Department of Veterans Affairs

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 Roseburg VA Health Care System, which includes the Roseburg VA Medical Center and three...

The OIG determined whether VA complied with the requirements of the Payment Integrity Information Act of 2019 (PIIA) for fiscal year 2020. Several requirements focus on improper payments, or any payment that should not have been made or was made in an incorrect amount under statutory, contractual...

The VA Office of Inspector General (OIG) conducted an inspection at the VA Salt Lake City Healthcare System (facility) in Utah to assess allegations of lack of care coordination and a delay in a patient receiving an anticoagulant medication, refusal to hire a community-based outpatient clinic (CBOC)...

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 Puget Sound Health Care System, which includes the Seattle and American Lake (Tacoma) divisions...

Staff at VA medical facilities work with contractors in the Contracted Residential Services (CRS) program to provide temporary housing and services to veterans experiencing homelessness. The OIG examined whether the Veterans Health Administration (VHA) effectively monitored veterans and administered...

The purpose of the VA Fiduciary Program is to protect beneficiaries who are unable to manage their VA benefits as a result of injury, disease, advanced age, or because they are under age 18. The Veterans Benefits Administration’s (VBA) Pension and Fiduciary Service administers the program through...

The OIG conducted this healthcare inspection after receiving information from the facility that an audiologist had provided poor care and billed for unrendered services. The inspection focused on actions the Audiology Supervisor, Service Chief, and Chief of Staff (audiology leaders) took in response...

The VA Office of Inspector General (OIG) assessed allegations that a patient died by suicide the day of discharge from the Inpatient Mental Health Unit, and that facility leaders failed to complete an institutional disclosure.The patient, who was over 70 years old at the time of death, had diagnoses...

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 Boise VA Medical Center and five outpatient clinics in Idaho and Oregon. The inspection covers key...

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 Portland Health Care System and multiple outpatient clinics in Oregon. The inspection covers key...