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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 Concerns in the Hemodialysis Unit at the Wilmington VA Medical Center, Delaware

2018
17-03676-307
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate allegations regarding two patients’ care in the Hemodialysis Unit at the Wilmington VA Medical Center in Delaware. Although the OIG was unable to substantiate that the care received in a dialysis unit contributed...

Quality of Care Concerns Regarding a Patient Who had Cardiac Surgery at the VA Ann Arbor Healthcare System, Michigan

2018
17-04875-308
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations concerning the care of a patient who underwent cardiac surgery in 2015 at the VA Ann Arbor Healthcare System in Michigan. The OIG was unable to substantiate that the patient received inappropriate care...

Alleged Misuse of Government-Owned Vehicles within the Long Island and Calverton National Cemeteries in New York

2018
18-00884-251
Investigation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) investigated an allegation that the Executive Director of the Florida National Cemetery improperly stored his personal vehicle in a garage on Long Island National Cemetery property after he transferred to Florida and asked subordinates to drive him in...

Review of Mental Health Care Provided Prior to a Veteran’s Death by Suicide, Minneapolis VA Health Care System, Minnesota

2018
18-02875-305
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

In response to a request from Representative Tim Walz, the VA Office of Inspector General (OIG) reviewed the care of a patient who died from a self-inflicted gunshot wound less than 24 hours after discharge from the inpatient mental health unit of the Minneapolis VA Health Care System. The OIG...

Comprehensive Healthcare Inspection Program Review of the Northport VA Medical Center, New York

2018
18-01018-281
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care delivered at the Northport VA Medical Center (Facility). The review covered key processes associated with promoting quality care—Leadership and Organizational Risks; Quality, Safety, and Value (QSV)...

Comprehensive Healthcare Inspection Program Review of the Veterans Health Care System of the Ozarks, Fayetteville, Arkansas

2018
18-00613-275
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Veterans Health Care System of the Ozarks (Facility). The review covered key clinical and administrative processes associated with promoting...

Alleged Poor Quality of Care in a Community Living Center at the Northport VA Medical Center, New York

2018
17-03347-285
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations regarding a patient’s abuse and neglect in a community living center (CLC) at the Northport VA Medical Center, New York. The OIG substantiated that a patient who died at the facility fell while living in...

Alleged Inadequate Nurse Staffing Led to Quality of Care Issues in the Community Living Centers at the Northport VA Medical Center, New York

2018
17-03347-293
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations regarding inadequate nurse staffing that affected quality of care in the Community Living Centers (CLC) at the Northport VA Medical Center, New York. The OIG substantiated that nursing leaders were aware...

Alleged Quality of Care Issues in the Community Living Centers, Northport VA Medical Center, New York

2018
17-03347-290
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations regarding quality of care issues in two Community Living Centers (CLC) at the Northport VA Medical Center, New York. The OIG substantiated Patient A died at the facility after choking on food, but found...

Review of Pain Management Services in Veterans Health Administration Facilities

2018
16-00538-282
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the request of several members of Congress to assess pain management practices including opioid prescribing and the treatment of substance abuse at Veterans Health Administration (VHA) medical facilities. The OIG found...

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