Department of Veterans Affairs

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 Texas Veterans Health Care System. The review covered key clinical and administrative processes associated with promoting quality care...

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 Maine Healthcare System. The review covered key clinical and administrative processes associated with promoting quality care—Leadership and...

The VA Office of Inspector General (OIG) conducted a healthcare inspection regarding allegations of patient and radiation safety concerns at the John D. Dingell VA Medical Center, Detroit, Michigan. To reduce the risk of unnecessary radiation exposure, the Veterans Health Administration (VHA)...

Administration (VBA) staff accurately decided veterans’ claims involving service-connected Amyotrophic Lateral Sclerosis (ALS), commonly referred to as Lou Gehrig’s disease. Initial OIG data testing for this review identified ALS cases as high-risk for improper payments. The OIG found that VBA’s...

This work product summarizes an OIG review of allegations of VA waste, fraud, abuse, or mismanagement. The results of the OIG’s oversight efforts are typically published in a formal report. However, the OIG has issued alternative work products, such as this one, in lieu of a full report in certain...

The VA OIG did not find that the Northern California Health Care System Director violated VA policy regarding the use of government vehicles. The Director was unaware employees drove these vehicles between work and home. The OIG found that Dr. Dawn Erckenbrack (GS-15), the Associate Director of the...

The VA Office of Inspector General (OIG) audited the Veterans Health Administration’s (VHA’s) Emergency Cache Program to determine whether it is maintained in a mission-ready status. VA established the program in 2002 following the 9/11 attacks to ensure drugs and medical supplies are available...

The OIG conducted a healthcare inspection in response to allegations regarding Sterile Processing Services (SPS) at the New Mexico VA Health Care System. The OIG team did not substantiate tampering with equipment was occurring or that sterile sets were incorrectly stored or damaged. Thirty-eight of...

The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care at the Louis A. Johnson VA Medical Center (Facility). The review covered key clinical and administrative processes associated with promoting quality care—Leadership and Organizational Risks; Quality...

The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care delivered at the VA Boston Healthcare System (Facility). The review covered key clinical and administrative processes associated with promoting quality care—Leadership and Organizational Risks; Quality...