Department of Veterans Affairs

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 9: VA MidSouth Healthcare Network in Nashville, Tennessee. This evaluation...

The COVID-19 pandemic caused a surge in demand for ventilators and provoked concerns about potential supply shortages across VA medical facilities. During the course of a previous broader review, the VA Office of Inspector General (OIG) uncovered a potential issue with the number of ventilators...

The VA Office of Inspector General (OIG) reviews nonpharmaceutical proposals submitted to the VA National Acquisition Center for Federal Supply Schedule (FSS) contracts. Specifically, the OIG reviews nonpharmaceutical proposals for FSS contracts that have an anticipated annual value of $10 million...

In November 2021, Congress passed the VA Transparency & Trust Act of 2021 (Transparency Act) to facilitate oversight of VA’s spending of COVID 19 emergency relief funding, including Families First Coronavirus Response Act (FFCRA) funds. To comply, VA must provide a detailed plan to Congress...

In response to a hotline complaint, the VA Office of Inspector General (OIG) conducted this audit to determine if the Veterans Health Administration (VHA) provided effective oversight of the installation and deployment of its resilient, high-frequency radio network to ensure reliable communications...

To ensure veterans’ monthly compensation benefits are consistent with their levels of disability, the Veterans Benefits Administration (VBA) requires reexaminations for veterans when there is a need to verify the continued existence or the current severity of a disability. VBA’s policy is to request...

To modernize its financial and acquisition management systems, VA established the Financial Management Business Transformation (FMBT) program to replace legacy systems with a new Integrated Financial and Acquisition Management System (iFAMS). This implementation will occur in a series of 18 waves...

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the West Palm Beach VA Healthcare System in Florida to assess allegations related to a patient’s cancer care coordination.The OIG did not substantiate that the primary care provider failed to coordinate care or that the...

This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the outpatient care provided at the VA Texas Valley Coastal Bend Health Care System in Harlingen. This evaluation focused on key operational areas:• Leadership and...

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...