Department of Veterans Affairs OIG

OIG conducted a healthcare inspection to assess allegations made regarding patient flow and quality of care in the Emergency Department (ED) at the Baltimore VA Medical Center (facility), part of the VA Maryland Health Care System (system). We substantiated patients remained in the ED for more than...

OIG conducted an inspection in response to a February 2015 request from Congresswoman Gwen Moore to review prescribing practices related to controlled substances at the Clement J. Zablocki VA Medical Center (facility), Milwaukee, WI. We also received an allegation that a provider at the facility had...

OIG conducted an inspection to evaluate the merit of a concern submitted by the Drug Enforcement Administration (DEA) regarding the Marion Division of the VA Northern Indiana Health Care System (VANIHCS). The DEA reported a large opioid purchase increase by VANIHCS, Marion Division in fiscal year...

In early 2017, OIG evaluated the Phoenix VA Regional Office (VARO) to see how Veterans Service Center (VSC) staff processed disability claims, timely and accurately processed proposed rating reductions, input claim information, and responded to special controlled correspondence. Staff didn't...

OIG conducted a healthcare inspection to assess allegations regarding pressure ulcer prevention and management at the Brooklyn and Manhattan campuses of the VA New York Harbor Healthcare System (system), New York, NY. The timeline of events and allegations were: in 2014, a patient developed pressure...

OIG conducted this audit at the request of Congressman Mike Coffman in response to an allegation that the South Texas Veterans Health Care System (STVHCS) had about 20,000 past due pending radiology orders. To address the allegation, OIG evaluated if STVHCS had past due radiology orders that...

OIG conducted a healthcare inspection in response to allegations from anonymous complainant(s) regarding the quality of care provided by a thoracic surgeon at the Bay Pines VA Healthcare System (system), Bay Pines, FL. We did not substantiate that the thoracic surgeon was incompetent. However, we...

The VA Office of Inspector General (OIG) evaluated the quality of care delivered at the VA Northern Indiana Health Care System. This included reviews of key clinical and administrative processes that affect patient care outcomes—Quality, Safety, and Value; Environment of Care; Medication Management...

The VA Office of Inspector General (OIG) evaluated the quality of care delivered at the James E. Van Zandt VA Medical Center. This included reviews of key clinical and administrative processes that affect patient care outcomes—Quality, Safety, and Value; Environment of Care; Medication Management...

OIG evaluated controls over the health care enrollment program administered at VA medical facilities and determined if enrollment actions were processed timely and supported by required documentation. OIG found that VHA did not provide effective governance necessary to ensure oversight and control...