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 VAOIG REPORTS PAGE

 
 

The Office of Inspector General of the Department of Veterans' Affairs (VAOIG) conducts regular inspections of VA facilities, and does special investigations involving allegations of waste, fraud, mismanagement and substandard healthcare.  The latest reports are posted here.  NOTE:  Some reports are not publicly available.  These are the ones with no links.  They may contain sensitive information and are only available by using a Freedom of Information Act (FOIA) request.  You will also find VAOIG's statements before Congress.
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VAOIG REPORTS FOR FISCAL YEAR 2010

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Combined Assessment Program Review of the Huntington VA Medical Center Huntington, West Virginia -- Report Number 08-03087-20, 11/5/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Hudson Valley Health Care System Montrose, New York -- Report Number 08-02567-18, 11/4/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Marion VA Medical Center Marion, Illinois -- Report Number 08-03083-17, 11/2/2009 | Summary | Report (PDF)

Audit of VA’s Data Quality Review Process under the American Recovery and Reinvestment Act of 2009 -- Report Number 09-01814-16, 10/30/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Maryland Health Care System Baltimore, Maryland -- Report Number 09-01730-14, 10/21/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the James E. Van Zandt VA Medical Center Altoona, Pennsylvania -- Report Number 09-01732-10, 10/16/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Oscar G. Johnson VA Medical Center Iron Mountain, Michigan -- Report Number 08-02603-05, 10/7/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Salem VA Medical Center Salem, Virginia -- Report Number 08-03077-04, 10/6/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Washington, DC, VA Medical Center Washington, DC -- Report Number 09-02376-02, 10/5/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Nursing Quality of Care Issues Edward Hines Jr. VA Hospital Hines, Illinois -- Report Number 09-02449-01, 10/2/2009 | Summary | Report (PDF)

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VAOIG REPORTS FOR FISCAL YEAR 2009

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Audit of VA Regional Office Claim-Related Mail Processing -- Report Number 08-01759-234, 9/30/2009 | Summary | Report (PDF)

Healthcare Inspection Community Based Outpatient Clinic Reviews Cambridge and Fort Howard, MD Alexandria, VA and Greenbelt, MD Wilmington and Jacksonville, NC -- Report Number 09-01446-233, 9/30/2009 | Summary | Report (PDF)

Department of Veterans Affairs System Development Life Cycle Process -- Report Number 09-01239-232, 9/30/2009 | Summary | Report (PDF)

Inspection of VA Regional Office Wilmington, DE -- Report Number 09-01994-230, 9/29/2009 | Summary | Report (PDF)

Inspection of VA Regional Office Nashville, TN -- Report Number 09-01664-231, 9/29/2009 | Summary | Report (PDF)

Audit of Veterans Benefits Administration’s Control of Veterans’ Claims Folders -- Report Number 09-01193-228, 9/28/2009 | Summary | Report (PDF)

Statement of James J. O'Neill, Assistant Inspector General for Investigations, Office of Inspector General, Department of Veterans Affairs before the Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, United States House of Representatives Hearing on SES Bonuses and Other Administrative Actions on September 23, 2009 -- 9/23/2009 | View Statement/Testimony (PDF)

Healthcare Inspection Community Based Outpatient Clinic Reviews Lockport and Olean, NY Monaca and Washington, PA Berwick and Sayre, PA Somerset, KY -- Report Number 09-01446-226, 9/23/2009 | Summary | Report (PDF)

Audit of VA Regional Office Rating Claims Processing Exceeding 365 Days -- Report Number 08-03156-227, 9/23/2009 | Summary | Report (PDF)

Statement of Belinda J. Finn, Assistant Inspector General for Audits and Evaluations, Office of Inspector General, Department of Veterans Affairs before the Subcommittee on Health, Committee on Veterans' Affairs, United States House of Representatives Hearing on "Is the VA Meeting the Pharmaceutical Needs of Veterans? An Examination of the VA National Formulary, Issues of Patient Safety, and Management of the Pharmacy Benefits Program" on September 22, 2009 -- 9/22/2009 | View Statement/Testimony (PDF)

Combined Assessment Program Review of the Amarillo VA Health Care System Amarillo, Texas -- Report Number 09-02264-225, 9/22/2009 | Summary | Report (PDF)

Healthcare Inspection Evaluation of Suicide Prevention Program Implementation in Veterans Health Administration Facilities January–June, 2009 -- Report Number 09-00326-223, 9/22/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Resident Supervision Issues VA North Texas Health Care System Dallas, Texas -- Report Number 09-02024-222, 9/21/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Substandard Quality of Care in the Cardiothoracic Surgery Program Clement J. Zablocki VA Medical Center Milwaukee, Wisconsin -- Report Number 09-00400-221, 9/21/2009 | Summary | Report (PDF)

Healthcare Inspection Quality of Care, Documentation, and Courtesy Issues Hampton VA Medical Center Hampton, Virginia -- Report Number 09-00835-217, 9/18/2009 | Summary | Report (PDF)

Healthcare Inspection Surgical Quality of Care Review Southern Arizona VA Health Care System Tucson, Arizona -- Report Number 09-02307-220, 9/18/2009 | Summary | Report (PDF)

Healthcare Inspection Quality of Care Review Bob Stump VA Medical Center Prescott, Arizona -- Report Number 09-01255-219, 9/18/2009 | Redacted | Report (PDF)

Healthcare Inspection Follow-Up Colonoscope Reprocessing at VA Medical Facilities -- Report Number 09-02848-218, 9/17/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Loma Linda Healthcare System Loma Linda, California -- Report Number 09-02287-215, 9/17/2009 | Summary | Report (PDF)

