Department of Veterans Affairs

In March 2015, the VA Office of Inspector General received a Hotline complaint about development of the Veterans Services Adaptable Network (VSAN) at the Orlando Veterans Affairs Medical Center (VAMC). The complaint stated that VSAN development efforts were not coordinated with the Office of...

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 Huntington VA Medical Center (facility). 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 Grand Junction Veterans Health Care System (facility). The review covered key clinical and administrative processes associated with promoting...

OIG conducted a healthcare inspection regarding clinical practice concerns and lack of security at the Fort Benning, Georgia, VA Clinic (Clinic), located at the U.S. Army Garrison and part of the Central Alabama Veterans Health Care System (system). The complainant alleged that a Primary Care...

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...