Department of Veterans Affairs

OIG completed a healthcare inspection of Management of Disruptive and Violent Behavior in Veterans Health Administration (VHA) facilities. The purpose of the evaluation was to determine whether facilities complied with selected VHA requirements. OIG conducted this review at 29 VHA medical facilities...

Veterans Health Administration’s (VHA) Chief Business Office (CBO) misused approximately $3.1 million of Medical Support and Compliance (MS&C) appropriations when they funded the Debt Management Center’s (DMC) development of the Veterans Health Information Systems and Technology Architecture (VistA)...

OIG conducted a healthcare inspection in response to allegations regarding the Release of Information (ROI) section at the C.W. Bill Young VA Medical Center (facility) of the Bay Pines VA Healthcare System (system), Bay Pines, FL. The complainant alleged that the facility had a backlog of ROI...

OIG conducted a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Southern Oregon Rehabilitation Center and Clinics (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 South Texas Veterans Health Care System (facility). The review covered key clinical and administrative processes associated with promoting quality...

U.S. Representative Kyrsten Sinema asked the OIG to evaluate the effectiveness of the Phoenix VA Health Care System’s (PVAHCS) management of its outpatient Medical Support Assistant (MSA) workforce. The OIG examined two allegations involving MSAs reported to the OIG but did not substantiate these...

OIG conducted a healthcare inspection to assess the merit of allegations from a complainant about mental health care provided to a patient at a Veterans Integrated Service Network 16 facility, prior to his suicide. We substantiated that the patient had been reasonably stable on his medication...

OIG conducted an inspection in response to allegations regarding gynecology and women’s health primary care services at the VA Gulf Coast Veterans Health Care System (system), Biloxi, MS. Specifically, the allegations were that a system gynecologist turned away patients by cancelling their consults...

The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care delivered at the New Mexico VA Health Care System (facility). The review covered key clinical and administrative processes associated with promoting quality care—Leadership and Organizational Risks...

The VA Office of Inspector General Administrative Investigations Division received an allegation that Dr. Gavin West, former (reassigned) Senior Medical Advisor to Dr. Thomas Lynch, Assistant Deputy Under Secretary for Health (ADUSH) for Clinical Operations, and a former (resigned) VA employee...