Veteran Readiness and Employment Staff Improperly Sent Participants to Veteran Employment Through Technology Education Courses
The Veteran Readiness and Employment (VR&E) Service and Veteran Employment Through Technology Education Courses (VET TEC) programs support veterans seeking education or training for employment. VR&E focuses on disabilities that directly impact employment, and participants must attend GI Bill...
Comprehensive Healthcare Inspection of the VA Ann Arbor Healthcare System in Michigan
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...
Comprehensive Healthcare Inspection of the VA Black Hills Health Care System in Fort Meade, South Dakota
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...
Comprehensive Healthcare Inspection of the William S. Middleton Memorial Veterans Hospital in Madison, Wisconsin
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:•...
Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus
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...
Comprehensive Healthcare Inspection of the Beckley VA Medical Center in West Virginia
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...
Comprehensive Healthcare Inspection Summary Report: Evaluation of Breast Cancer Surveillance in Veterans Health Administration Facilities
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...
VA’s Compliance with the VA Transparency & Trust Act of 2021 Semiannual Report: March 2024
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...
Transition to VA Health Care and Utilization of Benefits for Veterans Who Reported Sexual Assault During Military Service
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...