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Source Id
324

Independent Review of VA’s Fiscal Year 2018 Performance Summary Report to the Office of National Drug Control Policy

2019
19-00225-86
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Executive Office of the President’s Office of National Drug Control Policy, Accounting of Drug Control Funding and Performance Summary circular, requires federal agencies to submit annual performance-related information for National Drug Control Program activities. The circular also requires...

Federal Information Security Modernization Act Audit for Fiscal Year 2018

2019
18-02127-64
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) contracted with CliftonLarsonAllen LLP to assess the VA’s information security program in accordance with the Federal Information Security Modernization Act of 2014 (FISMA). FISMA requires agencies to conduct annual reviews of their information security...

Delayed Radiology Test Reporting at the Dwight D. Eisenhower VA Medical Center, Leavenworth, Kansas (VA Eastern Kansas Health Care System)

2019
18-00980-84
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review the delay in a patient’s diagnosis and care and determine the extent and contributory causes of delays in communicating abnormal test results at the Dwight D. Eisenhower VA Medical Center, Leavenworth, Kansas. After...

Delays in Processing Community-Based Patient Care at the Orlando VA Medical Center, Florida

2019
18-01766-78
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

At Congressman Bill Posey’s request, the VA Office of Inspector General (OIG) conducted a healthcare inspection at the Orlando VA Medical Center, Florida, following allegations that a patient died while experiencing a delay in obtaining approval for surgery outside VA. It was additionally alleged...

Medication Management, Dispensing, and Administration Deficiencies at the VA Maryland Health Care System, Perry Point, Maryland

2019
17-05742-66
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection in response to a request from the OIG Office of Investigations to review the care of a patient at the Perry Point VA Medical Center, Maryland. The patient died in the hospice unit after receiving a potential overdose of a...

Lost Opportunities for Efficiencies and Savings During Data Center Consolidation

2019
16-04396-44
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this audit to determine whether VA met the data center requirements of the Federal Information Technology Acquisition Reform Act. The OIG found that VA did not maintain complete and updated data center inventories or include sufficient plans for...

Falsification of Blood Pressure Readings at the Danville Community Based Outpatient Clinic, Salem, VA

2019
18-05410-62
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) identified a primary care provider who appeared to have falsely documented patients’ blood pressure readings at the Danville Community Based Outpatient Clinic (CBOC) of the Salem VA Medical Center (facility), Virginia. The CBOC is a contracted clinic staffed...

Comprehensive Healthcare Inspection Program Review of the Washington DC VA Medical Center

2019
17-01757-50
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a focused evaluation of the Washington DC VA Medical Center. The review covered key processes associated with promoting quality care—Leadership and Organizational Risks; Quality, Safety, and Value (QSV); Credentialing and Privileging; Environment of...

Alleged Clinical and Administrative Concerns Involving a Wound Care Provider in Veterans Integrated Service Network 21

2019
18-05264-58
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at a Veterans Integrated Service Network 21 medical facility in response to a complaint alleging that a provider’s deficient practices placed patients at risk for poor outcomes, the provider mismanaged clinic time and...

Mismanagement of the VA Executive Protection Division

2019
17-03499-20
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

In May and October 2017, the VA Office of Inspector General (OIG) received several complaints alleging mismanagement and misuse of the VA Executive Protection Division. The complainants alleged ineffective procedures, scheduling and overtime abuses, pay administration issues, time card fraud, and...

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