Department of Veterans Affairs

The OIG evaluated allegations that staff at the Richard L. Roudebush VA Medical Center (facility) provided inadequate alcohol withdrawal management in the Emergency Department for a patient who died approximately two days after discharge, inadequately responded to the patient’s urgent care needs...

The VA Office of Inspector General (OIG) assessed allegations and reviewed processes at the Eastern Oklahoma VA Health Care System in Muskogee (facility) related to the provision of ketamine for patients with treatment-resistant depression.The OIG did not substantiate an anesthesiologist self...

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 Amarillo Health Care System in Texas. This evaluation focused on five key operational areas:• Leadership and...

Under federal law, the Veterans Health Administration (VHA) cannot employ individuals if they have been formally excluded from having a paid position in a federal healthcare program. Exclusions can result from an individual committing healthcare fraud, patient abuse, controlled substance violations...

Veterans can appeal a VBA compensation benefits decision. Decision review operations centers (DROCs) are responsible for appeals processing. DROC staff must be designated and trained to decide complex appeals.This review assessed a March 2022 hotline allegation that a DROC was not designating or...

VA must submit an annual report to Congress documenting its capacity to provide specialized treatment comparable to that available as of October 9, 1996, for veterans with spinal cord injuries and disorders, traumatic brain injury, blindness, prosthetics and sensory aids, or mental health issues...

The VA Office of Inspector General (OIG) reviewed the Opioid Safety Initiative (OSI) oversight processes at the VA Northern California Health Care System (facility).In an effort to evaluate the effectiveness of OSI oversight processes at the Veterans Health Administration (VHA), the OIG reviewed...

The Office of Inspector General (OIG) Care in the Community healthcare inspection program examines clinical and administrative processes associated with providing quality outpatient healthcare to veterans. This report provides a focused evaluation of Veterans Integrated Service Network (VISN) 7 and...

The VA Office of Inspector General (OIG) assessed the oversight and stewardship of funds by the Northern Arizona VA Health Care System. The review team looked at four areas to determine if appropriate controls and oversight were in place for open obligations oversight, purchase card use, inventory...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Maine Healthcare System. The inspection covered key clinical and administrative processes that...