Audit of FLITE Program Management’s Implementation of Lessons Learned -- Report Number 09-01467-216, 9/16/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Iowa City VA Medical Center Iowa City, Iowa -- Report Number 08-02604-214, 9/16/2009 | Summary | Report (PDF)

Statement of Maureen T. Regan, Counselor to the Inspector General, Office of Inspector General, Department of Veterans Affairs before Subcommittee on Economic Opportunity Committee on Veterans' Affairs, United States House of Representatives, Hearing on the Review of SPAWAR and VA's Interagency Agreement, September 10, 2009 -- 9/10/2009 | Summary | View Statement/Testimony (PDF)

Flash Report American Recovery and Reinvestment Act Oversight Advisory -- Report Number 09-01814-210, 9/1/2009 | Summary | Report (PDF)

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Combined Assessment Program Review of the VA Western New York Healthcare System, Buffalo, New York -- Report Number 08-02565-204, 8/31/2009 | Summary | Report (PDF)

Healthcare Inspection Surgical Care Case Review John L. McClellan Memorial Veterans Hospital, Little Rock, Arkansas -- Report Number 09-01468-208, 8/31/2009 | Summary | Report (PDF)

Healthcare Inspection Quality of Care Issues W.G. (Bill) Hefner VA Medical Center Salisbury, North Carolina -- Report Number 09-01104-205, 8/27/2009 | Summary | Report (PDF)

Review of the Award and Administration of Task Orders Issued by the Department of Veterans Affairs for the Replacement Scheduling Application Development Program (RSA) -- Report Number 09-01926-207, 8/26/2009 | Summary | Report (PDF)

Community Based Outpatient Clinic Reviews Henderson and Pahrump, NV Palm Desert and Corona, CA Pasadena and Santa Maria, CA -- Report Number 09-01446-203, 8/26/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Sheridan VA Medical Center Sheridan, Wyoming -- Report Number 08-02418-202, 8/25/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Black Hills Health Care System, South Dakota -- Report Number 08-02417-200, 8/21/2009 | Summary | Report (PDF)

Informational Report Review of Availability of Mental Health and Orthopedic Services at the VA Pacific Islands Health Care System -- Report Number 09-02088-201, 8/21/2009 | Summary | Report (PDF)

Healthcare Inspection Community Based Outpatient Clinic Reviews Benton Harbor and Grand Rapids, MI Terre Haute and Bloomington, IN Yale and Pontiac, MI -- Report Number 09-01446-199, 8/20/2009 | Summary | Report (PDF)

Administrative Investigation Misuse of Position, Abuse of Authority, and Prohibited Personnel Practices Office of Information & Technology Washington, DC -- Report Number 09-01123-195, 8/18/2009 | Redacted | Report (PDF)

Administrative Investigation Nepotism, Abuse of Authority, Misuse of Position, Improper Hiring, and Improperly Administered Awards, OI&T, Washington, DC -- Report Number 09-01123-196, 8/18/2009 | Redacted | Report (PDF)

Healthcare Inspection Alleged Surgical Service Issues James A. Haley VA Hospital Tampa, Florida -- Report Number 09-00356-198, 8/17/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Central Alabama Veterans Health Care System Montgomery, Alabama -- Report Number 08-03086-192, 8/11/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Quality of Care Issues Charles George VA Medical Center Asheville, North Carolina -- Report Number 09-01657-187, 8/5/2009 | Summary | Report (PDF)

Audit of Veterans Health Administration's Non-VA Outpatient Fee Care Program -- Report Number 08-02901-185, 8/3/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Cardiology Quality of Care Issues Bay Pines VA Healthcare System Bay Pines, Florida -- Report Number 09-01699-184, 8/3/2009 | Summary | Report (PDF)

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Audit of VA Electronic Contract Management System -- Report Number 08-00921-181, 7/30/2009 | Summary | Report (PDF)

Healthcare Inspection Pulmonary Services and Quality of Care Issues, North Florida/South Georgia Veterans Health System, Gainesville, Florida -- Report Number 09-00315-182, 7/30/2009 | Summary | Report (PDF)

Healthcare Inspection Quality of Care Issues and Staffing Deficiencies John J. Pershing VA Medical Center Poplar Bluff, Missouri -- Report Number 08-02516-178, 7/29/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Denial of After-Hours Care at the VA Central Iowa Health Care System’s Knoxville Division Knoxville, Iowa -- Report Number 09-00524-177, 7/28/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Inappropriate Care in the Community Living Center Tomah VA Medical Center Tomah, Wisconsin -- Report Number 09-00410-174, 7/23/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Pacific Islands Health Care System Honolulu, Hawaii -- Report Number 09-01643-170, 7/23/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Substandard Patient Care Atlanta VA Medical Center Decatur, Georgia -- Report Number 09-00275-173, 7/22/2009 | Summary | Report (PDF)

Audit of Veterans Health Administration Open Market Medical Equipment and Supply Purchases -- Report Number 08-01519-172, 7/21/2009 | Summary | Report (PDF)

Healthcare Inspection Readjustment Counseling Service Vet Center Report -- Report Number 08-02589-171, 7/20/2009 | Summary | Report (PDF)

Healthcare Inspection Community Based Outpatient Clinic Reviews Bangor and Portland, ME Conway and Tilton, NH Rutland and Colchester, VT -- Report Number 09-01446-167, 7/16/2009 | Summary | Report (PDF)

Informational Report - Community Based Outpatient Clinic Cyclical Reports -- Report Number 08-00623-169, 7/16/2009 | Summary | Report (PDF)

