Department of Veterans Affairs

The OIG received allegations that the Veterans Health Administration (VHA) reported inaccurate data on the VA public website about the electronic wait list for patient appointments. The allegations, made by a VHA employee, stated that the data did not include wait list entries older than two years...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review an allegation that a patient died in the Emergency Department waiting room at the VA Loma Linda Healthcare System.The OIG did not substantiate the allegation. The facility policy did not require the first look nurse...

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...

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...

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...

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...

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...

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...

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...

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...