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Source Id
324

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...

Leaders Did Not Adequately Review and Address a Dental Hygienist’s Quality of Care at the VA Southern Nevada Healthcare System in Las Vegas

2025
24-00193-186
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the VA Southern Nevada Healthcare System (facility) in Las Vegas to analyze facility leaders’ response to allegations that a dental hygienist failed to follow Veterans Health Administration and facility policies and...

Pharmacy Automated Dispensing Cabinets Need Improved Monitoring for Accountability over High-Risk Medications

2025
24-00765-184
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA medical facilities use automated dispensing cabinets to help manage medication inventory and allow clinical staff to dispense medications to patients near the point of care. The OIG conducted this national review to evaluate whether controls at VHA medical facilities ensure accountability over...

Healthcare Facility Inspection of the VA Spokane Healthcare System in Washington

2025
24-03417-188
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 Spokane Healthcare System in Washington. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Facilities Faced Challenges Retrieving Medical Records from Community Providers and Importing Them into Veterans’ Electronic Health Records

2025
24-02154-154
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA can authorize veterans to receive care in the community in specific circumstances. After the care occurs, the community provider must return associated medical records to VHA and community care staff close the consult. If records are not received, staff must administratively close consults (that...

VA's Compliance with the Statutory Transfer of Funds Authority and Change of Program Requirements During the Presidential Transition

2025
25-01482-165
Other
Department of Veterans Affairs OIG
Department of Veterans Affairs

On November 5, 2024, Senator Bill Hagerty requested that the OIG assess VA’s compliance with statutory transfer of funds limitations listed in relevant appropriations laws in effect during the continuing resolution. According to Senator Hagerty, the statutory transfer of funds authority and change...

Healthcare Facility Inspection of the VA Central Ohio Health Care System in Columbus

2025
24-00593-181
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 Central Ohio Health Care System in Columbus. This evaluation focused on five key content domains: • Culture • Environment of care •...

Inspection of Select Vet Centers in Midwest District 3 Zone 1

2025
24-00393-180
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 1: Fort Wayne, Indiana; Detroit and...

Care in the Community Inspection of Medical Facilities in VISN 4: VA Healthcare

2025
24-00825-176
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Office of Inspector General (OIG) Care in the Community healthcare inspection program report describes the results of a focused evaluation of community care processes at eight Veterans Integrated Service Network (VISN) 4: VA Healthcare medical facilities with a community care program. This...

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