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Website
https://www.vaoig.gov/
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

Hotline Page
https://www.vaoig.gov/hotline/online-forms
Whistleblower Protection Page
https://www.vaoig.gov/hotline/whistleblower-protection-program

Management of Major Medical Leases Needs Improvement

2019
17-05859-131
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of the Inspector General (OIG) conducted this audit to follow up on previous reviews of its capital asset programs, which have identified areas of improvement for both major and minor construction projects, and to determine whether VA effectively managed the procurement and awarding of...

Review of Mental Health Clinical Pharmacists in Veterans Health Administration Facilities

2019
18-00037-154
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess Veterans Health Administration (VHA) facilities’ utilization of clinical pharmacists who work under a scope of practice in a mental health outpatient care setting. After reviewing relevant policies and conducting...

Staffing and Vacancy Reporting under the MISSION Act of 2018

2019
19-00266-141
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) performed this review as required by the VA MISSION Act of 2018. VA has experienced chronic healthcare professional shortages since at least 2015, and the law requires annual reporting on steps taken to achieve full staffing and the additional funds needed to...

Alleged Deficiencies in Out of Operating Room Airway Management Processes at the Colmery-O’Neil VA Medical Center within the VA Eastern Kansas Health Care System, Topeka, Kansas

2019
18-02765-44
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted a healthcare inspection to address care and process issues for an Emergency Department patient and out of operating room airway management processes (OOORAM). The OIG substantiated that an advanced practice registered nurse caused airway trauma...

Alleged Unapproved Acquisition of a Robotic Surgical System for the W.G. (Bill) Hefner Veterans Affairs Medical Center, Salisbury, North Carolina

2019
18-03260-102
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

The VA Office of Inspector General (OIG) conducted this review in response to a November 2017 anonymous complaint that the W.G. Hefner VA Medical Center located in Salisbury, North Carolina, purchased a robotic surgical system for about $2.3 million without adequate planning and approval. The...

Review of Environment of Care, Infection Control Practices, Provider Availability, and Leadership, VA Loma Linda Healthcare System, California

2019
18-02405-146
Inspection / Evaluation
Department of Veterans Affairs OIG
Department of Veterans Affairs

The OIG conducted an inspection at the request of Congressmen Pete Aguilar and Mark Takano to review concerns related to environment of care (EOC), infection control practices including Legionella testing, provider availability, leadership responsiveness, and allegations in the dental clinic at the...

Comprehensive Healthcare Inspection of the Edward Hines, Jr. VA Hospital, Hines, Illinois

2019
18-04676-142
Review
Department of Veterans Affairs OIG
Department of Veterans Affairs

This Comprehensive Healthcare Inspection Program provides a focused evaluation of the quality of care delivered at the Edward Hines Jr. VA Hospital. The inspection covers leadership and organizational risks and key processes associated with promoting quality care. For this inspection, the areas of...

Comprehensive Healthcare Inspection of the Jesse Brown VA Medical Center, Chicago, Illinois

2019
18-04673-138
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 Jesse Brown VA Medical Center. The inspection covers leadership and organizational risks and key clinical and administrative processes associated with promoting quality care...

VA’s Administration of the Transformation Twenty-One Total Technology Next Generation Contract

2019
17-04178-46
Audit
Department of Veterans Affairs OIG
Department of Veterans Affairs

Between March and August 2016, VA’s Technology Acquisition Center (TAC) awarded the Transformation Twenty-One Total Technology Next Generation multiple award contract to 28 contractors for information technology services. The contract has a total maximum value of $22.3 billion. The VA Office of...

Complications Associated with Phototherapy at the Gulf Coast Veterans Health Care System, Biloxi, Mississippi

2019
17-03399-140
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 the care provided to a patient who was mistakenly treated with phototherapy for bed bugs and developed complications. Two days after receiving the phototherapy treatment, the patient was...

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