Department of Veterans Affairs OIG

OIG received an anonymous allegation that Veterans Service Center (VSC) staff at the Roanoke VA Regional Office (VARO) combined appeals to lower the pending inventory and achieve production goals by entering incorrect data into VA’s electronic system. OIG reviewed 331 appeal records that were closed...

OIG conducted a healthcare inspection in response to an allegation received in 2016 that a patient died of an accidental methadone overdose 2 days after receiving a prescription for methadone from a primary care physician (PCP) at the Grand Junction VA Health Care System (System), Grand Junction, CO...

The VA OIG conducted a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the James J. Peters VA Medical Center (facility). The review covered key clinical and administrative processes associated with promoting quality care—Leadership and Organizational...

Report Summary: 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 VA Long Beach Healthcare System (facility). The review covered key clinical and administrative processes associated with promoting...

In House Report (H. Rept. 114-497) to accompany the House of Representatives, Military Construction, Veterans Affairs, and Related Agencies Appropriations Bill, 2017 (H.R. 4974), the Committee on Appropriations requested the OIG review VA’s reimbursement of the Department of the Treasury’s Judgment...

In September 2016, a complainant and letters from several Senators and Representatives alleged the Eastern Colorado Health Care System (ECHCS) used unofficial wait lists for group therapies. Also alleged was that the Colorado Springs Community Based Outpatient Clinic did not take timely action on...

OIG conducted a healthcare inspection in response to requests from Senator Cory Booker, Senator Robert Menendez, and Congressman Frank LoBiondo to assess concerns that a patient’s insufficient access to timely mental health (MH) care may have contributed to the patient’s suicide and that general...

OIG conducted a healthcare inspection to address concerns received from Congressman Jim Costa in 2014 regarding allegations from an anonymous complainant of Emergency Department (ED)-boarded patients’ length of stay, poor inpatient flow, and nurse staffing shortages at the Central California VA...

OIG conducted an inspection in response to Senator James Inhofe’s request to evaluate clinical, supervisory, and administrative practices at the Oklahoma City VA Health Care System (System), Oklahoma City, OK. We also evaluated the System Director’s concerns and coordinated parts of this review with...

The OIG contracted with an independent public accounting firm for a performance audit to assess the VA’s compliance with the Digital Accountability and Transparency Act of 2014 (DATA Act). The contractor reported that VA did not fully comply with the DATA Act due to weaknesses in VA’s existing...