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Source Id
324

Enhanced Strategy Needed to Reduce Disability Exam Inventory Due to the Pandemic and Errors Related to Canceled Exams

2021
20-02826-07
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

The COVID-19 pandemic has affected how the Veterans Benefits Administration (VBA) provides disability benefits to veterans. On April 3, 2020, VBA discontinued all in-person disability exams that help determine the severity of medical conditions and the amount of benefits paid. The OIG conducted this...

Comprehensive Healthcare Inspection of the Atlanta VA Health Care System in Decatur, Georgia

2021
20-00129-09
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 Atlanta VA Health Care System and multiple outpatient clinics in Georgia. The inspection covers key...

Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died

2021
19-08542-11
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate an allegation regarding Veterans Crisis Line (VCL) staff’s management of a veteran caller who died the same day as contacting the VCL.The OIG substantiated that VCL staff did not initiate an emergency dispatch for...

Comprehensive Healthcare Inspection of the Carl Vinson VA Medical Center in Dublin, Georgia

2021
20-00130-06
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 Carl Vinson VA Medical Center and multiple outpatient clinics in Georgia. The inspection covers key...

Comprehensive Healthcare Inspection of the Ralph H. Johnson VA Medical Center in Charleston, South Carolina

2021
20-00132-04
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 Ralph H. Johnson Medical Center and multiple outpatient clinics in Georgia and South Carolina. The...

Management of the Ophthalmology Clinic and Patient Safety Reporting Concerns at the VA Central Iowa Health Care System in Des Moines

2021
20-01326-08
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted an inspection in response to multiple allegations related to Ophthalmology Clinic management, quality of care, oversight, medication management, and facility leaders’ failures at the VA Central Iowa Health Care System (facility) in Des Moines. The...

Veterans Crisis Line Challenges, Contingency Plans, and Successes During the COVID-19 Pandemic

2021
20-02830-05
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

The Office of Inspector General (OIG) reviewed Veterans Crisis Line (VCL) operations ranging from contingency planning to quality metrics and lessons learned during the COVID-19 pandemic. The OIG completed remote interviews, document reviews, and surveyed VCL employees and Suicide Prevention staff...

Lack of Adequate Controls for Choice Payments Processed through the Plexis Claims Manager System

2020
19-00226-245
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG examined whether the VA Office of Community Care accurately reimbursed third-party administrators under the Veterans Choice Program for payments made to community healthcare providers for services to veterans during the audit period. This is the third OIG report on healthcare claims payments...

VA’s Noncompliance with Preaward Review Requirements for Sole-Source Proposals for Healthcare Services

2020
18-04150-261
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA spends millions of taxpayer dollars annually on healthcare resources procured without competition from affiliated educational institutions. This review focused on determining the extent of VA’s compliance with the requirement to obtain an Office of Inspector General (OIG) preaward review of...

Deficiencies in Care and Excessive Use of Restraints for a Patient Who Died at the Charlie Norwood VA Medical Center in Augusta, Georgia

2020
19-08106-273
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate allegations related to the care provided to a patient who died at the Charlie Norwood VA Medical Center (facility) and an allegation that the facility director failed to ensure adequate psychiatric provider...

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