Department of Veterans Affairs

The OIG performed a risk assessment of VA’s grant closeout process to determine if an audit or review of VA’s process was warranted, as required by the Grants Oversight and New Efficiency Act of 2016. The act also required agencies to report on grants that were expired for more than two years that...

The VA Office of Inspector General (OIG) conducted an inspection related to a patient’s emergent mental health services, medication management, and emergency procedures at the facility. The inspection team identified an additional concern related to the Recovery and Engagement and Coordination for...

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...