The VA Office of Inspector General (OIG) Vet Center Inspection Program provides a focused evaluation of aspects of the quality of care delivered at vet centers. The OIG inspected four randomly selected vet centers throughout Pacific district 5 zone 3: Phoenix and West Valley, Arizona; Antelope Valley, California; and Santa Fe, New Mexico.The OIG inspection focused on four review areas: suicide prevention; consultation, supervision, and training; outreach; and environment of care. In the suicide prevention review, the OIG team evaluated vet center staff participation in the VA medical facility mental health executive council meeting resulting in one recommendation across two of the four vet centers inspected. The consultation, supervision, and training review identified concerns with external clinical consultation, vet center director monthly chart reviews, and completion of select trainings resulting in three recommendations across three of the four vet centers inspected. The outreach review evaluated outreach plan completion, inclusion of strategic components, and tailoring of outreach activities to cultural background information identified in the plan which resulted in one recommendation across all four vet centers inspected. The environment of care review evaluated vet centers’ physical environment and general safety resulting in five recommendations across all four vet centers inspected.The OIG issued a total of 10 recommendations for improvement.
Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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Department of Veterans Affairs | Inspection of Select Vet Centers in Pacific District 5 Zone 3 | Inspection / Evaluation | Agency-Wide | View Report | |
Department of Justice | Audit of the Federal Bureau of Prisons’ Management of the National Gang Unit | Audit | Agency-Wide | View Report | |
Department of Defense | Quality Assessment Review of the Administrative Investigative Operations of the Defense Health Agency Office of the Inspector General (DODIG-2024-141) | Audit | Agency-Wide | View Report | |
Federal Deposit Insurance Corporation | FDIC Office of Inspector General Semiannual Report to the Congress, April 1, 2024 – September 30, 2024 | Semiannual Report | Agency-Wide | View Report | |
U.S. Agency for International Development | Single Audit of International Rescue Committee, Inc., and Subsidiaries for the Year Ended September 30, 2022 | Other |
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View Report | |
U.S. Agency for International Development | Performance Audit Report of the Adequacy of the Accounting System Administration for USmax Corporation from January 1, 2023, to December 31, 2023 | Other |
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View Report | |
U.S. Agency for International Development | Financial Audit of the Building Resilience Through Markets and Sustainable Coffee Production in the West of Honduras Project, Managed by COHONDUCAFE Foundation, Cooperative Agreement 72052218CA00001, January 1 to December 31, 2022 | Other |
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View Report | |
U.S. Agency for International Development | Financial Audit of Fundacin Crislida Internacional Under Multiple Awards in El Salvador, January 1 to December 31, 2022 | Other |
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View Report | |
U.S. Postal Service | Review of the Postal Regulatory Commission’s Compliance With the Federal Information Security Modernization Act of 2014 for Fiscal Year 2024 | Audit | Agency-Wide | View Report | |
Department of Energy | Western Area Power Administration Would Benefit From Improvements to Its Management of Critical Spare Parts | Audit |
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View Report | |