Department of Veterans Affairs

The VA Office of Inspector General (OIG) reviewed potential mismanagement in the planning and oversight of two construction projects—a new Surgical Intensive Care Unit (SICU) and an expanded Operating Room (OR) Suite—at the Oklahoma City VA Health Care System (OKCVAHCS). The projects were scheduled...

The VA Office of Inspector General (OIG) evaluated the merits of allegations that identified irregularities during an Health Eligibility Center (HEC) outreach mailing campaign. The complainant alleged that the HEC sent incorrect 365-day response letters to veterans with pending health 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 Providence VA Medical Center (facility). The review covered key clinical and administrative processes associated with promoting quality care...

The OIG examined whether the Veterans Benefits Administration (VBA), in its management of the Vocational Rehabilitation and Employment (VR&E) program, ensured that accurate and timely subsistence allowance payments were made to eligible veterans. Veterans participating in the VR&E program receive a...

The VA Office of Inspector General (OIG) conducted this audit at the request of Senator Johnny Isakson who was concerned that delays in the repair of VA-issued power wheelchairs and scooters at the Atlanta VA Health Care System placed veterans at physical and financial risk. To evaluate these...

The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care delivered at the Clement J. Zablocki VA Medical Center (facility). The review covered key clinical and administrative processes associated with promoting quality care—Leadership and Organizational Risks...

The VA Office of Inspector General (OIG) assessed the reliability of wait time data and evaluated whether Veterans Integrated Service Network (VISN) 15 provided timely access to health care within its medical facilities and through Choice, and whether they appropriately managed consults. The OIG...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate the circumstances of a patient’s death involving alleged mismanagement of the patient’s resuscitation (Event) at the Buffalo VA Medical Center (Facility), Buffalo, New York, and actions taken by Facility leaders...

The VA Office of Inspector General (OIG) conducted a healthcare inspection in response to an anonymous complaint alleging patients experienced extended wait times for primary care appointments and that funds intended to maintain or improve primary care services at the Monterey Community Based...

This report is the result of an Office of Inspector General (OIG) inspection of the VA Medical Center in Washington, D.C., (DC VAMC) that began in March 2017 after receiving a confidential complaint. The OIG released an interim report on April 12, 2017, identifying risks to patients and VA assets...