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Source Id
324

Improvements Still Needed in Processing Military Sexual Trauma Claims

2021
20-00041-163
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Defense Department estimates that two of every three sexual assaults suffered during military service go unreported. As a result, evidence of the trauma can be difficult to subsequently produce or validate, posing a special challenge for VA when processing related veterans’ benefit claims for...

Comprehensive Healthcare Inspection of Veterans Integrated Service Network 20: VA Northwest Health Network in Vancouver, Washington

2021
20-01254-185
Review
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 leadership performance and oversight by Veterans Integrated Service Network (VISN) 20: VA Northwest Health Network in Vancouver, Washington, covering leadership and...

Comprehensive Healthcare Inspection of the Mann-Grandstaff VA Medical Center in Spokane, Washington

2021
20-01262-191
Review
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 Mann-Grandstaff VA Medical Center and multiple clinics in Idaho, Montana, and Washington. The...

Opportunities Exist to Improve Management of Noninstitutional Care through the Veteran-Directed Care Program

2021
20-02828-174
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Veteran-Directed Care (VDC) program provides veterans with a budget to hire caregivers and purchase the goods and services that will best meet their needs and allow them to remain in their homes longer. The Veterans Health Administration (VHA) administers the program to maximize veterans’...

Deficiencies in the Management of a Patient’s Reported Intimate Partner Violence, Ralph H. Johnson VA Medical Center, Charleston, South Carolina

2021
20-03763-207
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate concerns related to Ralph H. Johnson VA Medical Center (facility) staff’s management of a patient’s reported perpetration of intimate partner violence (IPV). The OIG also evaluated concerns related to the IPV...

Deficiencies in Mental Health Care Coordination and Administrative Processes for a Patient Who Died by Suicide, Ralph H. Johnson VA Medical Center, Charleston, South Carolina

2021
20-02368-202
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) reviewed allegations referred by Chairman Mark Takano, House Committee on Veterans’ Affairs, regarding deficiencies in the mental health care provided at the Ralph H. Johnson VA Medical Center (facility) to a high risk for suicide patient who died by suicide...

Comprehensive Healthcare Inspection of the Roseburg VA Health Care System in Oregon

2021
20-01259-196
Review
Department of Veterans Affairs OIG
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...

Review of VA’s Compliance with the Payment Integrity Information Act for Fiscal Year 2020

2021
21-00519-192
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Failures in Care Coordination and Reviewing a Patient’s Death at the VA Salt Lake City Healthcare System in Utah

2021
21-00657-197
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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)...

Comprehensive Healthcare Inspection of the VA Puget Sound Health Care System in Seattle, Washington

2021
20-01261-194
Review
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 VA Puget Sound Health Care System, which includes the Seattle and American Lake (Tacoma) divisions...

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