Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a rapid response healthcare inspection to review staffing and access concerns at the Mann-Grandstaff VA Medical Center (facility), Spokane, Washington. Seven providers left the facility from early June through mid-July 2019; however, the OIG did not...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the leadership performance and oversight by the Veterans Integrated Service Network (VISN) 4, covering leadership and organizational risks and key clinical and administrative processes associated with promoting quality...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the VA Western New York Healthcare System covering clinical and administrative processes associated with promoting quality care. For this inspection, the areas of focus were...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to access care coordination for a patient who died by suicide while admitted to an inpatient medicine unit at the facility. The patient was assessed as heightened but not imminent risk for suicide. Facility Emergency...

The OIG contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to audit VA’s financial statements for the prior two fiscal years: 2019 and 2018. CLA provided an unmodified opinion on VA’s financial statements and identified five material weaknesses concerning controls...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the St. Cloud VA Health Care System, covering leadership, organizational risks, and key processes associated with promoting quality care. For this inspection, areas of focus were...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the VA Southern Oregon Rehabilitation Center and Clinics, covering leadership, organizational risks, and key processes associated with promoting quality care. Focused areas were Quality...

The VA Office of Inspector General (OIG) conducted this audit to determine if VA effectively monitored Medical/Surgical Prime Vendor-Next Generation Program (MSPV-NG) order fulfillment and vendor performance. This audit focused on VA medical centers serviced by American Medical Depot (AMD). MSPV-NG...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the Chalmers P. Wylie Ambulatory Care Center covering leadership and organizational risks and key clinical and administrative processes associated with promoting quality care...