Department of Veterans Affairs

The Semiannual Report to Congress summarizes the results of OIG oversight, provides statistical information, and lists all reports issued October 1, 2018–March 31, 2019. During this reporting period, OIG audits, investigations, inspections, evaluations, and other reviews identified over $3.85...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the Oscar G. Johnson VA Medical Center. The inspection covers leadership and organizational risks and key clinical and administrative processes associated with promoting quality...

The VA Office of Inspector General (OIG) conducted this review to determine whether the Veterans Benefits Administration (VBA) effectively planned and implemented the Decision Ready Claims (DRC) program. The DRC program was intended to streamline the processing of veterans’ claims applications by...

The VA Office of Inspector General (OIG) conducted this review to determine whether Veterans Benefits Administration (VBA) staff properly created deferrals for disability compensation claims in its web based electronic program and if they resolved these deferrals in a timely manner. VBA claims...

The VA Office of Inspector General (OIG) conducted a healthcare inspection in response to allegations related to the facility’s inpatient mental health unit, specific to the subpopulation of patients with a diagnosis of dementia. The OIG team made two visits to the facility in 2017 and 2018. The OIG...

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the facility to assess allegations regarding an orthopedic surgeon’s failure to adequately assess two patients (Patient Red and Patient Blue), improper orthopedic surgeon fee-for-service (fee) use, and facility leaders’...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate allegations related to nurse staffing and inadequate supplies. The OIG did not substantiate deaths occurred due to untimely patient transfers between the Emergency Department and inpatient units because of...

On January 31, 2018, the VA Office of Inspector General (OIG) received allegations that a psychologist at the Temple campus of the Central Texas Veterans Health Care System double-coded group therapy sessions and received improper overtime pay. Double coding refers to inappropriately entering...

The VA Office of Inspector General (OIG) received allegations that a current VA employee and the employee’s spouse, a former (retired) VA employee, improperly released VA procurement information. There was insufficient evidence to substantiate the allegations. The OIG determined that the complainant...

The VA Office of Inspector General (OIG) conducted this audit to assess the Veterans Health Administration’s (VHA’s) oversight of VA medical centers’ migration from the Catamaran inventory management system to the Generic Inventory Package and to determine if the medical centers accurately managed...