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)...

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...

Sports adapted for athletes with disabilities can play a vital role in improving veterans’ quality of life. VA’s Office of National Veterans Sports Programs and Special Events (NVSPSE) granted $47 million to organizations with experience in managing adaptive sports programs from fiscal year (FY)...

The Veterans Benefits Administration (VBA) oversees the disability compensation program, providing veterans with monthly payments because of disabilities that occurred during or were aggravated by their military service. VBA’s Office of Field Operations is responsible for ensuring these benefits are...