Department of Veterans Affairs

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

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the VA Pacific Islands Health Care System, covering leadership, organizational risks, and key processes associated with promoting quality care. For this inspection, the areas of...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the Northern Arizona VA Health Care System, covering leadership, organizational risks, and key processes associated with promoting quality care. For this inspection, the areas of...

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

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the VA Greater Los Angeles Healthcare System, covering leadership, organizational risks, and key processes associated with promoting quality care. Focused areas were Quality, Safety...

This audit was conducted in response to OIG hotline complaints and a congressional request alleging violations of law and VA policy at the Boston VA Research Institute (BVARI), a VA-affiliated nonprofit corporation. Among the allegations was the inappropriate use of agreements allowing VA and BVARI...

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

The Department of Veterans Affairs, Office of Inspector General (OIG) issued the Semiannual Report to Congress (SAR) April 1 – September 30, 2019. The SAR summarizes the results of OIG oversight, provides statistical information, and lists all reports issued April 1 – September 30, 2019. During this...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the El Paso VA Health Care System, 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 a healthcare inspection to evaluate allegations that a patient “may have died wrongfully” by aspiration during resuscitation attempts, and that the patient had a Do Not Attempt Resuscitation (DNAR) order but resuscitation was attempted at the...