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Source Id
324

Waste and Abuse by the Former Assistant Secretary for Human Resources and Administration

2020
19-00230-190
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Office of Special Reviews substantiated allegations that Peter Shelby, while serving as VA’s Assistant Secretary for Human Resources and Administration (HR&A), improperly steered a $5 million contract for the benefit of individuals with whom he had a personal relationship. The OIG determined...

Comprehensive Healthcare Inspection of the Tomah VA Medical Center in Wisconsin

2020
20-00082-189
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

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 Tomah VA Medical Center and multiple outpatient clinics in Wisconsin. The inspection covers key...

Review of Highly Rural Community-Based Outpatient Clinics Limited Access to Select Specialty Care

2020
19-00017-191
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs
Pandemic

The VA Office of Inspector General (OIG) reviewed the accessibility of dermatology, orthopedics, and urology specialty care for patients in the 17 Veterans Health Administration (VHA) community-based outpatient clinics (CBOCs) classified as highly rural. The OIG also reviewed accessibility, barriers...

Inadequate Care by a Clinical Pharmacy Specialist and a Primary Care Provider at the Tennessee Valley Healthcare System in Nashville

2020
19-07543-178
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate an allegation that a clinical pharmacy specialist (CPS) failed to act on a patient’s abnormal test results in fall 2018, which led to the patient going undiagnosed and untreated for pancreatic cancer for three...

Anesthesia Provider Practice Concerns at the W.G. (Bill) Hefner VA Medical Center in Salisbury, North Carolina

2020
19-09377-192
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) initiated an inspection in response to anesthesia provider practice concerns, including unsafe practices such as technique and choice of medications, alleged to have affected patient care at the W.G. (Bill) Hefner VA Medical Center in Salisbury, North...

Comprehensive Healthcare Inspection of the Oscar G. Johnson VA Medical Center in Iron Mountain, Michigan

2020
20-00067-172
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

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 Oscar G. Johnson VA medical center and multiple outpatient clinics in Michigan and Wisconsin. The...

Deficiencies in Evaluation, Documentation, and Care Coordination for a Bariatric Surgery Patient at the VA Pittsburgh Healthcare System in Pennsylvania

2020
19-09436-185
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations of inadequate preoperative evaluations and the management of postoperative care for a patient approved for bariatric surgery at the VA Pittsburgh Healthcare System. The patient did not receive three...

A Synopsis of Preaward Reviews of VA Federal Supply Schedule Pharmaceutical Proposals Issued in Fiscal Year 2019

2020
20-00010-151
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA and other government agencies spend billions of taxpayer dollars annually through VA’s Federal Supply Schedule (FSS) contracting program. The FSS program provides the government a simplified process for acquiring commercial supplies and services in varying quantities while obtaining volume...

VA Should Examine Options to Expand Retail Pharmacy Drug Discounts

2020
19-07281-105
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) determined that the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) had not been given the authority to require drug manufacturers to make drugs available at discounted prices to VA if the same items had been dispensed to...

Review of the Enhanced Use Lease between the Department of Veterans Affairs and Veterans Development, LLC

2012
12-00375-290
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA Management inappropriately used VA's Enhanced Use Lease authority to procure office space, parking, and domiciliary services at the Louis Stokes VA Medical Center. The space and services procured through the Enhanced Use Lease with Veterans Development, LLC significantly exceeded any in-kind...

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