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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

Factors Contributing to the Death of a Ventilator-Dependent Patient at the VA San Diego Healthcare System, California

2019
19-06386-179
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate factors that may have impacted or contributed to the unexpected death of a ventilator-dependent patient on the Spinal Cord Injury (SCI) unit at the VA San Diego Healthcare System and to follow-up on the facility’s...

Concerns Related to an Inpatient’s Response to Oxycodone and Facility Actions at the Baltimore VA Medical Center, Maryland

2019
18-05731-176
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate concerns related to a patient’s response to oxycodone, an opioid pain mediation, including initial post-surgery care and during an acute change in condition (event) at the facility. The OIG also assessed...

Comprehensive Healthcare Inspection of the Cheyenne VA Medical Center, Wyoming

2019
18-04680-162
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 Cheyenne VA Medical Center. The inspection covers leadership and organizational risks and key clinical and administrative processes associated with promoting quality care...

Program of Comprehensive Assistance for Family Caregivers: Timely Discharges, But Oversight Needs Improvement

2019
18-04924-112
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) audited the Program of Comprehensive Assistance for Family Caregivers to determine whether the Veterans Health Administration (VHA) took timely and consistent action to discharge veterans and their caregivers from the Family Caregiver Program, and...

Comprehensive Healthcare Inspection of the Amarillo VA Health Care System, Texas

2019
19-00007-168
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 Amarillo VA Health Care System. The inspection covers leadership and organizational risks and key clinical and administrative processes associated with promoting quality care...

Concerns with Access and Delays in Outpatient Mental Health Care at the New Mexico VA Health Care System, Albuquerque, New Mexico

2019
17-05572-170
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to address concerns with patients’ access to care and delays in outpatient mental health care. The OIG identified patients’ limited access to outpatient mental health care as evidenced by the staff’s insufficient use of the...

Alleged Inadequate Response to a Missing Patient and Safety Concerns at the Bay Pines VA Healthcare System, Florida

2019
18-04132-163
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 allegations of an inadequate response to a Code Orange and patient safety concerns for a missing patient at the facility. The OIG substantiated that the patient went missing from the facility in spring 2018...

Alleged Interference and Failure to Comply with the Pain Management Directive and the Opioid Safety Initiative at the VA Northern Indiana Health Care System, Fort Wayne, Indiana

2019
17-05835-165
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to determine the validity of confidential allegations that system leaders interfered with primary care providers’ opioid prescribing practices; requirements specified in Veterans Health Administration’s (VHA) Pain Management...

Leadership, Clinical, and Administrative Concerns at the Charlie Norwood VA Medical Center, Augusta, Georgia

2019
19-00497-161
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess anonymous allegations involving multiple quality of care and leaders’ failures at the facility. Many of the allegations were largely unfounded; however, the OIG identified concerns including clinical staff members...

Comprehensive Healthcare Inspection of the James H. Quillen VA Medical Center, Mountain Home, Tennessee

2019
18-06508-155
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 James H. Quillen VA Medical Center. The inspection covers leadership and organizational risks and key clinical and administrative processes associated with promoting quality...

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