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 Tomah VA Medical Center in Wisconsin. This evaluation focused on five key operational areas:• Leadership and organizational risks•...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Wilmington VA Medical Center in Delaware. This evaluation focused on five key operational areas:• Leadership and organizational risks•...

The VA Office of Inspector General (OIG) reviewed a former VA surgeon’s eligibility to provide health care as a participant in VA’s Community Care Network (CCN) and the Marion VA Health Care System’s (facility) management of community care patient safety events.The OIG identified multiple failures...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the W.G. (Bill) Hefner VA Medical Center in Salisbury, North Carolina.This evaluation focused on five key operational areas:• Leadership and...

Ensuring access to VA’s information and communications technologies is essential to accomplishing its mission. VA is required by law to make information from its websites and data systems accessible to people with disabilities. The OIG conducted this audit to address concerns from Congress and a...

The PACT Act authorizes VA to deliver veterans’ health care and benefits associated with exposure to environmental hazards during military service. VA may use the Cost of War Toxic Exposures Fund (TEF) to ensure proper claims processing by the Veterans Benefits Administration (VBA) and the...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess the quality of care provided during a patient’s hospitalization, which ended with the patient’s death at the Lt. Col. Luke Weathers, Jr. VA Medical Center (facility) in Memphis, Tennessee. The OIG also evaluated...

The OIG reviewed the Veterans Health Administration’s (VHA’s) assessment and management of inpatient alcohol withdrawal following several OIG inspections where adverse clinical outcomes associated with alcohol withdrawal, likely contributing to patient deaths, were identified. Determining the...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the Miami VA Healthcare System, which includes the Bruce W. Carter VA Medical Center and multiple outpatient...