Department of Veterans Affairs

The OIG conducted a review of VA’s planned launch of a new electronic health record (EHR) system at the Mann-Grandstaff VA Medical Center in Spokane, Washington. The facility was scheduled to be the first facility to implement the new EHR system on March 28, 2020, which VA postponed on February 10...

The OIG conducted an independent review of the VA reports on special disabilities capacity for fiscal years 2017 and 2018. The reports focus on VA’s capacity to meet the specialized treatment and rehabilitative needs of disabled veterans in five areas: (1) spinal cord injury and disorder, (2)...

The VA Office of Inspector General (OIG) conducted an inspection to evaluate novel coronavirus disease (COVID-19) screening processes at 237 VA facilities (medical centers, community-based outpatient clinics, and community living centers) and to collect data on pandemic preparations. Screening...

The Federal Information Security Modernization Act (FISMA) requires annual evaluations of the information security program at each federal agency. The Department of Homeland Security and the Office of Management and Budget review the results, which are used to develop a report to Congress on...

The OIG performed a risk assessment of VA’s grant closeout process to determine if an audit or review of VA’s process was warranted, as required by the Grants Oversight and New Efficiency Act of 2016. The act also required agencies to report on grants that were expired for more than two years that...

The VA Office of Inspector General (OIG) conducted an inspection related to a patient’s emergent mental health services, medication management, and emergency procedures at the facility. The inspection team identified an additional concern related to the Recovery and Engagement and Coordination for...

The VA Office of Inspector General (OIG) conducted a healthcare inspection that assessed whether (1) a research study cardiologist provided follow-up cardiac care to a research patient; (2) a cardiology fellow failed to provide follow-up care and correctly interpret electrocardiograms; (3) the...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess an allegation that the Associate Director for Patient Care Services endangered patient safety by placing an unqualified leader as the Acting Chief of Sterile Processing Services (SPS) at the facility. The OIG did...

VA contracts for Medical Disability Examinations from non-VA medical sources on behalf of veterans and active military members. One of the companies VA contracts with to conduct these exams is QTC Medical Services (QTC). The VA Office of Inspector General (OIG) and independent auditors have...

The VA Office of Inspector General (OIG) initiated an inspection to assess allegations regarding concerns with cardiology procedures at the facility and evaluated facility leaders’ responses to reports of deficiencies in the Cardiac Catherization and Electrophysiology Laboratories. The OIG...