Department of Veterans Affairs

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

The VA Office of Inspector General (OIG) conducted this audit to determine whether the Veterans Benefits Administration’s Veteran Readiness and Employment Service (VR&E) properly approved and monitored participants’ use of Chapter 31–only programs, which assist veterans who have service-connected...

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...