Department of Veterans Affairs

The VA Office of Inspector General (OIG) evaluated the quality of care delivered at the James E. Van Zandt 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...

OIG evaluated controls over the health care enrollment program administered at VA medical facilities and determined if enrollment actions were processed timely and supported by required documentation. OIG found that VHA did not provide effective governance necessary to ensure oversight and control...

OIG conducted a healthcare inspection to assess whether safety screenings were performed and documented prior to magnetic resonance imaging (MRI) at the Central Alabama Veterans Health Care System (system), Montgomery, AL. The system has an agreement with a Department of Defense clinic, Lyster Army...

OIG conducted a healthcare inspection to follow up on concerns regarding access to care in the urology service at the Phoenix VA Health Care System (system) in Phoenix, Arizona. We limited our inspection to determining whether a delay in care was associated with adverse patient impact.During OIG’s...

In November 2015, the VA Office of Inspector General (OIG) received an anonymous Hotline complaint alleging that the VA National Work Queue (NWQ) did not perform in a production environment because VA did not test the system to specification. In addition, the complaint claimed that the Veterans...

In December 2016, we evaluated the Atlanta, Georgia, VARO to determine how well staff processed disability claims, how timely and accurately they processed proposed rating reductions, how accurately they entered claims-related information, and how well they responded to special controlled...

In October 2016, OIG evaluated the New Orleans VARO to see how VSC staff processed disability claims, timely and accurately processed proposed rating reductions, input claim information, and responded to special controlled correspondence. Staff did not consistently process one of the two types of...