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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

Quality of Care and Patient Safety Concerns on the Acute Behavioral Health Unit at the Corporal Michael J. Crescenz VA Medical Center, Philadelphia, Pennsylvania

2019
18-00777-224
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review quality of care and patient safety concerns identified by an OIG medical consultant after providing assistance during an OIG Office of Investigations inquiry into an unexpected patient death at the facility. The OIG...

Boston, Massachusetts, VA Regional Office Supervisor Incorrectly Processed Work Items

2019
19-07350-192
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this review to determine whether a supervisor at the VA regional office in Boston, Massachusetts, incorrectly processed system generated messages known as “work items” that may have affected recipients’ benefits. Work items are a type of internal...

Sole-Source Service Contracting at Regional Procurement Office East Needs Improvement

2019
18-01836-184
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted reviews of each of the three Veterans Health Administration (VHA) Regional Procurement Offices (RPOs) to assess the use of sole-source procedures when awarding service contracts valued at more than $700,000 in fiscal year (FY) 2017. A sole-source...

Sole-Source Service Contracting at Regional Procurement Office West Need Improvement

2019
18-01836-185
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted reviews of each of the three Veterans Health Administration (VHA) Regional Procurement Offices (RPOs) to assess the use of sole source procedures when awarding service contracts valued at more than $700,000 in fiscal year (FY) 2017. A sole-source...

Comprehensive Healthcare Inspection of the Central California VA Health Care System Fresno, California

2019
19-00006-191
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the Central California VA Health Care System (the facility), which covers leadership, organizational risks, and key processes associated with promoting quality care. Focus areas...

Problems Were Identified on One Regional Procurement Office Central Ambulance Service Contract

2019
18-01836-183
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted reviews of each of the three Veterans Health Administration (VHA) Regional Procurement Offices (RPOs) to assess the use of sole-source procedures when awarding service contracts valued at more than $700,000 in fiscal year (FY) 2017. A sole-source...

Security and Access Controls for the Beneficiary Fiduciary Field System Need Improvement

2019
18-05258-193
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this audit to determine if the Beneficiary Fiduciary Field System (BFFS) had the necessary controls to protect data integrity and safeguard protected information. The BFFS is the information technology system for VA’s Fiduciary Program that handles...

Accuracy of Claims Decisions Involving Conditions of the Spine

2019
18-05663-189
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

Spinal conditions account for two of VA’s top 10 service-connected disabilities, totaling some 1.5 million cases as of September 30, 2018. The VA Office of Inspector General (OIG) conducted this review after determining disability claims related to conditions of the spine have a higher risk of...

National Review of Hospice and Palliative Care at the Veterans Health Administration

2019
17-05251-194
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review the utilization of hospice and palliative care (HPC) services at the Veterans Health Administration (VHA). The OIG reviewed relevant directives, policies, handbooks and conducted interviews with VHA and non-VHA HPC...

Facility Leaders’ Oversight and Quality Management Processes at the Gulf Coast VA Health Care System in Biloxi, Mississippi

2019
17-03399-200
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection in response to an allegation that a thoracic surgeon (surgeon) provided poor quality of care to five patients. Two other allegations received were addressed in an OIG report published in 2018, Inadequate Intensivist Coverage...

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