Review of Contract No. VA549-P-0027 Between the Department of Veterans Affairs and The University of Texas Southwestern Medical Center at Dallas (UTSWMC) for Gulf War Illness Research -- Report Number 09-01075-164, 7/15/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Syracuse VA Medical Center Syracuse, New York -- Report Number 08-02564-163, 7/13/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the James H. Quillen VA Medical Center Mountain Home, Tennessee -- Report Number 08-03076-161, 7/10/2009 | Summary | Report (PDF)

Oversight Review of Specialty Service Issues at the VA Montana Health Care System, Fort Harrison, Montana -- Report Number 08-02992-162, 7/8/2009 | Summary | Report (PDF)

Healthcare Inspection Review of Veterans Health Administration Residential Mental Health Care Facilities -- Report Number 08-00038-152, 7/8/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the James A. Haley Veterans' Hospital Tampa, Florida -- Report Number 08-03090-160, 7/1/2009 | Summary | Report (PDF)

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Review of Veterans Benefits Administration Large Retroactive Payments -- Report Number 08-01136-156, 6/30/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Louis A. Johnson VA Medical Center Clarksburg, West Virginia -- Report Number 09-01685-154, 6/30/2009 | Summary | Report (PDF)

Review of Defects in VA’s Computerized Patient Record System Version 27 and Associated Quality of Care Issues -- Report Number 09-01033-155, 6/29/2009 | Summary | Report (PDF)

Audit of VA Incomplete Compensation and Pension Medical Examinations -- Report Number 08-01392-144, 6/25/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Grand Junction VA Medical Center Grand Junction, Colorado -- Report Number 08-02415-151, 6/25/2009 | Summary | Report (PDF)

Statement of Julie A. Watrous, RN, MS Director, Combined Assessment Program, Office of Healthcare Inspections Office of Inspector General, Department of Veterans Affairs Before Committee on Veterans’ Affairs United States Senate Hearing on Quality Management in the Veterans Health Administration June 24, 2009 -- 6/24/2009 | View Statement/Testimony (PDF)

Audit of Veterans Health Administration’s Management of Non-Controlled Drugs -- Report Number 08-01322-114, 6/23/2009 | Summary | Report (PDF)

Healthcare Inspection Evaluation of the Veterans Health Administration’s National Patient Safety Program -- Report Number 08-02075-148, 6/18/2009 | Summary | Report (PDF)

Statement of John D. Daigh Jr., M.D., CPA, Assistant Inspector General for Healthcare Inspections, Office of Inspector General, Department of Veterans Affairs before Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, United States House of Representatives on Endoscopy Procedures at the VA: What Happened, What has Changed? June 16, 2009 -- 6/16/2009 | View Statement/Testimony (PDF)

Healthcare Inspection Use and Reprocessing of Flexible Fiberoptic Endoscopes at VA Medical Facilities -- Report Number 09-01784-146, 6/16/2009 | Summary | Report (PDF)

Audit of Consolidated Mail Outpatient Pharmacy Contract Management -- Report Number 09-00026-143, 6/10/2009 | Summary | Report (PDF)

Review of Interagency Agreement between the Department of Veterans Affairs and Department of Navy, Space Naval and Warfare Systems Center (SPAWAR) -- Report Number 09-01213-142, 6/4/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Illiana Health Care System Danville, Illinois -- Report Number 08-02602-140, 6/3/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Samuel S. Stratton VA Medical Center Albany, New York -- 6/3/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Mismanagement of the Fee Basis Program VA Connecticut Healthcare System, West Haven, Connecticut -- Report Number 09-01219-141, 6/3/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Charles George VA Medical Center Asheville, North Carolina -- Report Number 08-03075-137, 6/2/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the G. V. (Sonny) Montgomery VA Medical Center Jackson, Mississippi -- Report Number 08-03088-138, 6/2/2009 | Summary | Report (PDF)

Office of Inspector General Department of Veterans Affairs Semiannual Report to Congress October 1, 2008 -March 31, 2009 -- 6/1/2009 | Summary | Semiannual Report (PDF)

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Audit of VA's Management of Information Technology Capital Investments -- Report Number 08-02679-134, 5/29/2009 | Summary | Report (PDF)

Audit of VA Consolidated Mail Outpatient Pharmacy Inventory Accountability -- Report Number 08-02730-133, 5/28/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Spokane VA Medical Center Spokane, Washington -- Report Number 09-01001-130, 5/20/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the North Chicago VA Medical Center North Chicago, Illinois -- Report Number 08-02601-131, 5/20/2009 | Summary | Report (PDF)

Healthcare Inspection Evaluation of Quality Management in Veterans Health Administration Facilities Fiscal Year 2008 -- Report Number 08-00026-129, 5/19/2009 | Summary | Report (PDF)

Healthcare Inspection Review of Informed Consent in the Department of Veterans Affairs Human Subjects Research -- Report Number 08-02725-127, 5/15/2009 | Summary | Report (PDF)

Audit of Veterans Benefits Administration Compensation and Pension Site Visit Program -- Report Number 08-02436-126, 5/13/2009 | Summary | Report (PDF)

Review of Alleged Claim Processing Delays to Receive Monetary Performance Awards at VA Regional Office Pittsburgh, PA -- Report Number 09-00213-125, 5/12/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Jack C. Montgomery VA Medical Center Muskogee, Oklahoma -- Report Number 09-00732-124, 5/12/2009 | Summary | Report (PDF)

