Department of Veterans Affairs

From 2020 to 2022, some schedulers at the VA medical center in Bay Pines, Florida, determined community care wait-time eligibility with a locally developed calculator that used an incorrect starting date and thus undercounted wait time by about 12 days, limiting veterans’ healthcare choices. The...

The Office of Inspector General (OIG) is issuing this management advisory memorandum to VA in response to an allegation that VA was not adequately overseeing contractors’ progress reports before payment for work on modernizing the electronic health record system for patients. Specifically, the OIG...

Veterans Benefits Administration (VBA) staff need access to the full range of Veterans Health Administration (VHA) records for proper benefits claims processing. In October 2020, VBA officials emailed a memo instructing processors to search for, identify, and “flash” claims (affix electronic tags)...

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 Lebanon VA Medical Center and associated outpatient clinics in Pennsylvania. This evaluation focused on five...

The OIG reviewed concerns that Veterans Crisis Line (VCL) staff mismanaged a patient’s contact prior to the patient’s death by suicide within the hour after VCL text contact. The OIG also evaluated Audie L. Murphy Memorial Veterans Hospital (facility) leaders’ and staff’s administrative actions...

The VA Office of Inspector General (OIG) conducted an inspection to evaluate leaders’ responses to long-standing Cardiology Department staffing and workplace challenges at the Richard L. Roudebush VA Medical Center (facility) in Indianapolis, Indiana.Cardiology Department challenges identified...

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 Greater Los Angeles Healthcare System, which includes the West Los Angeles VA Medical Center and multiple...

The VA Office of Inspector General (OIG) contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to provide consulting services related to the deployment of VA’s new general ledger system known as the Integrated Financial and Acquisition Management System (iFAMS) and...

VA appoints fiduciaries to manage benefits for veterans who cannot do so for themselves, including distributing funds for their care, support, and welfare. When a beneficiary dies, the fiduciary must disburse the remaining funds either to a valid heir or back to VA if there is no will.The VA Office...