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...

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...

The VA Office of Inspector General (OIG) conducted a review of 58 Veterans Health Administration (VHA) outpatient clinics’ emergency preparedness for the delivery of telemental health care as of November 1, 2019. The review focused on clinic-specific emergency procedures, emergency procedure roles...

The VA Office of Inspector General (OIG) determined whether Veterans Health Administration (VHA) emergency department oversight ensured patients received emergency care services in a timely manner and whether facilities made any needed improvements to the patient flow process, which is how patients...

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 John D. Dingell VA Medical Center in Detroit, which includes multiple outpatient clinics in...

Information technology controls protect VA systems and data from unauthorized access, use, modification, or destruction. The VA Outpatient Clinic in Austin, Texas, is VA’s largest freestanding outpatient clinic— conducting almost 300,000 outpatient visits annually. The OIG inspected this clinic to...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate an allegation that improper feeding by a registered nurse (RN) at the New York Harbor Health Care System’s Community Living Center (CLC) contributed to the death of a patient. The OIG identified concerns related...

The Office of Inspector General (OIG) evaluated whether VA’s community care staff accurately uploaded records for non-VA medical care to veterans’ electronic health records. Veterans receive non-VA care based on certain criteria, such as the distance from the veteran to the nearest VA facility or...

Sound financial management practices at VA facilities are critical to ensure funds are used appropriately, effectively, and efficiently. For that reason, the VA Office of Inspector General (OIG) conducted a review to examine whether VA’s Maryland Health Care System appropriately managed purchases...

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 Northern Indiana Health Care System, which includes a campus in Fort Wayne and Marion, and...