Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Washington DC Healthcare System. This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety •...

The VA Office of Inspector General (OIG) reviewed Veterans Health Administration (VHA) assertions required by the Office of National Drug Control Policy (ONDCP) in its fiscal year 2024 detailed accounting report and budget formulation compliance report. The OIG’s review was conducted in accordance...

The OIG examined whether the Veterans Health Administration (VHA) provided effective oversight of its two third-party administrators (TPAs), Optum and TriWest, to make sure VHA made accurate and timely community care payments for outpatient healthcare and dental services. The OIG estimated that VHA...

The VA Office of Inspector General (OIG) conducted a follow-up healthcare inspection in response to a 2023 OIG report regarding mistreatment of a resident at the Miles City VA Community Living Center (CLC) and the Fort Harrison VA Medical Center (facility). The OIG did not receive new allegations...

This Office of Inspector General (OIG) Care in the Community healthcare inspection program report describes the results of a focused evaluation of community care processes at seven VA Sierra Pacific Veterans Integrated Service Network (VISN) 21 medical facilities with a community care program. This...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to determine how surgical instruments that were not suitable for service (nonconforming instruments) were used during a patient procedure at the Carl Vinson VA Medical Center (facility) in Dublin, Georgia. The OIG identified...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Central Western Massachusetts Healthcare System in Leeds. This evaluation focused on five key content domains: • Culture • Environment of...

Veterans Health Administration (VHA) administers healthcare services through a nationwide network of 18 regional systems referred to as Veterans Integrated Service Networks (VISNs). This Office of Inspector General (OIG) report describes the results of a VISN-level oversight evaluation of...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Salem Healthcare System in Virginia. This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations related to surgical services, information security, and facility leaders’ response to patient safety concerns. The OIG substantiated the facility lacked services required to support the assigned...