Department of Veterans Affairs

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

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 Tomah VA Medical Center (Facility). The review covered key clinical and administrative processes associated with promoting quality care—Leadership...

The VA Office of Inspector General (OIG) Administrative Investigations Division investigated an allegation that a Supervisory Industrial Engineer misused VA time and resources to start a privately-owned business and solicited subordinate staff to join this business. The OIG found that the Engineer...

At the request of Senators Tammy Baldwin and Ron Johnson, the VA Office of Inspector General (OIG) conducted a healthcare inspection regarding the care and management of a patient who committed suicide less than 48 hours after discharge from William S. Middleton Memorial Veterans Hospital (Facility)...

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 VA Palo Alto Health Care System (Facility). The review covered key clinical and administrative processes associated with promoting quality care...

The VA Office of Inspector General (OIG) substantiated an allegation that purchase cardholders at the VA St. Louis Health Care System (System) split purchases to install fire stops (building and fire protection features designed to minimize the effects of fire, smoke, and heat) at its facilities...

The VA Office of Inspector General (OIG) reviewed reexamination requests by the Veterans Benefits Administration (VBA) and estimated that, from March through August 2017, VBA spent $10.1 million on unwarranted reexaminations. The OIG estimated that VBA would waste an additional $100.6 million over...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate the 2016 overdose death of a patient in a residential treatment program (Program) at a Veterans Integrated Service Network 10 medical facility (Facility). The purpose of the inspection was to review the...

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 VA San Diego Healthcare System (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 at the Beckley VA Medical Center (Beckley), West Virginia, regarding a complainant’s allegations that delays in urological care, including kidney surgery, and an increase in a kidney lesion’s size occurred that resulted in an...