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Statement of Michael L. Shepherd, M.D., Senior Physician, Office of Healthcare Inspections, Office of Inspector General, Department of Veterans' Affairs Before the Subcommittee on Health Committee on Veterans' Affairs, United States House of Representatives Hearing on Charting the VA's Progress on Meeting the Mental Health Needs of Our Veterans: Discussion of Funding, Mental Health Strategic Plan, and the Uniform Mental Health Services Handbook, April 30, 2009 -- 4/30/2009 | View Statement/Testimony (PDF)

Follow-Up Audit of VA’s Major Construction Contract Award and Administration Process -- Report Number 08-01084-112, 4/29/2009 | Summary | Report (PDF)

Audit of Veterans Benefits Administration’s Loan Guaranty Program Risk Management -- Report Number 08-01987-118, 4/28/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Atlanta VA Medical Center Decatur, Georgia -- Report Number 08-03089-116, 4/27/2009 | Summary | Report (PDF)

PRESS RELEASE --  Trenton Gang Member Admits Using Mentally Ill Man's Identity Information to Steal and Deposit Disability Checks -- 4/24/09

Combined Assessment Program Review of the VA Manila Outpatient Clinic, Manila, Philippines -- Report Number 09-00858-113, 4/21/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Anesthesia Staffing and Quality of Care Issues VA Caribbean Healthcare System, San Juan, Puerto Rico -- Report Number 09-00497-110, 4/16/2009 | Summary | Report (PDF)

Healthcare Inspection Review of VA Use of Animals in Research Activities -- Report Number 07-01148-109, 4/15/2009 | Summary | Report (PDF)

Spokane, WA Man Pleads Guilty to Largest Single Disability Compensation Benefits Fraud in VA History  PDF press release

Healthcare Inspection Administrative Issues VA Pacific Islands Health Care System Honolulu, Hawaii -- Report Number 09-01108-106, 4/7/2009 | Summary | Report (PDF)

Healthcare Inspection Implementation of VHA’s Uniform Mental Health Services Handbook -- Report Number 08-02917-105, 4/6/2009 | Summary | Report (PDF)

Audit of Veterans Health Administration Mental Health Initiative Funding -- Report Number 09-00091-103, 4/6/2009 | Summary | Report (PDF)

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Healthcare Inspection Access to VA Mental Health Care for Montana Veterans -- Report Number 08-00069-102, 3/31/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Lexington VA Medical Center Lexington, Kentucky -- Report Number 08-03074-101, 3/31/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the William S. Middleton Memorial Veterans Hospital Madison, Wisconsin -- Report Number 08-02600-100, 3/24/2009 | Report (PDF)

Combined Assessment Program Review of VA Butler Healthcare Butler, Pennsylvania -- Report Number 09-00517-97, 3/16/2009 | Summary | Report (PDF)

Office of Inspector General, Department of Veterans Affairs Statement before the Subcommittee on Military Construction, Veterans Affairs, and Related Agencies Committee on Appropriations United States House of Representatives Hearing on Department of Veteran Affairs Challenges, March 12, 2009 -- 3/12/2009 | View Statement/Testimony (PDF)

Audit of Veterans Benefits Administration Compensation Rating Accuracy and Consistency Reviews -- Report Number 08-02073-96, 3/12/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Tennessee Valley Healthcare System Nashville, Tennessee -- Report Number 08-01446-93, 3/10/2009 | Summary | Report (PDF)

Independent Review of VA's Fiscal Year 2008 Detailed Accounting Submission to the Office of National Drug Control Policy -- Report Number 09-00863-87, 3/6/2009 | Restricted - Contact our FOIA office for assistance

Independent Review of VA's Fiscal Year 2008 Performance Summary Report to the Office of National Drug Control Policy -- Report Number 09-00864-88, 3/6/2009 | Restricted - Contact our FOIA office for assistance

Healthcare Inspection Certified Registered Nurse Anesthetist Practicing with a Lapsed Certification WJB Dorn VA Medical Center Columbia, South Carolina -- Report Number 08-03128-85, 3/5/2009 | Restricted - Contact our FOIA office for assistance

Review of Allegations of Mismanagement of Fee-basis Appointments VA Medical Center Portland, Oregon -- Report Number 08-02512-84, 3/4/2009 | Summary | Report (PDF)

Healthcare Inspection Alleged Continuity of Care Issues and Questionable Death Salt Lake City VA Medical Center, Salt Lake City, Utah -- Report Number 08-03039-83, 3/4/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Robert J. Dole VA Medical Center, Wichita, Kansas -- Report Number 08-02414-82, 3/3/2009 | Summary | Report (PDF)

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Healthcare Inspection Review of the Veterans Health Administration's Use of Appropriated Funds for Research -- Report Number 08-03007-80, 2/27/2009 | Summary | Report (PDF)

Audit of VA Regional Office Compensation and Pension Benefit Claim Receipt Dates -- Report Number 09-00189-81, 2/27/2009 | Summary | Report (PDF)

Statement of Belinda J. Finn, Assistant Inspector General for Auditing, Office of Inspector General, Department of Veterans Affairs Before the Subcommittee on Disability Assistance and Memorial Affairs and the Subcommittee on Oversight and Investigations Committee on Veterans' Affairs, United States House of Representatives Hearing on Document Tampering and Mishandling at the U.S. Department of Veterans Affairs -- 2/27/2009 | View Statement/Testimony (PDF)

Fiscal Year 2008 Federal Information Security Management Act Assessment -- Report Number 08-01076-74, 2/26/2009 | Restricted - Contact our FOIA office for assistance

