Department of Veterans Affairs OIG

The VA Office of Inspector General (OIG) conducted a healthcare inspection to assess allegations regarding patient care concerns in the departments of ophthalmology and gastroenterology (GI) at the New Mexico VA Health Care System (facility) in Albuquerque. A patient’s CHOICE referral for cataract...

Pursuant to the VA Choice and Quality Employment Act of 2017, the OIG conducted a review to identify clinical and non-clinical Veterans Health Administration (VHA) occupations experiencing the largest staffing shortages at each VA medical facility. In this sixth staffing report, the OIG team...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care at the North Florida/South Georgia Veterans Health System, covering leadership, organizational risks, and key processes associated with promoting quality care. Areas of focus were Quality...

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

The VA Office of Inspector General (OIG) conducted a rapid response inspection to evaluate allegations that some patients, presenting with mental health-related issues to the Louis Stokes Cleveland VA Medical Center Emergency Department, were not adequately assessed prior to transfer to the facility...

This Comprehensive Healthcare Inspection Program (CHIP) provides a focused evaluation of the quality of care at the Hunter Holmes McGuire VA Medical Center, covering leadership, organizational risks, and key processes associated with promoting quality care. Areas of focus were Quality, Safety, and...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to evaluate concerns regarding deficiencies identified in the practice of a fee basis radiologist (subject radiologist), and the facility’s oversight of the subject radiologist’s performance during the six month tenure in...

The VA Office of Inspector General (OIG) conducted this audit to determine whether the Veterans Benefits Administration (VBA) Loan Guaranty Service provided required oversight of the default resolution process for VA-guaranteed home loans. VA’s reported default resolution rate has steadily increased...

The VA Office of Inspector General (OIG) conducted an inspection to review an allegation of poor quality of cancer care to a community living center (CLC) patient, and to follow up on the adequacy and implementation status of action plan items to address deficiencies identified by Veteran Integrated...

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