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Source Id
324

Healthcare Facility Inspection of the Hershel "Woody" Williams VA Medical Center in Huntington, West Virginia

2025
24-00616-139
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Hershel “Woody” Williams VA Medical Center in Huntington, West Virginia. This evaluation focused on five key content domains: • Culture •...

Healthcare Facility Inspection of the VA Atlanta Healthcare System in Decatur, Georgia

2025
24-00606-137
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Atlanta Healthcare System in Decatur, Georgia. This evaluation focused on five key content domains: • Culture • Environment of care •...

Recruitment, Relocation, and Retention Incentives for VHA Positions Need Improved Oversight

2025
23-01695-94
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

To address occupational shortages and support hiring efforts, VA leverages federal regulations that allow agencies to offer recruitment, relocation, and retention incentives to encourage candidates to accept positions that are difficult to fill or to keep high-quality staff. The OIG conducted this...

Healthcare Facility Inspection of the VA St. Louis Healthcare System in Missouri

2025
24-00600-136
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA St. Louis Healthcare System in Missouri. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Healthcare Facility Inspection of the VA Portland Health Care System in Oregon

2025
24-00609-124
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Portland Health Care System in Oregon. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Healthcare Facility Inspection of the VA Puget Sound Health Care System in Seattle, Washington

2025
24-00612-119
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Puget Sound Health Care System in Seattle, Washington. This evaluation focused on five key content domains: • Culture • Environment of...

VBA’s Special Monthly Compensation Calculator in the Veterans Benefits Management System for Rating Did Not Always Produce Accurate Results

2025
24-01083-112
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VBA provides tax-free monthly compensation payments to veterans for disabilities incurred or aggravated during active military service. Additionally, VBA awards special monthly compensation (SMC) for certain severe disabilities or combinations of disabilities. SMC is a difficult topic for claims...

Healthcare Facility Inspection of the VA Oklahoma City Healthcare System in Oklahoma

2025
24-00596-129
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Oklahoma City Healthcare System in Oklahoma. This evaluation focused on five key content domains: • Culture • Environment of care •...

Failure to Flag Fiduciaries Who Were Removed Results in Risk to Vulnerable Beneficiaries

2025
24-01322-103
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Fiduciary Program within the Veterans Benefits Administration (VBA) was established to protect beneficiaries who are unable to manage their VA benefits by appointing and overseeing fiduciaries—individuals or legal entities charged with stewarding the funds on behalf of beneficiaries for their...

Better Communication and Oversight Could Improve How the Pain Management, Opioid Safety, and Prescription Drug Monitoring Program Manages Funds

2025
24-00524-104
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

Congress enacted the Comprehensive Addiction and Recovery Act (CARA) of 2016 to improve opioid therapy and pain management for veterans. Within CARA, the Jason Simcakoski Memorial and Promise Act (Jason’s Law) requires each Veterans Health Administration (VHA) medical facility to have a pain...

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