Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review an allegation that the Behavioral Health Service program manager denied 32 patients behavioral health community care services at the Oklahoma City VA Medical Center in Oklahoma (facility).During the review, the OIG...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Robert J. Dole VA Medical Center and multiple outpatient clinics in Kansas. This evaluation focused on five key operational areas:•...

During a review related to VA’s Veteran Employment Through Technology Education Courses (VET TEC) pilot program, the OIG discovered VA is paying concurrent monthly housing allowance benefits to veterans who are simultaneously enrolled in Post 9/11 GI Bill and VET TEC educational programs. There is...

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 Caribbean Healthcare System, which includes the San Juan VA Medical Center and...

his Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Veterans Integrated Service Network 22: VA Desert Pacific Healthcare Network in Long Beach, California. This evaluation focused on five...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review allegations of a delay in diagnosis of a patient’s prostate cancer and lung cancer at the Central Texas VA Health Care System (facility) in Temple, Texas.The OIG substantiated a delay in the diagnosis of the patient...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Tomah VA Medical Center in Wisconsin. This evaluation focused on five key operational areas:• Leadership and organizational risks•...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Wilmington VA Medical Center in Delaware. This evaluation focused on five key operational areas:• Leadership and organizational risks•...

The VA Office of Inspector General (OIG) reviewed a former VA surgeon’s eligibility to provide health care as a participant in VA’s Community Care Network (CCN) and the Marion VA Health Care System’s (facility) management of community care patient safety events.The OIG identified multiple failures...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the W.G. (Bill) Hefner VA Medical Center in Salisbury, North Carolina.This evaluation focused on five key operational areas:• Leadership and...