Department of Veterans Affairs

The VA Office of Inspector General (OIG) reviewed how underlying human resources processes affect VA’s reporting of staffing and vacancy data on its public website. The VA MISSION Act of 2018 requires VA to release this information quarterly. The law also requires the OIG to review the website...

In response to the Coronavirus Aid, Relief, and Economic Security (CARES) Act, the VA Office of Inspector General (OIG) reviewed the Veterans Health Administration’s (VHA) tracking and reporting of COVID-19 supplemental funding from legislation for pandemic relief.VA met monthly reporting...

The OIG assessed how effectively VA managed its emergency caches during the first wave of the COVID-19 pandemic in early 2020. These caches contain a standard supply of drugs and medical supplies, including some personal protective equipment, for use during a public health emergency.The review team...

VA’s Program of Comprehensive Assistance for Family Caregivers provides benefits such as monthly stipends to approved caregivers of eligible veterans. The VA MISSION Act of 2018 expanded eligibility for the program from veterans injured on or after 9/11 to include veterans injured in any conflict...

The OIG assessed allegations that a patient’s care was delayed and mismanaged in the facility’s Emergency Department resulting in the patient’s death, and facility leaders ignored complaints of inadequate Emergency Department nurse staffing levels. Initially, the OIG had concerns regarding the...

The VA Office of Inspector General (OIG) initiated a healthcare inspection in spring 2018 after receiving allegations that former Pathology and Laboratory Medicine Service Chief Dr. Robert Levy misdiagnosed pathological specimens and altered quality management documents to conceal errors at the...

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...

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...

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...

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...