Department of Veterans Affairs

OIG conducted a healthcare inspection to address concerns received from Congressman Jim Costa in 2014 regarding allegations from an anonymous complainant of Emergency Department (ED)-boarded patients’ length of stay, poor inpatient flow, and nurse staffing shortages at the Central California VA...

OIG conducted an inspection in response to Senator James Inhofe’s request to evaluate clinical, supervisory, and administrative practices at the Oklahoma City VA Health Care System (System), Oklahoma City, OK. We also evaluated the System Director’s concerns and coordinated parts of this review with...

The OIG contracted with an independent public accounting firm for a performance audit to assess the VA’s compliance with the Digital Accountability and Transparency Act of 2014 (DATA Act). The contractor reported that VA did not fully comply with the DATA Act due to weaknesses in VA’s existing...

OIG reviewed purchase card practices within Veterans Integrated Service Network (VISN) 15 based on a September 2015 request from the former Chairman of the House Committee on Veterans’ Affairs. VISN 15 purchase cardholders did not use purchase cards improperly by exceeding the micro-purchase...

OIG conducted a healthcare inspection in response to allegations made by a confidential complainant in 2015 regarding the Opioid Agonist Treatment Program (OATP) at the Baltimore VA Medical Center, one of three VA Maryland Health Care System campuses, located in Baltimore, MD. The complainant...

In September 2015, OIG received an allegation that the Office of Information and Technology (OIT) removed the Prescription Opioid Documentation and Surveillance (PODS) application from a VA server at the Northern California Health Care System (NCHCS) Pain Management Clinic. The complainant alleged...

In May 2017, we evaluated the Department of Veterans Affairs Regional Office (VARO) in Anchorage, Alaska, to see how well staff processed veterans’ disability claims, timely and accurately processed proposed rating reductions, input claim information, and responded to special controlled...

OIG evaluated quality of care at the VA Eastern Colorado Health Care System. This included reviews of processes that affect patient care outcomes—Quality, Safety, and Value (QSV); Environment of Care; Medication Management; Coordination of Care; Diagnostic Care; Moderate Sedation; Community Nursing...

In November 2015, Congress referred to OIG an allegation that Veterans Integrated Service Network (VISN) 23 may have misused medical funding when procuring information technology (IT) equipment and that purchase orders and contracts appeared to bundle IT hardware and software together with medical...