Department of Veterans Affairs

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the James A. Haley Veterans' Hospital, covering leadership, organizational risks, and key processes associated with promoting quality care. For this inspection, areas of focus were...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review allegations of deficiencies in quality of care and administrative processes that contributed to two patient deaths by suicide and one patient’s self-harm behavior at the Alaska VA Healthcare System’s (facility)...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the Carl Vinson VA Medical Center, covering leadership, organizational risks, and key processes associated with promoting quality care. Focused areas were Quality, Safety, and...

The VA Office of Inspector General (OIG) contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to audit VA’s compliance under the Digital Accountability and Transparency Act of 2014 (DATA Act) for the first quarter of fiscal year 2019. The DATA Act requires the...

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

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations involving ophthalmology equipment-related maintenance and repair issues and other concerns at the James A. Haley Veterans’ Hospital in Tampa, Florida. Ophthalmology equipment is often expensive and...

VA is responsible for negotiating Federal Supply Schedule (FSS) prices (volume discounts) for billions of dollars of pharmaceuticals on behalf of all federal agencies. This review examined how VA administers temporary price reductions (TPRs) and the impact on government-wide contract negotiations...

In response to congressional requests and allegations made to the OIG’s Hotline, the Office of Special Reviews examined whether VA was properly implementing aspects of the VA Accountability and Whistleblower Protection Act of 2017. This examination reviewed the operations of the Office of...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care at the VA Texas Valley Coastal Bend Health Care System, covering leadership, organizational risks, and key processes associated with promoting quality care. Areas of focus were Quality...

VA’s Office of Information Technology (OIT) manages more than 50,000 mobile devices that store and transmit veteran information that must be protected. The VA Office of Inspector General (OIG) conducted this audit to determine whether OIT’s policies and procedures provide enough security for that...