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Source Id
324

Results of Consulting Engagement on Potential Risks Related to the Integrated Financial and Acquisition Management System and Future VA Financial Statement Audits

2023
23-00891-166
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

The Fiduciary Program Needs to Verify the Prompt Return of Deceased Beneficiaries’ Funds to VA

2023
22-03543-151
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

Concern with Veterans Health Administration’s Lung Cancer Screening Program Requirements

2023
22-01511-174
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a focused review of Veterans Health Administration (VHA) guidelines for lung cancer screening (LCS) and the requirements for a VA facility LCS program. VHA has 10 mandatory elements that must be in place for a facility to establish an LCS program...

Deficiencies in Communication for a Patient with a Spinal Cord Injury at the Charlie Norwood VA Medical Center in Augusta, Georgia

2023
22-02485-168
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the Charlie Norwood VA Medical Center (facility) in Augusta, Georgia, to assess allegations that a spinal cord injury (SCI) patient was inappropriately admitted to an inpatient SCI unit following surgical treatment of...

Comprehensive Healthcare Inspection of the VA Palo Alto Health Care System in California

2023
22-00064-172
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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 VA Palo Alto Health Care System, which includes medical centers in Palo Alto, Menlo Park, and Livermore and...

Concerns with Access to Care in the Outpatient Mental Health Clinic at the Charles George VA Medical Center in Asheville, North Carolina

2023
22-02797-169
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted an inspection to assess concerns with access to mental health care at the Charles George VA Medical Center’s (facility) outpatient Mental Health clinic in Asheville, North Carolina. Complainants alleged concerns regarding delays in Behavioral Health...

Comprehensive Healthcare Inspection of the San Francisco VA Health Care System in California

2023
22-00231-176
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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 San Francisco VA Health Care System, which includes the San Francisco VA Medical Center and multiple outpatient...

Comprehensive Healthcare Inspection of the Southern Arizona VA Health Care System in Tucson

2023
22-00054-158
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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 Southern Arizona VA Health Care System, which includes the Tucson VA Medical Center and multiple outpatient...

Comprehensive Healthcare Inspection of the VA NY Harbor Healthcare System in New York

2023
22-04133-163
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the VA NY Harbor Healthcare System. The system includes three medical centers located in Brooklyn, Manhattan, and Queens and two outpatient...

Facility Leaders’ Failures in Communications, Construction Oversight, Emergency Preparedness, and Response to an Oxygen Disruption at the West Haven VA Medical Center in Connecticut

2023
22-01696-160
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations regarding a disruption to the facility’s oxygen line, patient safety concerns, and facility leaders’ response at the West Haven VA Medical Center (facility) in Connecticut.A construction company...

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