Department of Veterans Affairs

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of Veterans Health Administration (VHA) facilities’ quality, safety, and value (QSV) programs. This report describes findings from healthcare inspections performed at 45 medical...

The Office of Inspector General (OIG) conducted a review to evaluate VA’s implementation of the Referral Coordination Initiative (RCI), a program designed to improve veterans’ timely access to care, empower patients to make informed care decisions, reduce providers’ administrative burden and...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a descriptive evaluation of VHA facilities’ leadership and organizational risks. The report focuses on executive leadership position stability and engagement, budget and operations, staffing, employee...

The Office of Inspector General (OIG) conducted a healthcare inspection to assess concerns regarding facility providers’ failures to communicate, act on, and document a patient’s abnormal test results. The OIG also evaluated the facility’s quality management processes in response to identified...

The Office of Inspector General (OIG) assessed allegations at Tuscaloosa VA Medical Center (facility) that facility and community living center (CLC) leaders failed to address CLC safety and security issues, and that facility leaders failed to fill key positions, utilize unused space, and ensure...

The VA Office of Inspector General (OIG) contracted with the independent public accounting firm CliftonLarsonAllen LLP (CLA) to provide consulting services to the OIG with respect to selected financial reporting controls for the Integrated Financial and Acquisition Management System (iFAMS) at the...

The VA Office of Inspector General (OIG) reviews pharmaceutical proposals submitted to the VA National Acquisition Center for Federal Supply Schedule contracts valued annually at $5 million or more. The reviews are not published because they contain sensitive commercial information protected from...

The VA Office of Inspector General (OIG) completed 32 preaward reviews of sole-source healthcare proposals in fiscal year 2021 and provided information that VA contracting officers could use to help negotiate fair and reasonable prices. The proposals typically come from VA affiliated institutions...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations of adverse clinical outcomes related to three patients’ surgical or invasive procedure(s) at the Columbia VA Health Care System (facility) in South Carolina.The OIG substantiated three patients...

The VA Office of Inspector General (OIG) conducted an audit to assess Regional Procurement Office Central’s (RPO Central) compliance with the Buy American Act of 1933 and associated guidance, which requires the federal government to purchase domestic products when possible.The OIG audited RPO...