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Source Id
324

Comprehensive Healthcare Inspection of the Dayton VA Medical Center in Ohio

2021
20-01271-64
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 Dayton VA Medical Center and multiple outpatient clinics in Ohio and Indiana. The inspection covers...

False Statements and Concealment of Material Information by VA Information Technology Staff

2021
17-01980-201
Investigation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted an administrative investigation in response to a referral from VA officials about the potential for a conflict of interest involving VA employees’ establishment of a cooperative research and development agreement (CRADA) between VA and a private...

Medication Delivery Delays Prior to and During the COVID-19 Pandemic at the Manila Outpatient Clinic in Pasay City, Philippines

2021
20-02779-59
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

The VA Office of Inspector General (OIG) conducted an inspection to assess allegations related to delayed medication delivery from the VA Manila Outpatient Clinic (clinic) pharmacy in Pasay City, Philippines, prior to and during the COVID-19 pandemic.The OIG substantiated a patient experienced...

Fiduciary Program: Some Incompetency Decisions Not Completed, Putting Those Beneficiaries’ Funds at Risk

2021
20-02071-49
Other
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) assessed the merits of an August 2019 hotline allegation that a deceased veteran’s VA funds had been misused while he was living at a California nursing home. As part of its assessment, which is the subject of an upcoming report, the OIG discovered the...

VA Needs to Comply Fully with the Geospatial Data Act of 2018

2021
20-02339-35
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

Department of Veterans Affairs, Office of Inspector General (OIG) conducted this audit to determine whether VA complied with the requirements of section 759(a), “Covered Agency Responsibilities,” of the Geospatial Data Act of 2018. Geospatial data is information that is tied to a location on the...

Thoracic Surgery Quality of Care Issues and Facility Leaders’ Response at the C.W. Bill Young VA Medical Center in Bay Pines, Florida

2021
18-01321-56
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the facility to evaluate allegations related to a thoracic surgeon’s surgical complications including patient deaths and misrepresentations of operative note documentation and the facility’s inappropriate reporting of the...

Deficiencies in Privileging a Urologist to Practice and Medication Management Processes at the VA Central Iowa Health Care System in Des Moines

2021
20-02359-52
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the VA Central Iowa Health Care System (facility) in Des Moines in response to an OIG Office of Investigations referral regarding a facility report that a urologist practiced, was privileged, and ordered controlled...

Added Measures Could Reduce Veterans’ Risk of COVID-19 Exposure in Transitional Housing

2021
20-02774-26
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

The VA Office of Inspector General (OIG) reviewed the measures taken by the Veterans Health Administration’s (VHA) Homeless Program Office, medical facilities, and community service providers to mitigate COVID-19 risks in transitional housing programs for veterans experiencing homelessness.The OIG...

eficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient’s Death by Suicide, Harry S. Truman Memorial Veterans’ Hospital in Columbia, Missouri

2021
20-01521-48
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to determine the validity of an allegation regarding a patient’s mental health care at the Harry S. Truman Memorial Veterans’ Hospital (facility) in Columbia, Missouri, prior to death by suicide. The OIG reviewed the patient...

Review of Veterans Health Administration’s Emergency Department and Urgent Care Center Operations During the COVID-19 Pandemic

2021
20-01106-40
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

The VA Office of Inspector General (OIG) conducted a review of the Veterans Health Administration’s response to anticipated demand and use of emergency department and urgent care center services when faced with the possibility of an influx of patients needing evaluation during the COVID-19 pandemic...

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