Department of Veterans Affairs OIG

This audit was conducted in response to OIG hotline complaints and a congressional request alleging violations of law and VA policy at the Boston VA Research Institute (BVARI), a VA-affiliated nonprofit corporation. Among the allegations was the inappropriate use of agreements allowing VA and BVARI...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care delivered at the Corporal Michael J. Crescenz VA Medical Center, covering leadership, organizational risks, and key processes associated with promoting quality care. Focused areas were...

The Department of Veterans Affairs, Office of Inspector General (OIG) issued the Semiannual Report to Congress (SAR) April 1 – September 30, 2019. The SAR summarizes the results of OIG oversight, provides statistical information, and lists all reports issued April 1 – September 30, 2019. During this...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the El Paso VA Health Care System, covering leadership, organizational risks, and key processes associated with promoting quality care. Focused areas were Quality, Safety, and Value...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate allegations that a patient “may have died wrongfully” by aspiration during resuscitation attempts, and that the patient had a Do Not Attempt Resuscitation (DNAR) order but resuscitation was attempted at the...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care at the Manchester VA Medical Center, covering leadership, organizational risks, and key processes associated with promoting quality care. Focused areas were Quality, Safety, and Value; Medical Staff...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the Charlie Norwood VA Medical Center, covering leadership, organizational risks, and key processes associated with promoting quality care. Focused areas were Quality, Safety, and Value...

The VA Office of Inspector General (OIG) conducted this audit to determine whether appeals of non-VA care claims decisions were effectively managed and processed. An earlier audit identified a significant risk that the Office of Community Care’s Payment Operations and Management (POM) directorate...

The VA Office of Inspector General (OIG) conducted this review to determine whether the Veterans Benefits Administration’s (VBA) Records Management Center disclosed third-party information (including social security numbers of other service members and medical professionals) when responding to...

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the VA Connecticut Healthcare System, covering leadership, organizational risks, and key processes associated with promoting quality care. Focused areas were Quality, Safety, and Value...