Department of Veterans Affairs

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the Alaska VA Healthcare System,covering leadership and organizational risks and key clinical and administrative processes associated with promoting quality care. For this inspection...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate concerns related to deficiencies in the Women Veterans Health Program; Quality, Safety and Value (quality management) in patient safety and clinical events leading to resuscitation attempts; and leaders’ responses...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to determine the validity of allegations regarding a hospitalist’s interactions with a patient and family when obtaining consent for do-not-resuscitate (DNR) status and determining discharge plans at the facility. The OIG was...

The VA OIG conducted a healthcare inspection to assess allegations of delays in providing patient test results, communication issues between providers and paramedics related to transporting patients to a community hospital emergency department, violations of the Emergency Medical Treatment and Labor...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the Southeast Louisiana Veterans Health Care System, covering leadership and organizational risks and key processes associated with promoting quality care. The areas of focus were...

The OIG conducted this audit to determine whether facilities in Veterans Integrated Service Network (VISN) 8 were appropriately staffed and structured to manage the community care needs of veterans. VISN 8 serves more than 1.6 million patients across Florida, south Georgia, Puerto Rico, and the...

The VA Office of Inspector General (OIG) conducted this audit to evaluate the merits of a 2018 hotline complaint alleging the executive director of the Cincinnati Education and Research for Veterans Foundation (CERV), a VA-affiliated nonprofit corporation, used the CERV credit card inappropriately...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the leadership performance and oversight by the Veterans Integrated Service Network (VISN) 17: VA Heart of Texas Health Care Network, covering leadership and organizational risks and key processes associated...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the West Texas VA Health Care System. The inspection covers leadership and organizational risks and key clinical and administrative processes associated with promoting quality care. For...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care at the VA Central Western Massachusetts Healthcare System, covering leadership, organizational risks, and key processes associated with promoting quality care. For this inspection, the areas of...