Combined Assessment Program Review of the Birmingham VA Medical Center Birmingham, Alabama -- Report Number 08-01332-76, 2/25/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Edith Nourse Rogers Memorial Veterans Hospital Bedford, Massachusetts -- Report Number 08-02561-75, 2/24/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the West Texas VA Health Care System, Big Spring, Texas -- Report Number 08-03043-70, 2/19/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the West Texas VA Health Care System, Big Spring, Texas -- Report Number 08-03043-70, 2/19/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Fayetteville VA Medical Center, Fayetteville, North Carolina -- Report Number 08-01447-68, 2/17/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Northern Arizona VA Health Care System Prescott, Arizona -- Report Number 08-02986-67, 2/5/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the Central Arkansas Veterans Healthcare System, Little Rock, Arkansas -- Report Number 08-03042-65, 2/4/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Central Iowa Health Care System Des Moines, Iowa -- Report Number 08-02597-63, 2/3/2009 | Summary | Report (PDF)

Healthcare Inspection Mammography, Cardiology, and Colonoscopy Management Jack C. Montgomery VA Medical Center Muskogee, Oklahoma -- Report Number 08-01866-62, 2/2/2009 | Summary | Report (PDF)

Review of Allegations of Mismanagement, Central Alabama Veterans Health Care System -- Report Number 08-01866-61, 2/2/2009 | Summary | Report (PDF)

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Healthcare Inspection Allegations of Mental Health Diagnosis Irregularities at the Olin E. Teague VA Medical Center Temple, Texas -- Report Number 08-02089-59, 1/28/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the VA San Diego Healthcare System San Diego, California -- Report Number 08-03085-57, 1/23/2009 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Pittsburgh Healthcare System Pittsburgh, Pennsylvania -- Report Number 08-02871-52, 1/13/2009 | Summary | Report (PDF)

Healthcare Inspection Quality of Care Issues North Florida/South Georgia Veterans Health System Lake City, Florida -- Report Number 08-01850-54, 1/13/2009 | Summary | Report (PDF)

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Combined Assessment Program Review of the White River Junction VA Medical Center White River Junction, Vermont -- Report Number 08-02559-50, 12/30/2008 | Summary | Report (PDF)

Healthcare Inspection Abdominal Aortic Aneurysm Management in VA Medical Facilities -- Report Number 07-00348-49, 12/29/2008 | Summary | Report (PDF)

Healthcare Inspection Credentialing, Privileging, and Infection Control Practices, VA Western New York Healthcare System, Buffalo, New York -- Report Number 08-02888-48, 12/18/2008 | Summary | Report (PDF)

Administrative Investigation Abuse of Authority and Preferential Treatment, Charlie Norwood VA Medical Center, Augusta, Georgia -- Report Number 08-01596-45, 12/17/2008 | Restricted - Contact our FOIA office for assistance

Combined Assessment Program Review of the San Francisco VA Medical Center San Francisco, California -- Report Number 08-02445-44, 12/15/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Veterans Health Care System of the Ozarks, Fayetteville, Arkansas -- Report Number 08-02643-42, 12/11/2008 | Summary | Report (PDF)

Healthcare Inspection Review of Hospice Care Issues VA Maryland Health Care System Baltimore, Maryland -- Report Number 08-01634-38, 12/8/2008 | Summary | Report (PDF)

Healthcare Inspection Oversight of the Community Nursing Home Program Oklahoma City VA Medical Center Oklahoma City, Oklahoma -- Report Number 08-02526-39, 12/8/2008 | Summary | Report (PDF)

Audit of Veterans Health Administration's Efforts to Reduce Unused Outpatient Appointments -- Report Number 08-00879-36, 12/4/2008 | Summary | Report (PDF)

Review of Alleged Manipulation of Waiting Times, North Florida/South Georgia Veterans Health System -- Report Number 08-03327-35, 12/4/2008 | Summary | Report (PDF)

Healthcare Inspection Alleged Neglect by a Social Worker Charles George VA Medical Center Asheville, North Carolina -- Report Number 08-02335-33, 12/3/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Cheyenne VA Medical Center Cheyenne, Wyoming -- Report Number 08-02413-34, 12/3/2008 | Summary | Report (PDF)

Healthcare Inspection Gastroenterology Service Issues at the VA Southern Nevada Healthcare System Las Vegas, Nevada -- Report Number 08-01711-31, 12/2/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the West Palm Beach VA Medical Center West Palm Beach, Florida -- Report Number 08-01331-32, 12/2/2008 | Summary | Report (PDF)

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Semiannual Report for April 1, 2008 to September 30, 2008 -- 11/25/2008 | Semiannual Report (PDF)

Healthcare Inspection Allegations Regarding the Homeless Women Veterans Program VA Medical Center Atlanta, Georgia -- Report Number 08-02317-26, 11/18/2008 | Summary | Report (PDF)

Statement of Jerome E. Herbers, Jr., M.D., Associate Director, Medical Assessment & Consultation, Office of Inspector General, Department of Veterans Affairs, before the Social Security Administration on Compassionate Allowance Outreach Hearing on Brain Injuries, November 18, 2008 -- 11/18/2008 | View Statement/Testimony (PDF)

Healthcare Inspection Questionable Cause of Death VA Puget Sound Health Care System Seattle, Washington -- Report Number 08-02620-22, 11/12/2008 | Summary | Report (PDF)

Healthcare Inspection Quality of Care, South Texas Veterans Health Care System, San Antonio, Texas -- Report Number 08-01825-20, 11/6/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Togus VA Medical Center Augusta, Maine -- Report Number 07-03176-17, 11/3/2008 | Summary | Report (PDF)

