Department of Veterans Affairs

The COVID-19 pandemic put an unprecedented strain on the nation’s federal healthcare systems. The Pandemic Response Accountability Committee (PRAC) Health Care Subgroup surveyed more than 300 facilities across four federal healthcare programs to determine if the facilities had sufficient medical...

The Coronavirus Aid, Relief, and Economic Security (CARES) Act appropriated about $17.2 billion in supplemental funds to the Veterans Health Administration (VHA) to support VA’s efforts to prevent, prepare for, and respond to the COVID-19 pandemic. The OIG conducted this audit to assess the...

The VA Office of Inspector General (OIG) conducted an inspection to evaluate the care provided to a patient who died by suicide in the Emergency Department and assessed leadership failures related to the event at the John Cochran Division of the VA St. Louis Health Care System (facility) in Missouri...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess care coordination for patients of the VA Eastern Kansas Health Care System (system) who received care and were dually prescribed opioids and benzodiazepines from Community Care Network (CCN) providers. The...

The Veterans Affairs Enterprise Cloud (VAEC) hosts more than 200 systems that employees, veterans, and contractors use to support the delivery of health care, compensation benefits, and home loan guarantees for veterans. The OIG conducted this audit to determine if VA is effectively assessing and...

Legionnaires’ disease is caused by Legionella bacteria, found naturally in freshwater environments. The bacteria can become a health concern when spread through showerheads, faucets, ice machines, and hot water tanks in the water systems of large buildings. A 2017 CDC report concluded that one in...

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 Gulf Coast Veterans Health Care System in Biloxi, Mississippi. This evaluation focused on five key operational...

The VA Office of Inspector General conducted a healthcare inspection at the Hampton VA Medical Center (facility) in Virginia to assess allegations related to the delay in diagnosis and treatment of a patient with a newly found lung mass.The OIG substantiated that there was a delay in diagnosis and...

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 in the sample for the annual audit required by the Federal...

This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the VA Northern California Health Care System, which includes the Sacramento VA Medical Center, Martinez VA Medical...