Department of Veterans Affairs

The OIG contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to audit VA’s financial statements for the prior two fiscal years: 2019 and 2018. CLA provided an unmodified opinion on VA’s financial statements and identified five material weaknesses concerning controls...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the St. Cloud VA Health Care System, covering leadership, organizational risks, and key processes associated with promoting quality care. For this inspection, areas of focus were...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the VA Southern Oregon Rehabilitation Center and Clinics, covering leadership, organizational risks, and key processes associated with promoting quality care. Focused areas were Quality...

The VA Office of Inspector General (OIG) conducted this audit to determine if VA effectively monitored Medical/Surgical Prime Vendor-Next Generation Program (MSPV-NG) order fulfillment and vendor performance. This audit focused on VA medical centers serviced by American Medical Depot (AMD). MSPV-NG...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the Chalmers P. Wylie Ambulatory Care Center covering leadership and organizational risks and key clinical and administrative processes associated with promoting quality care...

This review provides a focused evaluation of the quality of care delivered at the Coatesville VA Medical Center, covering leadership and organizational risks and key processes associated with promoting quality care. For this inspection, the areas of focus were Quality, Safety, and Value; Medical...

The VA Office of Inspector General (OIG) conducted this audit to determine if VA’s management of undelivered orders (UDO) ensured the most effective use of appropriated funds. UDOs are items or services ordered that have not been received, and their value represents legal financial commitments...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the Kansas City VA Medical Center, covering leadership, organizational risks, and key processes associated with promoting quality care. For this inspection, the areas of focus were...

The VA Office of Inspector General (OIG) evaluated the oncology service staff’s adherence to the facility’s psychosocial distress screening standard operating procedure in the care of two patients who died by suicide, and facility leaders’ response to the root cause analyses following the two...