Department of Veterans Affairs

At the request of Senator Bill Nelson, OIG conducted a healthcare review to address questions regarding VA suicide prevention efforts and suicide data collection:• How do you know if VA’s suicide prevention programs are working and what percent of veterans who die by suicide have been under the care...

In April 2017, we evaluated the San Juan VA Regional Office (VARO) to assess timeliness and accuracy of claims processing, rating reductions, systems compliance and specially controlled correspondence. We found Veterans Service Center (VSC) staff did not consistently process one of the two types of...

OIG conducted a healthcare inspection at the request of Senators Tammy Baldwin, Chuck Grassley, and Ron Johnson, and Representatives Ron Kind and Timothy Walz, to assess improper dental infection control practices and administrative action taken by the Veterans Health Administration (VHA) at the...

OIG conducted a healthcare inspection at the July 2014 request of Congressman Mac Thornberry to assess allegations at the Amarillo VA Health Care System (facility), Amarillo, TX, concerning provision of care at the Childress, TX, and Clovis, NM, community based outpatient clinics (CBOC); nursing...

The VA Office of Inspector General (OIG) evaluated the quality of care delivered at the Michael E. DeBakey VA Medical Center. This included reviews of key clinical and administrative processes that affect patient care outcomes—Quality, Safety, and Value; Environment of Care; Medication Management...

In May 2017, OIG evaluated the St. Louis, MO, VA Regional Office (VARO) to determine how well Veterans Service Center (VSC) staff processed disability claims, processed proposed rating reductions, accurately input claims-related information, and responded to special controlled correspondence. VSC...

OIG conducted a healthcare inspection to evaluate stroke care at the Manchester VA Medical Center (facility), Manchester, NH pursuant to an April 2015 request of Congresswoman Ann McLane Kuster. The request was in response to a Federal court ruling that the facility failed to adequately diagnose and...

In February 2017, we evaluated the Wilmington VA Regional Office (VARO) to see how well staff processed disability claims, proposed rating reductions, and input claims information in the electronic system of record. Wilmington Veterans Service Center (VSC) staff did not consistently process one of...

We evaluated the merits of two confidential Hotline allegations received after we published the Review of Alleged Misuse of VA Funds To Develop the Health Care Claims Processing System in March 2015. The complainants alleged that the Chief Business Office (CBO) continued to spend about $11 million...

In March 2017, OIG evaluated the Denver, CO, VA Regional Office (VARO) to determine how well Veterans Service Center (VSC) staff processed veterans’ disability claims, how timely and accurately they processed proposed rating reductions, how accurately they entered claims-related information, and how...