Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection that assessed whether (1) a research study cardiologist provided follow-up cardiac care to a research patient; (2) a cardiology fellow failed to provide follow-up care and correctly interpret electrocardiograms; (3) the...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess an allegation that the Associate Director for Patient Care Services endangered patient safety by placing an unqualified leader as the Acting Chief of Sterile Processing Services (SPS) at the facility. The OIG did...

VA contracts for Medical Disability Examinations from non-VA medical sources on behalf of veterans and active military members. One of the companies VA contracts with to conduct these exams is QTC Medical Services (QTC). The VA Office of Inspector General (OIG) and independent auditors have...

The VA Office of Inspector General (OIG) initiated an inspection to assess allegations regarding concerns with cardiology procedures at the facility and evaluated facility leaders’ responses to reports of deficiencies in the Cardiac Catherization and Electrophysiology Laboratories. The OIG...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations concerning delays in interpreting electrocardiograms (ECGs) and event monitor tracings, failure to schedule cardiac procedures for over one year, failure to scan pacemaker data into the electronic health...

The VA Office of Inspector General (OIG) reviewed whether Regional Procurement Office (RPO) East followed the Federal Acquisition Regulation (FAR) and the Veterans Health Administration (VHA) procurement manual when closing out contracts. Contract closeouts provide the last opportunity to ensure...

The OIG initiated an inspection to assess allegations regarding quality of care concerns at the facility with a focus on a patient’s care who transferred from the facility’s Community Living Center to the Emergency Department. The patient died in the Emergency Department. The OIG found delays and...

The VA Office of Inspector General (OIG) conducted this review in response to veterans’ benefits claims identified and referred by the Veterans Benefits Administration (VBA) as being potentially fraudulent. It also addressed whether allegations to the OIG hotline that telehealth questionnaires...

The VA Office of Inspector General (OIG) investigated an allegation that an employee in the VA Office of General Counsel’s District Contracting National Practice Group was approved to move his/her office from Pittsburgh to Altoona, Pennsylvania, but continued to improperly receive the higher...

In response to a congressional request, the VA Office of Inspector General (OIG) conducted a review to examine the Community Living Center (CLC) rating system (Compare), the rating system’s limitations, and what information from the system can reasonably be used to understand the long-term care...