Department of Veterans Affairs

The VA Office of Inspector General (OIG) reviewed system leaders’ actions taken in response to allegations related to access to behavioral health care and patient privacy at the El Paso VA Health Care System (system) in Texas and evaluated whether the system sustained the actions.In August 2022, the...

Each year agency program officials, chief information officers, and inspectors general must review their agencies’ information security programs and report to the Department of Homeland Security and Congress on the programs’ compliance with the Federal Information Security Modernization Act (FISMA)...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Roseburg VA Health Care System, which includes the Roseburg VA Medical Center and...

VA Office of Inspector General (OIG) Vet Center Inspection Program staff evaluated aspects of the quality of care at six randomly selected vet centers throughout Southeast District 2 zone 2: Ft. Lauderdale, Ft. Myers, Gainesville, Lakeland, and Naples in Florida; and San Juan in Puerto Rico. This...

When a veteran files a claim for disability benefits, a medical exam may be necessary. If the nearest VA medical center cannot conduct the exam, a contract exam vendor is utilized. Medical Disability Exam contracts require contract exam facilities to comply with the American with Disabilities Act...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Maryland Health Care System, which includes the Baltimore VA Medical Center...

The OIG received a hotline complaint about delays by staff at the Martinsburg VA Medical Center in processing and scheduling veterans’ community care consults. These consults are referrals to non-VA providers for clinical services. The OIG substantiated that as of February 28, 2023, there were over...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Harry S. Truman Memorial Veterans’ Hospital, which includes multiple outpatient...

The VA Office of Inspector General (OIG) conducted an inspection at the Raymond G. Murphy VA Medical Center (facility) in Albuquerque, New Mexico, to assess allegations regarding deficiencies in the reprocessing and quality control of reusable medical devices (RMDs). The OIG also reviewed Veterans...

The VA Office of Inspector General (OIG) conducted a review to evaluate (1) VHA and medical center leaders’ awareness and incorporation of social determinants of health (SDOH) and health-related social needs (HRSN) into inpatient medical unit discharge assessments, planning, policies, and templates...