Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a national review to evaluate Veterans Health Administration’s (VHA’s) implementation of the PACT Act of 2022, which mandated veteran toxic exposure screenings, and required clinical staff training. Section 603 of the PACT Act mandated that, within...

Package Manager is part of the Centralized Benefits Communication Management Program introduced in 2018 to modernize VBA mailing. The application bundles documents from veterans’ electronic claims folders and standard enclosures into virtual packages for printing and mailing. Employees then must...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at VA Northeast Ohio Healthcare System in Cleveland. This evaluation focused on five key content domains:• Culture• Environment of care• Patient...

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. The OIG inspected four randomly selected vet centers throughout Pacific district 5 zone 1: Anchorage, Alaska; Eugene, Oregon; and Everett...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations regarding community care consult appointment scheduling practices and delays for patients with serious health conditions who received community care at the VA Western New York Healthcare System (system)...

Ambulatory care, which refers to medical services performed in outpatient settings, is the basis by which most care is delivered within the Veterans Health Administration (VHA) healthcare system. Because over half of VHA’s medical care budget is for ambulatory care (about $65.1 billion for FY 2023)...

In March 2018, the VA Office of Inspector General (OIG) reported on deficiencies within the Veterans Health Administration (VHA) personnel suitability program, concluding that neither VA nor VHA effectively governed the background investigation process to ensure requirements were met at medical...

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. The OIG inspected four randomly selected vet centers throughout Pacific district 5 zone 2: Corona and Temecula, California; and Kauai and...

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. The OIG inspected four randomly selected vet centers throughout Pacific district 5 zone 3: Phoenix and West Valley, Arizona; Antelope...

The OIG evaluated allegations related to the care of a patient who died by suicide six days after a mental health appointment at the VA Tuscaloosa Healthcare System (facility). Concerns regarding appointment scheduling, supervision of a posttraumatic stress disorder (PTSD) clinic social worker...