Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the VA Ann Arbor Healthcare System, which includes the Lieutenant Colonel Charles S. Kettles VA Medical Center and multiple outpatient...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Black Hills Health Care System, which includes the Fort Meade and Hot Springs VA...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the William S. Middleton Memorial Veterans Hospital in Madison, Wisconsin. This evaluation focused on five key operational areas:•...

The VA Office of Inspector General (OIG) conducted an inspection at the VA Central Ohio Healthcare System (facility) in Columbus to review an allegation that implementation of the new electronic health record (EHR) led to a prescription backlog. While reviewing the allegation, the OIG determined...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Beckley VA Medical Center, which includes two outpatient clinics in West Virginia...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report evaluates notification and surveillance for patients with mammogram results requiring action during the COVID-19 pandemic. The inspections involved interviews with key staff and evaluations of clinical...

In November 2021, Congress passed the VA Transparency & Trust Act of 2021 (Transparency Act) to provide oversight of VA’s spending of COVID-19–related emergency relief funding, including funding related to the Families First Coronavirus Response Act (FFCRA), Coronavirus Aid, Relief, and Economic...

The VA Office of Inspector General (OIG) conducted a review of VA health care and benefits utilization by veterans who reported sexual assault to the Department of Defense Sexual Assault Prevention and Response Office (SAPRO) during military service or who later disclosed having experienced military...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the VA Pittsburgh Healthcare System, which includes the H. John Heinz III and Pittsburgh VA Medical Centers, one outpatient clinic in Ohio...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations related to deficiencies in the communication with and care coordination for a post-stroke patient who died by suicide at the VA Maine Healthcare System (facility) outpatient clinic in Augusta, Maine...