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Combined Assessment Program Review of the Minneapolis VA Medical Center, Minneapolis, Minnesota -- Report Number 08-00402-16, 10/29/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Wilmington VA Medical Center Wilmington, Delaware -- Report Number 08-01428-11, 10/21/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Jesse Brown VA Medical Center Chicago, Illinois -- Report Number 08-00003-10, 10/17/2008 | Summary | Report (PDF)

Healthcare Inspection Allegations of Delayed Access to Care and Lack of Concern, Bay Pines VA Healthcare System, Bay Pines, Florida -- Report Number 08-01863-08, 10/16/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Northampton VA Medical Center Leeds, Massachusetts -- Report Number 07-03175-09, 10/16/2008 | Summary | Report (PDF)

Audit of the Veterans Health Administration’s Domiciliary Safety, Security, and Privacy -- Report Number 08-01030-05, 10/9/2008 | Summary | Report (PDF)

Healthcare Inspection Quality of Care Issues at a VA Healthcare System -- Report Number 08-01362-03, 10/6/2008 | Summary | Report (PDF)

Review of Allegations of Contracting Irregularities, VA Medical Center, Tuscaloosa, Alabama -- Report Number 08-02110-02, 10/6/2008 | Summary | Report (PDF)

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VAOIG REPORTS FOR FISCAL YEAR 2008

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Audit of Procurements Using Prior-Year Funds To Maintain VA Healthcare Facilities -- Report Number 08-00244-213, 9/30/2008 | Summary | Report (PDF)

Audit of Veterans Health Administration Noncompetitive Clinical Sharing Agreements -- Report Number 08-00477-211, 9/29/2008 | Summary | Report (PDF)

Healthcare Inspection Prevention of Venous Thromboembolism in VA Hospitals -- Report Number 06-02459-209, 9/26/2008 | Summary | Report (PDF)

Audit of FY 2007 VA Purchases Made on Behalf of the Department of Defense -- Report Number 08-00456-207, 9/24/2008 | Summary | Report (PDF)

Administrative Investigation Preferential Treatment, Improper Travel Vouchers, Misuse of Resources, and Interference with an OIG Investigation Central Alabama Veterans Health Care System -- Report Number 08-01383-205, 9/23/2008 | Restricted - Contact our FOIA office for assistance

Combined Assessment Program Review of the Hampton VA Medical Center Hampton, Virginia -- Report Number 08-00916-204, 9/15/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Northern California Health Care System Sacramento, California -- Report Number 08-01745-201, 9/11/2008 | Summary | Report (PDF)

Audit of Veterans Health Administration’s Government Purchase Card Practices -- Report Number 07-02796-203, 9/11/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Miami VA Healthcare System Miami, Florida -- Report Number 08-00777-200, 9/10/2008 | Summary | Report (PDF)

Healthcare Inspection Quality of Care Issues Huntington VA Medical Center Huntington, West Virginia -- Report Number 07-02599-199, 9/10/2008 | Summary | Report (PDF)

Healthcare Inspection Alleged Physician Privileging Issues Sioux Falls VA Medical Center Sioux Falls, South Dakota -- Report Number 08-01989-196, 9/9/2008

Audit of the Impact of the Veterans Benefits Administration's Special Hiring Initiative -- Report Number 08-01559-193, 9/5/2008 | Report (PDF)

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Healthcare Inspection Human Subjects Protections in One Research Protocol VA Medical Center, Washington, DC -- Report Number 08-02346-191, 8/28/2008 | Summary | Report (PDF)

Healthcare Inspection Post-Traumatic Stress Disorder Program Issues VA San Diego Healthcare System San Diego, California -- Report Number 08-01297-187, 8/26/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the St. Louis VA Medical Center St. Louis, Missouri -- Report Number 08-00400-190, 8/26/2008 | Summary | Report (PDF)

Healthcare Inspection Quality of Care of Two Deceased West Virginia Veterans -- Report Number 08-01377-185, 8/14/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Connecticut Healthcare System, West Haven, Connecticut -- Report Number 07-03174-184, 8/13/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Southern Oregon Rehabilitation Center and Clinics White City, Oregon -- Report Number 08-00988-181, 8/13/2008 | Summary | Report (PDF)

Healthcare Inspection Oversight of the Community Nursing Home Program VA North Texas Health Care System Dallas, Texas -- Report Number 07-01922-180, 8/12/2008 | Summary | Report (PDF)

Healthcare Inspection Human Subjects Protections Violations at the Central Arkansas Veterans Healthcare System Little Rock, Arkansas -- Report Number 07-03042-182, 8/6/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Oklahoma City VA Medical Center, Oklahoma City, Oklahoma -- Report Number 08-01266-176, 8/1/2008 | Summary | Report (PDF)

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Combined Assessment Program Review of the Alaska VA Healthcare System Anchorage, Alaska -- Report Number 08-01459-174, 7/31/2008 | Report (PDF)

Healthcare Inspection - Alleged Inpatient Care Issues, Tennessee Valley Healthcare System, Alvin C. York Campus, Murfreesboro, Tennessee -- Report Number 08-01993-177, 7/31/2008 | Summary | Report (PDF)

Healthcare Inspection - Alleged Research Funding Irregularities at the Central Texas Veterans Health Care System Temple, Texas -- Report Number 08-01105-171, 7/29/2008 | Summary | Report (PDF)

Healthcare Inspection Out-of-Operating Room Airway Management in Veterans Health Administration Medical Centers -- Report Number 08-01130-173, 7/29/2008 | Summary | Report (PDF)

Healthcare Inspection Quality of Care Issues, VA Gulf Coast Health Care System, Biloxi, Mississippi -- Report Number 08-01369-172, 7/25/2008 | Summary | Report (PDF)

