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Source Id
324

Care Concerns and Failure to Coordinate Community Care for a Patient at the VA Southern Nevada Healthcare System in Las Vegas

2024
22-02113-75
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the VA Southern Nevada Healthcare System (facility) to assess allegations that facility staff delayed ordering medications following a patient’s discharge from a community hospital. The OIG substantiated that inadequate...

Comprehensive Healthcare Inspection of the Clement J. Zablocki VA Medical Center in Milwaukee, Wisconsin

2024
22-04134-63
Review
Department of Veterans Affairs OIG
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 Clement J. Zablocki VA Medical Center in Milwaukee, Wisconsin. This evaluation focused on five key operational areas:• Leadership and...

Comprehensive Healthcare Inspection of the Ralph H. Johnson VA Medical Center in Charleston, South Carolina

2024
23-00005-62
Review
Department of Veterans Affairs OIG
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 Ralph H. Johnson VA Medical Center and associated outpatient clinics in Georgia and South Carolina. This evaluation focused on five key...

Chief of Staff’s Provision of Care Without Privileges, Quality of Care Deficiencies, and Leaders’ Failures at the Montana VA Health Care System in Helena

2024
22-02975-70
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the Montana VA Health Care System to assess allegations of the Chief of Staff (COS) providing pregnancy care without privileges, deficient care, and leadership failures.The OIG found that the COS practiced without...

Comprehensive Healthcare Inspection of the Minneapolis VA Health Care System in Minnesota

2024
23-00018-83
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Minneapolis VA Health Care System, which includes the Minneapolis VA Medical Center and associated outpatient clinics in Minnesota and...

Rating Schedule Updates for Hip and Knee Replacement Benefits Were Not Consistently Applied

2024
23-00153-41
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Veterans Benefits Administration (VBA) uses the VA Schedule for Rating Disabilities (rating schedule) to determine monthly compensation to eligible veterans for service connected disabilities based on documented medical severity. In 2021, VA updated the rating schedule for the musculoskeletal...

Financial Efficiency Inspection of the VA Memphis Healthcare System in Tennessee

2024
23-01198-47
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG conducted this inspection to assess the stewardship and oversight of funds by the VA Memphis Healthcare System in Tennessee. This inspection assessed financial activities and administrative processes to determine whether appropriate controls and oversight were in place. These included open...

Comprehensive Healthcare Inspection of the Columbia VA Health Care System in South Carolina

2024
23-00009-57
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Columbia VA Health Care System in South Carolina. This evaluation focused on five key operational areas:• Leadership and organizational...

Comprehensive Healthcare Inspection of the Battle Creek VA Medical Center in Michigan

2024
22-04038-82
Inspection / Evaluation
Department of Veterans Affairs OIG
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 Battle Creek VA Medical Center in Michigan and associated outpatient clinics in Michigan. This evaluation focused on five key...

Comprehensive Healthcare Inspection of the James A. Haley Veterans’ Hospital in Tampa, Florida

2024
23-00010-84
Review
Department of Veterans Affairs OIG
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 James A. Haley Veterans’ Hospital in Tampa and associated outpatient clinics in Florida. This evaluation focused on five key operational...

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