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Source Id
324

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...

Community Care Departments Need Reliable Staffing Data to Help Address Challenges in Recruiting and Retaining Staff

2023
21-03544-111
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Veterans Health Administration (VHA) uses staffing data to assess whether medical facilities have the necessary resources to manage community care needs. Accurate staffing data are critical for decision-making and funding allocation to support veterans’ access to community care. The VA Office of...

Comprehensive Healthcare Inspection of the VA Central California Health Care System in Fresno

2023
22-00059-157
Review
Department of Veterans Affairs OIG
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...

Review of VISN 10 and Facility Leaders’ Response to Recommendations from a VHA Office of the Medical Inspector Report, John D. Dingell VA Medical Center in Detroit, Michigan

2023
22-04099-153
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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...

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