Sorry, you need to enable JavaScript to visit this website.
Skip to main content
Source Id
324

Comprehensive Healthcare Inspection of the Battle Creek VA Medical Center in Michigan

2021
20-01267-148
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 Battle Creek VA Medical Center and multiple outpatient clinics in Michigan. The inspection covers...

VA OIG Semiannual Reports to Congress October 1, 2020 - March 31, 2021

2021
vaoig-sar-2021-1
Semiannual Report
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Semiannual Report to Congress summarizes the results of VA OIG oversight, provides statistical information, and lists all reports issued from October 1, 2020 to March 31, 2021. During this reporting period, VA OIG audits, evaluations, investigations, inspections, and other reviews identified...

Comprehensive Healthcare Inspection of the Chillicothe VA Medical Center in Ohio

2021
20-01268-143
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 Chillicothe VA Medical Center and multiple outpatient clinics in Ohio. The inspection covers key...

Compensation and Pension Proceeds Were Generally Handled Accurately but Some Were Delayed

2021
20-00817-123
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) audited the Veterans Benefits Administration’s (VBA) handling of “proceeds” to determine whether they are completed accurately and timely. A proceed is an actionable item in the veteran’s or beneficiary’s record that is created when benefits payments are...

Deficiencies in Reporting Reliable Physical Infrastructure Cost Estimates for the Electronic Health Record Modernization Program

2021
20-03178-116
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

To promote compatibility with the Department of Defense’s electronic health record system, VA is replacing its aging record system. This requires VA medical facilities to upgrade their physical infrastructure, including electrical and cabling. The OIG determined from its audit that the Veterans...

Drug Interactions Related to a Patient Death, Marion VA Medical Center in Illinois

2021
20-03380-136
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the Marion VA Medical Center in Illinois (facility) to review an allegation that a patient died due to complications from high cholesterol.The OIG substantiated that high cholesterol contributed to the patient’s death...

Comprehensive Healthcare Inspection of the Cincinnati VA Medical Center in Ohio

2021
20-01276-131
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 Cincinnati VA Medical Center and multiple outpatient clinics in Kentucky, Indiana, and Ohio. The...

Inadequate Resident Supervision and Documentation of an Ophthalmology Procedure at the Oklahoma City VA Health Care System in Oklahoma

2021
20-03886-141
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

The VA Office of Inspector General (OIG) conducted an inspection in response to allegations related to ophthalmology resident supervision and quality of care by an attending ophthalmologist (subject ophthalmologist) at the Oklahoma City VA Health Care System in Oklahoma.The OIG substantiated that...

The Office of Field Operations Did Not Adequately Oversee Quality Assurance Program Findings

2021
20-00049-122
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

In 2020, the Veterans Benefits Administration (VBA) processed about 1.2 million disability compensation claims and paid more than $90.8 billion in total benefits to veterans. About five million veterans were receiving these benefits as of December 31. To ensure claims decisions are accurate and...

Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia

2021
20-03593-140
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General’s (OIG) Office of Investigations was contacted by the Facility Director in June 2018 who reported concerns related to the suspicious deaths of nine patients from profound hypoglycemia (low blood sugar). A criminal investigation was initiated. The OIG Office of...

Subscribe to Department of Veterans Affairs