Skip to main content
Abbreviation
VA
Agencies
Department of Veterans Affairs
Federal Agency
Yes
Location

United States

What to Report to the OIG Hotline

The Hotline accepts tips or complaints that, on a select basis, result in reviews of: • VA-related criminal activity • Systemic patient safety issues • Gross mismanagement or waste of VA resources • Misconduct by senior VA officials The VA OIG investigates substantial allegations of whistleblower reprisal against employees of VA contractors, grantees, subgrantees, and personal services subcontractors. The VA OIG reports substantiated allegations of reprisal to the employer and VA for corrective action.

What Not to Report to the OIG Hotline

The Hotline does not accept complaints that are unrelated to programs and operations of the Department of Veterans Affairs nor that are addressed in another legal or administrative forum: TYPE OF COMPLAINT WHO SHOULD YOU CONTACT Claim for VA disability and pension benefits, and ratings, appeals, or home loan issues Veterans Benefits Administration (1-800-827-1000) Claim for VA education benefits Veterans Benefits Administration (1-888-442-4551) Patient health care dispute Patient Advocate at your local VA medical facility Tort claim or other legal issue/case/claim Local VA Regional Counsel office (202-461-4900) VA billing issues - Compliance and Business Integrity 1-866-842-4357 Litigation matters Private counsel; applicable court Employee grievances, unfair labor practices, union matters Local union representative, Federal Labor Relations Authority VA employee whistleblower retaliation issues U.S. Office of Special Counsel (1-800-872-9855) Other VA employee whistleblower issues and concerns about VA employee VA Office of Accountability and Whistleblower Protection performance and accountability (855-429-6669) or (202-461-4119) Whistleblower disclosures not related to the VA U.S. Office of Special Counsel (1-800-872-9855) Discrimination and EEO complaints for VA employees, former VA employees, VA Office of Resolution Management (1-888-566-3982) and applicants for VA positions Discrimination and complaints related to the Uniformed Services Employment U.S. Department of Labor's Veterans' Employment and Training Service and Reemployment Rights Act (USERRA) and the U.S. Office of Special Counsel Personnel actions/adverse action appeals/MSPB matters U.S. Merit Systems Protection Board Disagreement with law or other political dispute Your elected legislative official

Inspection of Select Vet Centers in Pacific District 5 Zone 3

2024
24-00389-267
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. The OIG inspected four randomly selected vet centers throughout Pacific district 5 zone 3: Phoenix and West Valley, Arizona; Antelope...

Mismanaged Mental Health Care for a Patient Who Died by Suicide and Review of Administrative Actions at the VA Tuscaloosa Healthcare System in Alabama

2024
23-02393-250
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG evaluated allegations related to the care of a patient who died by suicide six days after a mental health appointment at the VA Tuscaloosa Healthcare System (facility). Concerns regarding appointment scheduling, supervision of a posttraumatic stress disorder (PTSD) clinic social worker...

Alleged Mismanagement of Contracts for Wheelchair-Accessible Transportation Services by the Health Administration Service at the Dallas VAMC in Texas

2024
23-03128-213
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

VA’s Veterans Transportation Program offers travel solutions for veterans to get to and from VA healthcare facilities at little or no cost to veterans. One travel option is transportation by wheelchair van. VA’s Health Administration Service is responsible for administering the contracts that...

VA Needs to Strengthen Controls to Address Electronic Health Record System Major Performance Incidents

2024
22-03591-231
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this audit to determine whether VA and its contractor had sufficient controls to prevent, respond to, and mitigate the impact of major performance incidents affecting the electronic health record (EHR) system.In May 2018, VA awarded a 10-year...

Action Needed to Ensure VA Meets Staffing and Vacancy Reporting Requirements under the MISSION Act of 2018

2024
24-01170-232
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) assessed VA’s compliance with mandated reporting of staffing and vacancy data on its public website and its clarity in related explanations. The MISSION Act of 2018 requires VA to publicly release this information each quarter to promote transparency in...

VBA Needs to Improve Oversight of the Digital GI Bill Platform

2024
23-01252-175
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

In March 2021, the Veterans Benefits Administration (VBA) began transitioning to a Digital GI Bill platform designed to improve education benefits delivery. The original plan called for implementing the new platform through a contractor for 10 years at a projected cost of $453 million. The VA Office...

Inspection of Continental District 4 Vet Center Operations

2024
22-04108-235
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 throughout Readjustment Counseling Service (RCS).This inspection evaluates four review areas within Continental District 4 including leadership stability...

Failures by Telemetry Medical Instrument Technicians and Leaders’ Response at the VA Eastern Colorado Health Care System in Aurora

2024
23-03531-218
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 Eastern Colorado Health Care System (facility) in Aurora to review telemetry medical instrument technician (MIT) actions and leaders’ response to allegations that an MIT (MIT A) changed patient alarm settings and...

Insufficient Mental Health Treatment and Access to Care for a Patient and Review of Administrative Actions in Veterans Integrated Service Network 10

2024
23-01601-208
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The Office of Inspector General (OIG) evaluated concerns related to Veterans Integrated Service Network (VISN) 10 staff’s care and treatment coordination for a patient who died. The OIG reviewed the sufficiency of Veterans Health Administration (VHA) leaders’ actions prior to and following...

Care Concerns and Deficiencies in Facility Leaders’ and Staff’s Responses Following a Medical Emergency at the Carl T. Hayden VA Medical Center in Phoenix, Arizona

2024
23-02958-203
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) reviewed an allegation that a patient experienced a delay in receiving basic life support (BLS) during a medical emergency on the grounds of the Carl T. Hayden VA Medical Center (facility) in Phoenix, Arizona, and later died at a community hospital.The OIG...

Subscribe to Department of Veterans Affairs OIG