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Source Id
324

Improved Oversight of VHA’s Nonexpendable Equipment Is Needed

2025
24-01676-153
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

VHA staff use nonexpendable equipment—durable items that can be continuously used for two years or more—to deliver patient care and operate medical facilities. This equipment must be inventoried annually if it is valued at $5,000 or more, sensitive in nature, or capitalized property. These...

FY 2016 Risk Assessment of VA's Charge Card Program

2017
16-02138-149
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

This work product summarizes an OIG review of allegations of VA waste, fraud, abuse, or mismanagement. The results of the OIG’s oversight efforts are typically published in a formal report. However, the OIG has issued alternative work products, such as this one, in lieu of a full report in certain...

Former Acquisition Academy Executive Violated Ethical Standards and VA Policy

2025
23-03768-204
Investigation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG conducted an administrative investigation into allegations of misconduct by Judith Dawson, former Chancellor of the VA Acquisition Academy, in connection with an August 2023 acquisition training symposium held at a conference center hotel in Aurora, Colorado, and attended by over 1,200...

Deficiencies in Quality of Care and the Root Cause Analysis Process at the Overton Brooks VA Medical Center in Shreveport, Louisiana

2025
25-00400-189
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG conducted a healthcare inspection to assess the quality of care provided to a patient while hospitalized at the Overton Brooks VA Medical Center (facility). The OIG also identified concerns with a quality review completed after facility leaders became aware of staff’s mismanagement of a...

OIG Determination of Veterans Health Administration’s Severe Occupational Staffing Shortages Fiscal Year 2025

2025
25-01135-196
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Veterans Access, Choice, and Accountability Act (VACAA) of 2014 and VA Choice and Quality Employment Act (VCQEA) of 2017 requires the VA Office of Inspector General (OIG) to determine, annually, a minimum of five clinical and five nonclinical Veterans Health Administration (VHA) occupations with...

Inconsistent Implementation of VHA Oncology Program Requirements Due to Insufficient Oversight

2025
24-01618-198
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a national review to examine the infrastructure and oversight of Veterans Health Administration (VHA) oncology programs. The OIG found inconsistent implementation of VHA requirements for oncology programs. Not all Veterans Integrated Service...

Healthcare Facility Inspection of the VA Texas Valley Coastal Bend Healthcare System in Harlingen

2025
25-00189-199
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

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 Texas Valley Coastal Bend Healthcare System in Harlingen. This evaluation focused on five key content domains: • Culture • Environment of...

Inspection of Select Vet Centers in Midwest District 3 Zone 3

2025
24-00395-179
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. This inspection report evaluated four randomly selected vet centers throughout Midwest district 3 zone 3: Des Moines and Sioux City, Iowa...

Independent Audit Report on Invoices Submitted by a Graduate Medical Education Affiliate to the VA Nebraska–Western Iowa Health Care System

2025
23-02423-135
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Nebraska–Western Iowa Health Care System has a graduate medical education affiliation agreement with a local university. Under the agreement, the university provides the services of health professions trainees (residents) to the Omaha VA Medical Center, and VA reimburses the university for...

VA Can Strengthen Appeals Processing and Tracking by Improving Caseflow Program Management

2025
24-01457-114
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

Veterans can submit compensation claims for disabilities associated with active service, and if they disagree with VA’s decision on the claim, they may appeal it. The Veterans Appeals Improvement and Modernization Act of 2017 (AMA) was passed to improve the processing of these appeals. The AMA also...

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