Department of Veterans Affairs

Making accurate and consistent decisions on disability compensation claims is vital to ensuring eligible veterans receive their benefits. The Veterans Benefits Administration (VBA) uses the Quality Review and Consistency Program (consistency study program) to ensure accurate and timely claims...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate concerns that the failure to follow pharmacy and nursing policies and procedures may have contributed to a patient’s death at the Southeast Louisiana Veterans Health Care System in New Orleans (facility)...

The VA Office of Inspector General (OIG) evaluated allegations that facility leaders failed to address nurse staffing shortages yet continued to accept resident admissions and that the shortages contributed to adverse events, environment of care concerns, and infection control issues. The OIG...

The VA Office of Inspector General (OIG) conducted a healthcare inspection after receiving a referral from OIG inspectors regarding facility leaders’ response to a report that a urologist had severe hand tremors and possibly low vision. The OIG identified two adverse clinical outcomes in 121 of the...

The VA Office of Inspector General (OIG) received wide-ranging allegations of misconduct in the operations of the Veterans Health Administration’s Consolidated Patient Account Center (CPAC) field offices, which function within the Office of Community Care and conduct medical billing functions for VA...

The VA Office of Inspector General (OIG) examined whether the Veterans Health Administration (VHA) adequately governs its purchase and use of robotic surgical systems. Employees at VA medical facilities submit applications to the VHA Office of Healthcare Technology Management to purchase these...

The VA Office of Inspector General (OIG) investigated allegations that the former executive director of the Idaho Veterans Research and Education Foundation, a VA-affiliated nonprofit, raised her own pay without the board of directors’ approval and misused the nonprofit’s credit card. The OIG also...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations related to the prior authorization drug request process. The OIG substantiated that the prior authorization drug request consult template included limited space for prescribers to enter treatment...

Pursuant to the VA Choice and Quality Employment Act of 2017, the Office of Inspector General (OIG) conducted a review to identify clinical and nonclinical occupations experiencing staffing shortages within the Veterans Health Administration (VHA). This is the seventh iteration of the staffing...

The VA Office of Inspector General (OIG) conducted an inspection to evaluate allegations that coordination and quality of care issues contributed to a delay in transfer and led to a patient death shortly after transfer from the Robert J. Dole VA Medical Center (facility) in Wichita, Kansas, to a...