Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a national review to evaluate the governance structure and responsibilities related to the Veterans Integrated Service Network (VISN) Chief Mental Health Officer (CMHO) role. The OIG found that VHA communicated inconsistent mandatory and...

The OIG conducted a legislatively mandated review of the circumstances and the underlying conditions that led to VBA announcing a potential shortfall and the need for FY 2024 supplemental funding. In July 2024, the VA Secretary announced to Congress that VBA needed about $2.9 billion, in addition to...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Memphis Healthcare System in Tennessee. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

In July 2024, VA informed Congress that the Veterans Health Administration (VHA) might need an additional $12 billion in funding in fiscal year (FY) 2025 to support medical care for the last three months of FY 2024 and all of FY 2025—primarily for community care, staffing, prosthetics, and pharmacy...

The VA Office of Inspector General (OIG) conducted a healthcare inspection in response to a congressional referral regarding the care of a patient who was admitted for alcohol withdrawal and later died at the Hampton VA Medical Center (facility) in Virginia. The OIG identified failures in the...

This Office of Inspector General (OIG) Care in the Community healthcare inspection program report describes the results of a focused evaluation of community care processes at eight South Central VA Health Care Network Veterans Integrated Service Network (VISN) 16 medical facilities with a community...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Dublin Healthcare System in Georgia. This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety...

The Veterans Health Administration (VHA) Grant and Per Diem (GPD) program funds community-based transitional housing for veterans experiencing homelessness. An OIG administrative investigation examined VHA’s oversight of the Veterans Village of San Diego (VVSD), a GPD program grantee providing drug...

The VA Office of Inspector General (OIG) conducted this inspection to assess the oversight and stewardship of funds by the VA Tampa Healthcare System. This inspection assessed four financial activities and administrative processes to determine whether appropriate controls and oversight were in place...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess clinic cancellation practices at a VA Northern Indiana Healthcare System (system) mental health clinic in Fort Wayne, Indiana. The OIG found that mental health leaders and a social work supervisor used a standard...