Department of Veterans Affairs

This review provides a focused evaluation of the quality of care delivered at the Coatesville VA Medical Center, covering leadership and organizational risks and key processes associated with promoting quality care. For this inspection, the areas of focus were Quality, Safety, and Value; Medical...

The VA Office of Inspector General (OIG) conducted this audit to determine if VA’s management of undelivered orders (UDO) ensured the most effective use of appropriated funds. UDOs are items or services ordered that have not been received, and their value represents legal financial commitments...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the Kansas City VA Medical Center, covering leadership, organizational risks, and key processes associated with promoting quality care. For this inspection, the areas of focus were...

The VA Office of Inspector General (OIG) evaluated the oncology service staff’s adherence to the facility’s psychosocial distress screening standard operating procedure in the care of two patients who died by suicide, and facility leaders’ response to the root cause analyses following the two...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the VA Manila Outpatient Clinic, covering leadership and organizational risks and key clinical and administrative processes associated with promoting quality care. For this...

The VA Office of Inspector General (OIG) conducted this review to determine if the Veterans Health Administration (VHA) completed radiology and nuclear medicine exam requests and follow-up care in a timely manner. The audit team also reviewed two related hotline allegations and determined if VHA...

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...