Department of Veterans Affairs OIG

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 report focuses on Pacific district 5 zone 2 and four selected vet centers—Fresno, High Desert, and Santa Cruz County in California...

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the VA Southern Nevada Healthcare System (facility) in Las Vegas to assess an allegation that the facility failed to diagnose and treat a patient’s cancer. The OIG identified concerns about potential deficiencies in lung...

The OIG assessed the oversight and stewardship of funds and identified opportunities for cost efficiency at the Marion VA Healthcare System in Illinois. The review focused on four areas:1. Use of the Medical/Surgical Prime Vendor-Next Generation program. The program is a collection of contracts that...

The Veterans Health Administration (VHA) uses contractors to provide oxygen services to veterans who need respiratory care in their homes. The OIG examined whether VHA’s oversight of the home oxygen program ensured (1) patients received reevaluation of their need for home oxygen and home visits were...

The OIG examined whether VA has an effective governance structure for ensuring deceased veterans whose remains are unclaimed are interred with dignity in a final resting place, such as burial in a national cemetery. The review was initiated in response to reports that deceased veterans’ unclaimed...

The Veterans Benefits Administration (VBA) compensation program provides monthly tax-free, service-connected benefits to veterans as compensation for the effects of disabilities caused by diseases or injuries incurred or aggravated during active military service. Special monthly compensation (SMC)...

The OIG assessed the oversight and stewardship of funds and identified opportunities for cost efficiency at the Eastern Oklahoma VA Health Care System. The review focused on four areas:1. Open obligations. The team found that the system’s fiscal staff did not always review open obligations for goods...

The OIG reviewed the reassignments of two executive directors in the Veterans Benefits Administration (VBA) to determine whether VA’s policies and procedures were followed when determining their eligibility for relocation allowances. The OIG found nothing improper with respect to the allowances paid...

The VA Office of Inspector General (OIG) conducted a healthcare inspection of an allegation related to a patient who sought help with gastrointestinal symptoms at the Eastern Oklahoma VA Health Care System in Muskogee (facility) three times in 2020 and was allegedly sent away. The patient went to a...