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Source Id
324

Deficiencies in the Completion of Community Care Consults and Leaders’ Oversight at the New Mexico VA Health Care System in Albuquerque

2021
20-00716-177
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate allegations that Community Care consults were completed in June 2018 without scanning and attaching available clinical results to patients’ Veterans Health Administration (VHA) electronic health records (EHR). By...

Comprehensive Healthcare Inspection of Facilities' COVID-19 Pandemic Readiness and Response in Veterans Integrated Service Network 19

2021
21-01699-175
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program (CHIP) report provides a focused evaluation of Veterans Integrated Service Network (VISN) 19 facilities’ COVID-19 pandemic readiness and response. This evaluation focused on emergency preparedness; supplies, equipment...

Unreliable Information Technology Infrastructure Cost Estimates for the Electronic Health Record Modernization Program

2021
20-03185-151
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Electronic Health Record Modernization program manages VA’s transition to a new electronic health record system interoperable with the Department of Defense’s system, allowing care providers to access more comprehensive medical histories for the nine million-plus veterans enrolled in VA health...

Alleged Unauthorized Control over a VA Beneficiary’s Funds

2021
20-02071-167
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this review to assess the merits of an allegation made to its hotline regarding misuse of a veteran’s funds. The daughter of a now-deceased veteran for whom no VA fiduciary was appointed alleged that staff of a state veterans home in California...

Comprehensive Healthcare Inspection of Veterans Integrated Service Network 10: VA Healthcare System Serving Ohio, Indiana and Michigan in Cincinnati

2021
20-01265-172
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) 10: VA Healthcare System Serving Ohio, Indiana and Michigan in Cincinnati, covering...

Failure of a Primary Care Provider to Complete Electronic Health Record Documentation and Inadequate Oversight at the Charlie Norwood VA Medical Center in Augusta, Georgia

2021
20-00354-178
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate a primary care provider’s completion of electronic health record (EHR) documentation within the facility’s required time frame and accumulation of over 4,000 view alerts (EHR notifications) that may have resulted...

VHA Made Inaccurate Payments to Part-Time Physicians on Adjustable Work Schedules

2021
20-01646-139
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) examined whether Veterans Health Administration (VHA) medical facilities managed time and attendance for part-time physicians on adjustable work schedules to ensure salary payments were accurate.Part-time physicians on adjustable work schedules sign...

Traumatic Brain Injury Services and Leaders’ Oversight at the Southeast Louisiana Veterans Health Care System in New Orleans

2021
21-00669-176
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted an inspection at the request of Chairman Mark Takano, House Committee on Veterans’ Affairs, to assess allegations that facility staff failed to adequately evaluate and treat Traumatic Brain Injury (TBI) for patients who served in Operation Enduring...

Inadequate Oversight of Contractors’ Personal Identity Verification Cards Puts Veterans’ Sensitive Information and Facility Security at Risk

2021
20-00345-77
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this review to determine whether Veterans Health Administration (VHA) contracting officers complied with mandates to ensure contractors account for and return their personnel’s personal identity verification (PIV) cards as required, such as at the...

Veterans Cemetery Grants Program Did Not Always Award Grants to Cemeteries Correctly and Hold States to Standards

2021
20-00176-125
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

Through the Veterans Cemetery Grants Program, the National Cemetery Administration (NCA) offers grants to states, US territories, and tribes to help provide final resting places for eligible veterans and family members where VA’s national cemeteries cannot meet burial needs. Grants may be used to...

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