Federal Reports

The VA OIG conducted an audit of supply chain management at VA medical facilities in Miami, Orlando, and Gainesville, Florida. The review assessed whether facility and network leaders effectively oversaw supply chain activities and followed Veterans Health Administration policies. The audit focused on four areas that had recurring weaknesses identified in prior audits: expendable supplies, nonexpendable equipment, supply chain leadership, and warehouse and distribution controls.

Overall, all three facilities did not consistently meet requirements for managing expendable supplies and nonexpendable equipment. These shortcomings were tied to gaps in oversight and monitoring. As a result, facilities risked using expired products as well as losing supplies or equipment.

For expendable supplies, the audit identified $3.1 million in funds that could be put to better use due to inaccurate inventories. Facility staff did not always record supply use in real time, and some storage areas at the Miami and Gainesville facilities were not properly secured. Inaccurate supply records increase the risk of expired items, unnecessary purchases, and delays in patient care when supplies cannot be located.

For nonexpendable equipment, the team estimated that 48 percent of items were not in the locations recorded in VA systems. An estimated 1,100 items—worth about $12.7 million—were missing. Missing or incorrectly tracked equipment can delay equipment maintenance and patient care.

The facilities also did not consistently tag, record, or track new equipment as required. Reports needed to investigate missing equipment were not routinely completed. Although the network chief logistics officer conducted required oversight reviews, the network does not have direct authority to enforce corrective actions at facilities or ensure sustained improvements.

The OIG made seven recommendations to improve supply chain management across the network; VA concurred with six recommendations and concurred in principle with one.

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Dayton Healthcare System in Ohio. 

This evaluation focused on five key domains:
     •    Culture
     •    Environment of care
     •    Patient safety
     •    Integrated veteran care
     •    Veteran-centered safety net

The OIG made one recommendation for VA to correct an identified issue in one domain:
   1.    Environment of care
     •    Clean and well-maintained patient care areas

The Payment Integrity Information Act was enacted to improve efforts to identify and reduce federal improper payments—payments the federal government should not have made or made in an incorrect amount under statutory, contractual, administrative, or other legally applicable requirements. NASA complied with the Act during fiscal year 2025. However, several minor reporting errors resulted in overpayments identified and overpayments collected being overstated, but these amounts were immaterial.

Why We Did This Report

We conducted this inspection to determine the extent to which the EPA is using Infrastructure Investment and Jobs Act, or IIJA, funds to progress remediation at the Diaz Chemical Corp. Superfund site and whether the EPA has site safety measures in place to protect public health and the environment.

Summary of Findings

The EPA has acted swiftly to address past complaints from the public, but conducting community interviews during five-year reviews would allow the EPA to confirm that there are no community concerns. Also, updating the community involvement plan and making it publicly available would ensure that the EPA’s approaches for community engagement remain relevant.