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 Jonathan M. Wainwright Memorial VA Medical Center in Walla Walla, Washington. This evaluation focused on five key content domains: • Culture...

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 Alexandria Healthcare System in Pineville, Louisiana. This evaluation focused on five key content domains: • Culture • Environment of care...

This management advisory memorandum outlines the OIG’s findings and observations about whether VA and Oracle Health followed electronic health record (EHR) interface testing procedures at the Captain James A. Lovell Federal Health Care Center, where VA had to synchronize its system rollout with the...

VA provides compensation to veterans for service-connected disabilities. Veterans file claims for this compensation, and in some cases, a disability compensation medical examination is needed for VA staff to decide these claims. Disability compensation examiners must complete training courses before...

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 Cincinnati Healthcare System in Ohio. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

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 Jackson Healthcare System in Mississippi. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

This review examines whether medical facilities in VISN 12 (the VA Great Lakes Health Care System covering parts of Illinois, Indiana, Michigan, and Wisconsin) correctly identified veterans eligible for community care, informed them of their care options, and delivered timely care. The OIG found...

The OIG conducted a national review to evaluate the alignment of information related to mental health, substance use disorder (SUD), and suicide risk treatment needs within the Veterans Health Administration’s (VHA’s) Homeless Operations Management and Evaluation System (HOMES) data collection...

The OIG conducted this review after receiving a hotline allegation that the 2024 emergency department expansion and renovation at the Audie L. Murphy Memorial Veterans’ Hospital in San Antonio, Texas, did not meet standards. Some exam rooms were said to put patients at risk because the rooms were...

The OIG conducted this audit to determine whether medical facilities followed VHA’s process to plan, request, and approve nonexpendable medical equipment purchases. Nonexpendable equipment typically has a useful life of two years or more and costs at least $300. Ventilators, radiology equipment, and...