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 VA St. Louis Health Care System and multiple outpatient clinics in Illinois and Missouri. The...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess an allegation of delays in diagnosis of a patient’s cancer at a Veterans Integrated Service Network 15 medical facility. The OIG substantiated a delay in the patient’s diagnosis. The patient’s initial complaint and...

The VA Office of Inspector General (OIG) reviewed VA facilities and community providers for usage of health information exchanges (HIEs) in their respective communities and to identify any barriers that may impede the use of HIEs. HIEs share patient health record information electronically and...

The VA Office of Inspector General (OIG) conducted this audit to determine whether community care providers associated with the Fayetteville, North Carolina, VA Medical Center (VAMC) stopped accepting Non-VA Care (NVC) and Veterans Choice Program (Choice) authorizations. In July 2017, the OIG...

The VA Office of Inspector General (OIG) assessed an allegation that providers permitted an individual with no legal authority to make medical decisions on behalf of a patient. The patient had a three-week medical and mental health hospitalization with repeated episodes of confusion, agitation, and...

The VA Office of Inspector General (OIG) conducted this review to determine whether Veterans Benefits Administration (VBA) decision makers accurately completed disability evaluations for veterans’ service-connected heart disease. The OIG estimated VBA decision makers incorrectly evaluated about 12...

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 William S. Middleton Memorial Veterans Hospital and multiple outpatient clinics in Illinois and...

The VA Office of Inspector General (OIG) received allegations of inadequate orientation and training of pharmacy staff, a lack of pharmacist oversight of intravenous (IV) admixtures, and noncompliance with controlled substance policies. The Veterans Integrated Service Network Director initially...

The VA Office of Inspector General (OIG) conducted a review at the Ioannis A. Lougaris VA Medical Center in Reno, Nevada. The review proactively identified and evaluated declining performance metrics that could affect quality of care and patient safety. The OIG selected the facility because...

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 VA Illiana Health Care System and multiple outpatient clinics in Illinois. The inspection covers...