Department of Veterans Affairs

The VA Office of Inspector General conducted a healthcare inspection at the request of Senator John McCain, Senator Jeff Flake, Congresswoman Martha McSally, former Congresswoman Ann Kirkpatrick, and Congressman Raúl M. Grijalva to assess the merits of allegations regarding patients’ delayed access...

In April 2017, we evaluated the VA Regional Office (VARO) in Detroit, Michigan, to determine how well Veterans Service Center (VSC) staff processed disability claims, processed proposed rating reductions, entered claims-related information, and responded to special controlled correspondence. Staff...

The VA Office of Inspector General (OIG) evaluated the quality of care at the Wilmington VA Medical Center. This included reviews of key processes that affect patient care outcomes—Quality, Safety, and Value; Environment of Care (EOC); Medication Management; Coordination of Care; Diagnostic Care...

OIG conducted a healthcare inspection to assess allegations made by confidential complainants regarding quality of care and other concerns at the Captain James A. Lovell Federal Health Care Center (FHCC), North Chicago, IL. We substantiated the Home Based Primary Care program’s Joint Commission...

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...