Audit of Veterans Benefits Administration Transition Assistance for Operations Enduring and Iraqi Freedom Service Members and Veterans -- Report Number 06-03552-169, 7/17/2008 | Summary | Report (PDF)

Healthcare Inspection Credentialing and Privileging Issues VA Medical Center Fayetteville, North Carolina -- Report Number 08-01484-168, 7/14/2008 | Summary | Report (PDF)

Healthcare Inspection Quality of Care, Courtesy, and Communication Issues VA Medical Center St. Louis, Missouri -- Report Number 08-01359-165, 7/11/2008 | Summary | Report (PDF)

Healthcare Inspection - Emergency Care, Patient Discharges, and Staffing Issues Central Alabama Veterans Health Care System, Tuskegee, Alabama -- Report Number 08-01383-161, 7/10/2008 | Summary | Report (PDF)

Healthcare Inspection Alleged Medication Overdose and Poor Communication VA Boston Healthcare System Boston, Massachusetts -- Report Number 08-01777-163, 7/10/2008 | Summary | Report (PDF)

Administrative Investigation Failure to Satisfy Financial Obligations, Battle Creek VAMC -- Report Number 07-02623-164, 7/10/2008 | Summary

Fiscal Year 2007 Federal Information Security Management Act Assessment -- Report Number 07-00608-162, 7/9/2008

Statement of John D. Daigh, Jr., M.D., CPA, Assistant Inspector General for Healthcare Inspections, Office of Inspector General, Department of Veterans Affairs, before Committee on Veterans’ Affairs, United States House of Representatives, Hearing on "Why does the VA continue to give suicide-inducing drug to veterans with PTSD", July 9, 2008 -- 7/9/2008 | View Statement/Testimony (PDF)

Healthcare Inspection – Staffing, Quality of Care, and Access Issues, Central Alabama Veterans Health Care System, Tuskegee, Alabama -- Report Number 07-03359-156, 7/7/2008 | Summary | Report (PDF)

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Healthcare Inspection Alleged Patient Neglect During a Magnetic Resonance Imaging Exam Michael E. DeBakey VA Medical Center Houston, TX -- Report Number 08-01380-154, 6/27/2008 | Summary | Report (PDF)

Administrative Investigation - Alleged Conflict of Interest Veterans Benefits Administration, VA Central Office Washington, DC -- Report Number 07-00649-150, 6/19/2008

Combined Assessment Program Review of the Providence VA Medical Center, Providence, Rhode Island -- Report Number 07-03173-145, 6/12/2008 | Summary | Report (PDF)

DoD/VA Care Transition Process for Service Members Injured in OIF/OEF -- Report Number 06-02857-127, 6/12/2008 | Summary | Report (PDF)

Healthcare Inspection Clinic Appointment Scheduling Issues VA San Diego Healthcare System San Diego, California -- Report Number 08-01299-144, 6/11/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Salt Lake City Health Care System Salt Lake City, Utah -- Report Number 08-00819-143, 6/10/2008 | Summary | Report (PDF)

Review of Enterprise-Wide PC Lease Awarded to Dell Marketing, L.P. -- Report Number 08-02213-138, 6/4/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Coatesville VA Medical Center Coatesville, Pennsylvania -- Report Number 08-01089-137, 6/4/2008 | Summary | Report (PDF)

Healthcare Inspection Colonoscopy Management El Paso VA Health Care System El Paso, Texas -- Report Number 08-00437-135, 6/3/2008 | Summary | Report (PDF)

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Semiannual Report for October 1, 2007 to March 31, 2008 -- 5/30/2008 | Semiannual Report (PDF)

Combined Assessment Program Review of the Battle Creek VA Medical Center Battle Creek, Michigan -- Report Number 08-00399-131, 5/29/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Richard L. Roudebush VA Medical Center Indianapolis, Indiana -- Report Number 08-00401-133, 5/29/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Kansas City VA Medical Center Kansas City, Missouri -- Report Number 08-00001-134, 5/29/2008 | Summary | Report (PDF)

Audit of Alleged Manipulation of Waiting Times in Veterans Integrated Service Network 3 -- Report Number 07-03505-129, 5/19/2008 | Summary | Report (PDF)

Healthcare Inspection Evaluation of Quality Management in Veterans Health Administration Facilities Fiscal Year 2007 -- Report Number 07-00060-126, 5/14/2008 | Summary | Report (PDF)

Healthcare Inspection Scopes of Practice for Unlicensed Physicians Engaged in Veterans Health Administration Research -- Report Number 07-01202-124, 5/7/2008 | Summary | Report (PDF)

Statement of Michael Shepherd, M.D., Senior Physician, Office of Healthcare Inspections, Office of Inspector General, Department of Veterans Affairs, before the Committee on Veterans' Affairs, United States House of Representatives, Hearing on Veterans' Suicides, May 6, 2008 -- 5/6/2008 | View Statement/Testimony (PDF)

Audit of Veterans Health Administration's Oversight of Nonprofit Research and Education Corporations -- Report Number 07-00564-121, 5/5/2008 | Summary | Report (PDF)

Follow-Up Healthcare Inspection VA's Role in Ensuring Services for Operation Enduring Freedom/Operation Iraqi Freedom Veterans after Traumatic Brain Injury Rehabilitation -- Report Number 08-01023-119, 5/1/2008 | Summary | Report (PDF)

-------------------------------------

Combined Assessment Program Review of the VA Palo Alto Health Care System, Palo Alto, California -- Report Number 08-00786-116, 4/23/2008 | Summary | Report (PDF)

