Department of Veterans Affairs

The PACT Act prompted a rush of new toxic exposure claims and required VA to both immediately train staff on reviewing the claims and provide training at least annually. VBA’s Compensation Service and Pension and Fiduciary Service created mandatory training courses and released them to employees...

The VA Office of Inspector General (OIG) conducted a follow-up healthcare inspection at the Tuscaloosa VA Medical Center (facility) in Alabama to evaluate the status of patient safety program deficiencies identified in a 2023 OIG report and Veterans Integrated Service Network (VISN) 7’s oversight of...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Birmingham VA Health Care System. This evaluation focused on five key content domains: • Culture • Environment of care • Patient safety •...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to determine the validity of an allegation that select therapists do not maintain optimal utilization of individual mental health clinics and clinic administrative processes related to the Choose My Therapy (CMT) program...

The VA Office of Inspector General (OIG) conducted a national review of the Veterans Health Administration (VHA) to assess the policy pertaining to osteoporosis screening and to determine osteoporosis screening rates in women patients enrolled in VHA primary care who are age 65 and older...

The VA Office of Inspector General (OIG) conducted a national review to evaluate the Veterans Health Administration’s (VHA’s) suicide risk screening and evaluation training, adherence, and oversight procedures. VHA’s standardized Suicide Risk Identification Strategy (Risk ID) process requires annual...

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Northport Healthcare System in New York. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Dependency and Indemnity Compensation is a monthly benefit paid to eligible survivors of service members who died in the line of duty or as a result of a service related injury or illness. Under the PACT Act, survivors with previously denied claims may be newly eligible for Dependency and Indemnity...

The PACT Act significantly expanded veterans’ eligibility for disabilities that VA presumes are related to exposure to toxic substances. The VA Office of Inspector General (OIG) conducted this review to determine whether Veterans Benefits Administration (VBA) staff processed PACT Act claims for...

The VA OIG contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to audit VA’s financial statements as of the end of fiscal years (FYs) 2024 and 2023. CLA provided an unmodified opinion and noted material weaknesses and significant deficiencies in internal control and...