Department of Veterans Affairs OIG

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the VA Sierra Nevada Health Care System, which includes the Ioannis A. Lougaris VA Medical Center and multiple...

VHA’s Supportive Services for Veteran Families (SSVF) program helps veterans and their families who are experiencing homelessness and those at imminent risk of homelessness by providing outreach, case management services, assistance obtaining other public benefits, and temporary financial assistance...

The Appeals Modernization Act (AMA) of 2017 charged VA with establishing a new process for more quickly and transparently reviewing benefit claims decisions with which veterans disagree.VA implemented the AMA in 2019, and though it largely focuses on Veterans Benefits Administration benefits...

This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the Erie VA Medical Center and associated outpatient clinics in Ohio and Pennsylvania. This evaluation focused on five...

The VA Office of Inspector General (OIG) conducted this audit to determine whether the Veterans Benefits Administration’s Veteran Readiness and Employment Service (VR&E) properly approved and monitored participants’ use of Chapter 31–only programs, which assist veterans who have service-connected...

From 2020 to 2022, some schedulers at the VA medical center in Bay Pines, Florida, determined community care wait-time eligibility with a locally developed calculator that used an incorrect starting date and thus undercounted wait time by about 12 days, limiting veterans’ healthcare choices. The...

The Office of Inspector General (OIG) is issuing this management advisory memorandum to VA in response to an allegation that VA was not adequately overseeing contractors’ progress reports before payment for work on modernizing the electronic health record system for patients. Specifically, the OIG...

Veterans Benefits Administration (VBA) staff need access to the full range of Veterans Health Administration (VHA) records for proper benefits claims processing. In October 2020, VBA officials emailed a memo instructing processors to search for, identify, and “flash” claims (affix electronic tags)...

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the Lebanon VA Medical Center and associated outpatient clinics in Pennsylvania. This evaluation focused on five...

The OIG reviewed concerns that Veterans Crisis Line (VCL) staff mismanaged a patient’s contact prior to the patient’s death by suicide within the hour after VCL text contact. The OIG also evaluated Audie L. Murphy Memorial Veterans Hospital (facility) leaders’ and staff’s administrative actions...