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Source Id
324

Healthcare Facility Inspection of the VA St. Louis Healthcare System in Missouri

2025
24-00600-136
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 St. Louis Healthcare System in Missouri. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Healthcare Facility Inspection of the VA Portland Health Care System in Oregon

2025
24-00609-124
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 Portland Health Care System in Oregon. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Healthcare Facility Inspection of the VA Puget Sound Health Care System in Seattle, Washington

2025
24-00612-119
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 Puget Sound Health Care System in Seattle, Washington. This evaluation focused on five key content domains: • Culture • Environment of...

VBA’s Special Monthly Compensation Calculator in the Veterans Benefits Management System for Rating Did Not Always Produce Accurate Results

2025
24-01083-112
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VBA provides tax-free monthly compensation payments to veterans for disabilities incurred or aggravated during active military service. Additionally, VBA awards special monthly compensation (SMC) for certain severe disabilities or combinations of disabilities. SMC is a difficult topic for claims...

Healthcare Facility Inspection of the VA Oklahoma City Healthcare System in Oklahoma

2025
24-00596-129
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 Oklahoma City Healthcare System in Oklahoma. This evaluation focused on five key content domains: • Culture • Environment of care •...

Failure to Flag Fiduciaries Who Were Removed Results in Risk to Vulnerable Beneficiaries

2025
24-01322-103
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Fiduciary Program within the Veterans Benefits Administration (VBA) was established to protect beneficiaries who are unable to manage their VA benefits by appointing and overseeing fiduciaries—individuals or legal entities charged with stewarding the funds on behalf of beneficiaries for their...

Better Communication and Oversight Could Improve How the Pain Management, Opioid Safety, and Prescription Drug Monitoring Program Manages Funds

2025
24-00524-104
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

Congress enacted the Comprehensive Addiction and Recovery Act (CARA) of 2016 to improve opioid therapy and pain management for veterans. Within CARA, the Jason Simcakoski Memorial and Promise Act (Jason’s Law) requires each Veterans Health Administration (VHA) medical facility to have a pain...

Inspection of Select Vet Centers in Midwest District 3 Zone 2

2025
24-00394-122
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 2: Evanston, Illinois; Gary Area...

Healthcare Facility Inspection of the VA Augusta Health Care System in Georgia

2025
24-00617-118
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 Augusta Health Care System in Georgia. This evaluation focused on five key content domains: • Culture • Environment of care • Patient...

Office Of Inspector General, Department Of Veterans Affairs, Semiannual Report to Congress, Issue 93, October 1, 2024-March 31, 2025

2025
Semiannual Report
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Semiannual Report to Congress summarizes the results of VA OIG oversight, provides statistical information, and lists all 103 oversight reports and other products issued from October 1, 2024, to March 31, 2025. During this reporting period, VA OIG audits, evaluations, investigations, inspections...

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