Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations related to deficiencies in the communication with and care coordination for a post-stroke patient who died by suicide at the VA Maine Healthcare System (facility) outpatient clinic in Augusta, Maine...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Charles George VA Medical Center, which includes multiple outpatient clinics in North Carolina. This evaluation focused on five key...

The VA Office of Inspector General’s (OIG’s) oversight function includes interpretation of Veterans Health Administration (VHA) policies. Unclear policies create challenges for oversight and may impact the services veterans receive. The purpose of this memorandum is to highlight concerns with...

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 Alabama Veterans Health Care System, which includes the Central Alabama VA...

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 outpatient settings of the Manchester VA Medical Center, which includes multiple outpatient clinics in New Hampshire. This...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Fayetteville VA Coastal Health Care System. The inspection covers key clinical and administrative...

The VA Office of Inspector General (OIG) audited the accuracy of data used to measure VA’s capacity to provide specialty health care to veterans. The data will be used to identify gaps in care and implement recommendations for modernizing or realigning VA facilities to fill those gaps, as required...

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 outpatient settings of the Aleda E. Lutz VA Medical Center, which includes multiple outpatient clinics in Michigan. This...

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 White River Junction VA Medical Center and associated outpatient clinics in New Hampshire and Vermont. This...

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...