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 VA Central California Health Care System in Fresno, which includes the Fresno VA Medical Center and multiple...

In response to a congressional request, the VA Office of Inspector General (OIG) inspected the John D. Dingell VA Medical Center in Detroit, Michigan (facility) to assess leaders’ progress toward implementation of recommendations from the VHA Office of the Medical Inspector (OMI). The OIG evaluated...

The VA Office of Inspector General (OIG) conducts information security inspections to assess whether VA facilities are meeting federal security requirements. They are typically conducted at selected facilities that have not been assessed in the sample for the annual audit required by the Federal...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess an allegation that staff delayed providing intervention and care for a patient who died following a medical emergency at a VA outpatient clinic. The OIG identified issues related to quality of care and the facility...

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 Phoenix VA Health Care System, which includes the Carl T. Hayden VA Medical Center and multiple outpatient...

The VA Office of Inspector General (OIG) conducted this review to assess the VA Philadelphia Healthcare System’s oversight and stewardship of funds and to identify potential cost efficiencies. The review assessed the following financial activities and administrative processes to determine whether...

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 Southern Nevada Healthcare System, which includes the North Las Vegas VA Medical Center and multiple outpatient...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the leadership performance and oversight by Veterans Integrated Service Network 17: VA Heart of Texas Health Care Network in Arlington. This evaluation focused...

The VA Office of Inspector General (OIG) conducted a national review evaluating the transition of clinical care for service members with opioid use disorder (OUD) from the Department of Defense (DoD) to the Veterans Health Administration (VHA). OUD is an established risk factor for opioid overdose...

The Veterans Appeals Improvement and Modernization Act of 2017 (the Appeals Modernization Act (AMA)), was designed to offer veterans faster resolution of disagreements with VA decisions. It established three review lanes: a direct appeal to the Board of Veterans’ Appeals (not covered in this report)...