Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review how facility leaders’ actions may have impacted intensive care unit (ICU) coverage, patient care, and resident education at the VA Eastern Colorado Health Care System in Aurora (facility).The OIG was unable to...

To better understand the coordination of Veterans Health Administration (VHA) maternity care services for women veterans, the VA Office of Inspector General (OIG) conducted a national survey of VHA Maternity Care Coordinators’ (MCCs) reported staffing, duties, and challenges. While the OIG found...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review VISN and facility leaders’ response to allegations that an optometrist was not practicing to the standard of care at the Cheyenne VA Medical Center (facility) in Wyoming. In a response to an OIG request for review...

The Veterans Health Administration (VHA) requires its medical facilities to use the Medical/Surgical Prime Vendor (MSPV) program’s distribution contracts for cost effective ordering and distribution of healthcare supplies. The VA Office of Inspector General (OIG) conducted this audit to assess the...

The OIG conducted this inspection from June 2023 to January 2024 to assess the stewardship and oversight of funds by the VA North Texas Health Care System. This inspection assessed the following financial activities and administrative processes to determine whether appropriate controls and oversight...

The National Work Queue (NWQ) division generally uses the NWQ tool and ranking rules to prioritize and distribute claims across VBA’s regional offices for processing. The OIG conducted this review after discovering some claims at the NWQ division had been awaiting decisions for one year or longer...

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 Kansas City VA Medical Center, which includes multiple outpatient clinics in Kansas...

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 Central Virginia VA Health Care System, which includes the Richmond VA Medical...

The VA Office of Inspector General (OIG) conducts information security inspections to assess whether VA facilities are meeting federal security requirements. They are typically conducted at selected facilities that have not been assessed for the annual audit required by the Federal Information...

The VA Office of Inspector General (OIG) issued the report VA Improperly Awarded $10.8 Million in Incentives to Central Office Senior Executives on May 9, 2024. Additional analysis has since raised concerns that the under secretary for health may have recommended critical skill incentives (CSIs) for...