Department of Veterans Affairs

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

The VA Office of Inspector General (OIG) conducted this review in response to a confidential hotline complaint alleging mismanagement of equipment and supplies that resulted in wasted funds and canceled operating room procedures at the Hampton VA Medical Center in Virginia. There were six...

The Fiduciary Program oversees individuals tasked with managing VA benefits for recipients unable to do so themselves. These fiduciaries are expected to make financial decisions in their beneficiaries’ best interest, but because there is the potential for misuse of those funds, employees at VA’s six...

The VA Office of Inspector General (OIG) reviewed four allegations originating from an October 2017 hotline complaint about potential mismanagement of several construction projects at the Ralph H. Johnson VA Medical Center in Charleston, South Carolina. The OIG substantiated two of the allegations...

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

The VA Office of Inspector General (OIG) conducted a healthcare inspection in response to concerns from the U.S. Office of Special Counsel involving a Veterans Integrated Service Network (VISN) 10 medical facility. A complainant alleged an ophthalmologist lacked training, provided substandard care...

Acting on a congressional request, the VA Office of Inspector General (OIG) reviewed the Vocational Rehabilitation and Employment program at the VA regional office in Los Angeles, California. The program helps veterans with service-connected disabilities prepare for, find, and maintain suitable...

Knowing a patient’s prescription history is essential to VA’s ongoing efforts to combating opioid abuse, overmedication, and deaths. The VA Office of Inspector General (OIG) conducted this audit to determine whether VA clinicians effectively used information from state-operated prescription drug...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review quality of care and patient safety concerns identified by an OIG medical consultant after providing assistance during an OIG Office of Investigations inquiry into an unexpected patient death at the facility. The OIG...

The VA Office of Inspector General (OIG) conducted this review to determine whether a supervisor at the VA regional office in Boston, Massachusetts, incorrectly processed system generated messages known as “work items” that may have affected recipients’ benefits. Work items are a type of internal...