Department of Veterans Affairs

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of care delivered at vet centers. This report focused on North Atlantic district 1 zone 4 and four selected vet centers: Baltimore and Dundalk in Maryland, Raleigh in North Carolina, and...

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 South Texas Veterans Health Care System, which includes the Audie L. Murphy Memorial Veterans’ Hospital in San...

The VA Office of Inspector General (OIG) reviewed the administrative and clinical responses by facility leaders and staff to allegations of a patient’s report of sexual harassment at the VA Black Hills Health Care System (facility) in Fort Meade and Hot Springs, South Dakota.A patient participating...

The VA Office of Inspector General (OIG) conducted an inspection at the West Texas VA Health Care System in Big Spring (facility) to assess an allegation that community living center (CLC) nursing staff did not respond when a patient experienced a medical emergency.The OIG did not substantiate that...

The VA Office of Inspector General (OIG) conducted this inspection to assess the stewardship and oversight of funds by the VA New York Harbor Healthcare System. This inspection assessed financial activities and administrative processes to determine whether appropriate controls and oversight were in...

The VA Office of Inspector General (OIG) conducted this review to determine whether VA complied with the requirements of the Payment Integrity Information Act of 2019 (PIIA) for fiscal year (FY) 2022. PIIA requires VA to review its programs and activities susceptible to significant improper payments...

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 North Texas Health Care System, which includes the Dallas VA Medical Center, Garland VA Medical Center, Sam...

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...

This OIG Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the outpatient setting of the Manila VA Clinic in Pasay City, Philippines. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and...

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 New Mexico VA Health Care System, which includes the Raymond G. Murphy VA Medical Center (Albuquerque) and multiple...