Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this inspection to evaluate concerns related to a Virtual Pharmacy Services (VPS) pharmacist’s discontinuation of an antidepressant medication for a patient of the Minneapolis VA Health Care System, which resulted in the patient not having...

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 Eastern Kansas Health Care System and multiple outpatient clinics in Kansas and Missouri. The...

This report presents the findings of an audit that examined whether VA’s police information systems provided program leaders and the workforce with adequate information to manage operations and in turn support effective governance. It builds on a December 2018 Office of Inspector General (OIG)...

The OIG evaluated the merits of a May 2018 complaint alleging the former executive director of the Northern California Institute for Research and Education, a VA-affiliated nonprofit corporation, spent about $740,000 on a project that was not reviewed by its board of directors. The OIG also examined...

The OIG evaluated the merits of a May 2018 complaint alleging that the Middle Tennessee Research Institute (MTRI), a nonprofit corporation affiliated with VA, overbilled the VA medical center in Nashville, Tennessee by at least $342,000 over several years. In addition, the OIG assessed whether MTRI...

The VA Office of Inspector General (OIG) initiated an inspection to assess allegations regarding deficiencies in nursing care in the Community Living Center (CLC). The OIG substantiated the allegation that a CLC nurse improperly left medication in a patient’s room. The inspectors conducted an...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate allegations regarding management and patient safety at the Community Living Center (CLC). The complainant alleged that CLC managers discouraged incident reporting, coached staff on how to talk to residents or the...

The VA Office of Inspector General (OIG) conducted an annual risk assessment of VA’s charge card program evaluating the transactions of the three types of charge card business lines—purchase cards (including convenience checks), travel cards, and fleet cards—for fiscal year 2018. The team reviewed...

The VA Office of Inspector General (OIG) contracted with the independent public accounting firm, CliftonLarsonAllen LLP (CLA), to audit VA’s financial statements as of September 30, 2018 and 2017, and for the fiscal years (FY) then ended. This audit is an annual requirement of the Chief Financial...

The VA Office of Inspector General (OIG) conducted this audit to determine whether veterans received accurate compensation when hospitalized by VA for more than 21 days for service-connected disabilities. The OIG also examined whether claims processors met requirements to document the competency of...