Department of Veterans Affairs

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...

On March 2, 2017, the VA Office of Inspector General Administrative Investigations Division received allegations that Ms. [redacted] , former (resigned) Deputy Counsel, Office of the General Counsel (OGC), improperly received the higher locality pay for Los Angeles, CA, while she lived and worked in...

Congress required that the OIG report on the accuracy and timeliness of VA payments for medical care provided under Choice. This report addresses payments processed through VA’s Fee Basis Claims System from November 2014 through September 2016. The Veterans Health Administration’s (VHA’s) 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 John D. Dingell 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 VA Eastern Kansas Health Care System (facility). The review covered key clinical and administrative processes associated with promoting quality...

The VA Office of Inspector General (OIG) conducted an evaluation of the quality of care provided in the inpatient and outpatient settings of the Bath VA Medical Center (facility). This included reviews of various aspects of key clinical and administrative processes that affect patient care outcomes...

OIG evaluated whether the Veterans Health Administration (VHA) effectively managed providers’ primary care panels to maximize access to primary care providers by evaluating new enrollee processing into panels as well as the panel sizes. Provider panels define both VHA’s capacity to provide managed...