key clinical and...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program (CHIP) report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Louis A. Johnson VA Medical Center and multiple outpatient clinics in West Virginia. The...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations concerning Sterile Processing Services (SPS) at the Carl T. Hayden VA Medical Center (facility) in Phoenix, Arizona.The OIG substantiated that SPS staff failed to don personal protective equipment (PPE)...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of VHA facilities’ selected requirements and guidelines for medication management. This evaluation focused on compliance with program requirements and processes related to long...

During COVID-19, VHA’s Office of Community Care (OCC) took steps to ensure veterans continued to have expanded access to health care in the community, as required by the VA MISSION Act of 2018. OCC issued policies to VA facilities to postpone nonurgent appointments and offer alternatives to in...

In October 2017, VA entered into an interagency agreement with the Defense Logistics Agency (DLA) to use its Electronic Catalog (ECAT) to order VA medical supplies and equipment not available through existing contracts. VA created the ECAT Ordering Guide to describe VA policies and procedures for...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the leadership performance and oversight by Veterans Integrated Service Network (VISN) 8: VA Sunshine Healthcare Network in St. Petersburg, Florida, covering leadership and...