Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the VA New Mexico Healthcare System (facility) to assess allegations and concerns related to the care of a patient who was labeled as ineligible for care and senior leaders’ associated response. In early 2024, the patient...

The VA Office of Inspector General (OIG) conducted a healthcare inspection related to the care of a resident at the Batavia community living center (CLC), a part of the VA Western New York Healthcare System (system). In late winter 2024, Resident A was admitted to the Buffalo VA Medical Center (VAMC...

VBA has long-standing challenges processing military sexual trauma claims and centralizing the expertise of this work. The OIG conducted this review to assess VBA’s planning and implementation of the Military Sexual Trauma Operations Center and its governance structure for processing claims. The OIG...

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) 10: VA Healthcare System Serving Ohio, Indiana, and Michigan medical...

This joint audit led by the DoD OIG examined actions taken by the DoD and VA regarding the Cerner Millennium electronic health record (EHR) system being deployed throughout VA and DoD. The audit assessed internal controls and compliance with legal requirements, as well as actions by DoD, VA, and...

The VA Office of Inspector General reviewed the Community Based Outpatient Clinics (CBOCs) and primary care clinics (PCCs) of the Wilmington VA Medical Center. The purpose of the review was to determine whether the CBOCs and PCCs provide safe, consistent, and high-quality health care for our...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Beckley VA Medical Center and two outpatient clinics in West Virginia. The inspection covered key...

The OIG examines individual nonpharmaceutical proposals submitted by commercial contractors for Federal Supply Schedule contracts with an anticipated annual value of $3 million or more, with an anticipated annual value of $500,000 or more for dealers or resellers without significant sales to the...

The OIG examines individual pharmaceutical proposals submitted by commercial contractors for Federal Supply Schedule contracts that have an anticipated annual value of $5 million or more or that VA has asked the OIG to review. The OIG’s oversight work helps VA contracting officers negotiate fair and...

The VA Office of Inspector General (OIG) conducted a review of Veterans Health Administration (VHA) inpatient mental health unit (mental health unit) suicide risk identification processes, suicide prevention safety plans, mental health treatment coordinator (MHTC) role requirements, and discharge...