Department of Veterans Affairs OIG

The Veterans Affairs Enterprise Cloud (VAEC) hosts more than 200 systems that employees, veterans, and contractors use to support the delivery of health care, compensation benefits, and home loan guarantees for veterans. The OIG conducted this audit to determine if VA is effectively assessing and...

Legionnaires’ disease is caused by Legionella bacteria, found naturally in freshwater environments. The bacteria can become a health concern when spread through showerheads, faucets, ice machines, and hot water tanks in the water systems of large buildings. A 2017 CDC report concluded that one in...

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 Gulf Coast Veterans Health Care System in Biloxi, Mississippi. This evaluation focused on five key operational...

The VA Office of Inspector General conducted a healthcare inspection at the Hampton VA Medical Center (facility) in Virginia to assess allegations related to the delay in diagnosis and treatment of a patient with a newly found lung mass.The OIG substantiated that there was a delay in diagnosis and...

The VA Office of Inspector General (OIG) conducts information security inspections to assess whether VA facilities are meeting federal security requirements. They are typically conducted at selected facilities that have not been assessed in the sample for the annual audit required by the Federal...

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 VA Northern California Health Care System, which includes the Sacramento VA Medical Center, Martinez VA Medical...

The VA Office of Inspector General (OIG) conducts information security inspections to assess whether VA facilities are meeting federal security requirements. They are typically conducted at selected facilities that have not been assessed in the sample for the annual audit required by the Federal...

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 Corporal Michael J. Crescenz VA Medical Center and associated outpatient clinics in Pennsylvania and New Jersey. This...

Compared to the general population, veterans have a higher risk of opioid overdose due to many contributing factors, along with a higher incidence of medical conditions that increase the risk for opioid use disorder. The MISSION Act of 2018 requires VA to ensure that non VA providers who prescribe...

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 Michael E. DeBakey VA Medical Center in Houston and multiple outpatient clinics in Texas. This evaluation focused on...