Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the request of Senators Jon Tester and Sherrod Brown to review the care of a patient who fell to his death from a second-story window at the Chillicothe VA Medical Center (Facility), Ohio. At the request of Senator Brown...

The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Battle Creek VA Medical Center (Facility). The review covered key clinical and administrative processes associated with promoting quality care...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to address concerns regarding illicit fentanyl use and urine drug screening (UDS) practices at the Domiciliary Residential Rehabilitation Treatment Program (DRRTP), Bath VA Medical Center, New York. The Veterans Health...

The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care delivered at the Gulf Coast Veterans Health Care System (Facility). The review covered key processes associated with promoting quality care—Leadership and Organizational Risks; Quality, Safety, and Value...

The VA Office of Inspector General (OIG) conducted this review at the request of the Subcommittee on Disability Assistance and Memorial Affairs, House Committee on Veterans’ Affairs. The Subcommittee asked the OIG to respond to questions related to the qualifications of the individuals who perform...

The VA Office of Inspector General (OIG) reviewed Veterans Benefits Administration’s (VBA’s) statistics related to pending disability claims to determine if it accurately reported its claims backlog. For reporting, VBA defines its backlog as rating claims pending greater than 125 days. VBA reported...

The VA Office of Inspector General (OIG) audited the Veterans Health Administration’s (VHA’s) Office of Community Care (OCC) to determine the accuracy of bulk payments made to third party administrators (TPAs) under contracts that include care provided through the Veterans Choice Program. The OIG...

The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Central Arkansas Veterans Healthcare System (Facility). The review covered key clinical and administrative processes associated with promoting...

The VA Office of Inspector General (OIG) reviewed whether the Veterans Benefits Administration (VBA) accurately notified veterans of proposed reductions in their disability evaluations and assigned correct effective dates for reduced evaluations completed from February 1 through July 31, 2017. The...

The VA Office of Inspector General (OIG) conducted a healthcare inspection regarding allegations that the Samuel S. Stratton VA Medical Center’s peer review processes did not follow Veterans Health Administration (VHA) policy; the surgeon performed intraoperative radiofrequency ablation (IORFA)...