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Source Id
324

Entitled Veterans Generally Received Clothing Allowance but Stronger Controls Could Decrease Costs

2021
20-01487-142
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

Veterans may apply for an annual clothing allowance benefit if they have a service-connected disability and use a prosthetic or orthopedic appliance or use a prescription skin medication that damages clothing. For fiscal year 2019, about 92,000 veterans received about $98 million in payments. The VA...

Medical/Surgical Prime Vendor Contract Emergency Supply Strategies Available Before the COVID-19 Pandemic

2021
20-03075-138
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

VA medical facilities’ demand for personal protective equipment (PPE) increased dramatically during the COVID-19 pandemic. The VA Office of Inspector General (OIG) reviewed how the Veterans Health Administration (VHA) ensured the Medical/Surgical Prime Vendor-Next Generation (MSPV-NG) program and...

Inconsistent Human Resources Practices Inhibit Staffing and Vacancy Transparency

2021
20-00541-133
Review
Department of Veterans Affairs OIG
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...

Review of VHA’s Financial Oversight of COVID-19 Supplemental Funds

2021
20-02967-121
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

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...

Use and Oversight of the Emergency Caches Were Limited during the First Wave of the COVID-19 Pandemic

2021
20-03326-124
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

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...

Program of Comprehensive Assistance for Family Caregivers: IT System Development Challenges Affect Expansion

2021
20-00178-24
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Delay in a Patient’s Emergency Department Care at the Malcom Randall VA Medical Center in Gainesville, Florida

2021
20-03535-146
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas

2021
18-02496-157
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Comprehensive Healthcare Inspection of the Battle Creek VA Medical Center in Michigan

2021
20-01267-148
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 Battle Creek VA Medical Center and multiple outpatient clinics in Michigan. The inspection covers...

VA OIG Semiannual Reports to Congress October 1, 2020 - March 31, 2021

2021
vaoig-sar-2021-1
Semiannual Report
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

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