Healthcare Inspection Veterans Integrated Service Network Oversight of Peer Review Processes -- Report Number 08-00338-115, 4/22/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Boston Healthcare System Boston, Massachusetts -- Report Number 07-03172-114, 4/21/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Ralph H. Johnson VA Medical Center Charleston, South Carolina -- Report Number 08-00529-112, 4/14/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Chalmers P. Wylie Independent Outpatient Clinic Columbus, Ohio -- Report Number 08-01088-111, 4/10/2008 | Report (PDF)

Healthcare Inspection Radiology Issues at a VA Medical Center -- Report Number 07-02063-109, 4/8/2008 | Report (PDF)

Healthcare Inspection Resident Credentialing and Supervision Central Arkansas Veterans Healthcare System Little Rock, Arkansas -- Report Number 07-03379-110, 4/4/2008 | Summary | Report (PDF)

Healthcare Inspection Medical Device Recall Process in Veterans Health Administration Medical Centers -- Report Number 07-02369-107, 4/3/2008 | Summary | Report (PDF)

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Independent Review of Department of Veterans Affairs Fiscal Year 2007 Special Disabilities Capacity Report -- Report Number 08-00972-105, 3/31/2008

Healthcare Inspection Surgical Care Improvement Project -- Report Number 07-00773-106, 3/31/2008 | Summary | Report (PDF)

Audit of QTC Medical Services, Inc.'s Settlement Offer for Overcharges under Contract V101(93)P-2099 -- Report Number 07-02280-104, 3/27/2008 | Summary | Report (PDF)

Independent Review of VA's Fiscal Year 2007 Performance Summary Report To the Office of National Drug Control Policy -- Report Number 08-00782-100, 3/26/2008

Healthcare Inspection Additional Quality of Care Issues Marion VA Medical Center Marion, Illinois -- Report Number 08-00869-102, 3/26/2008 | Summary | Report (PDF)

Healthcare Inspection Alleged End of Life Care Issues VA Palo Alto Health Care System Palo Alto, California -- Report Number 08-00509-103, 3/25/2008 | Summary | Report (PDF)

Healthcare Inspection Alleged Quality of Care Issues James A. Haley Veterans Hospital Tampa, Florida and Bay Pines VA Health Care System Bay Pines, Florida -- Report Number 08-00183-94, 3/20/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Long Beach Healthcare System Long Beach, California -- Report Number 08-00373-99, 3/20/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the Wilkes-Barre VA Medical Center, Wilkes-Barre, Pennsylvania -- Report Number 07-03445-97, 3/17/2008 | Summary | Report (PDF)

Independent Review of VA's Fiscal Year 2007 Detailed Accounting Submission To the Office of National Drug Control Policy -- Report Number 08-00782-93, 3/17/2008

-------------------------------------

Combined Assessment Program Review of the Alexandria VA Medical Center Pineville, Louisiana -- Report Number 08-00054-84, 2/27/2008 | Summary | Report (PDF)

Statement of the Office of Inspector General before Subcommittee on Military Construction, Veterans Affairs, and Related Agencies, Committee on Appropriations, United States House of Representatives, Hearing on the Fiscal Year 2009 Budget for the Office of Inspector General, Department of Veterans Affairs, February 27, 2008 -- 2/27/2008 | View Statement/Testimony (PDF)

Combined Assessment Program Review of the John J. Pershing VA Medical Center Poplar Bluff, Missouri -- Report Number 07-02837-83, 2/26/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Northern Indiana Health Care System Fort Wayne and Marion, Indiana -- Report Number 07-03185-82, 2/25/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Caribbean Healthcare System San Juan, Puerto Rico -- Report Number 07-02948-81, 2/21/2008 | Summary | Report (PDF)

Healthcare Inspection Supply, Processing, and Distribution Issues and Quality of Care Concerns William Jennings Bryan Dorn VA Medical Center Columbia, South Carolina -- Report Number 07-02902-78, 2/20/2008 | Report (PDF)

Healthcare Inspection Diagnostic Radiopharmaceutical Management VA North Texas Health Care System Dallas, Texas -- Report Number 07-01876-80, 2/20/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the John D. Dingell VA Medical Center Detroit, Michigan -- Report Number 07-03184-77, 2/19/2008 | Summary | Report (PDF)

Healthcare Inspection Questionable Medical Treatment and Suspicious Deaths VA Medical Center Alexandria, Louisiana -- Report Number 07-03382-76, 2/14/2008 | Report (PDF)

Healthcare Inspection Alleged Quality of Care Issues Martinsburg VA Medical Center Martinsburg West Virginia -- Report Number 07-03087-75, 2/14/2008 | Report (PDF)

Statement of Jon A. Wooditch, Deputy Inspector General, Department of Veterans Affairs, before Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, United States House of Representatives, Hearing on the FY 2009 Budget for the Office of Inspector General, February 13, 2008 -- 2/13/2008 | View Statement/Testimony (PDF)

Combined Assessment Program Review of the El Paso VA Health Care System El Paso, Texas -- Report Number 08-00137-74, 2/12/2008 | Summary | Report (PDF)

Combined Assessment Program Review of the VA Puget Sound Health Care System Seattle, Washington -- Report Number 07-03341-73, 2/11/2008 | Summary | Report (PDF)

Audit of Veterans Health Administration Blood Bank Modernization Project -- Report Number 06-03424-70, 2/8/2008 | Report (PDF)

Healthcare Inspection Quality of Care Issues W. G. (Bill) Hefner VA Medical Center Salisbury, North Carolina -- Report Number 07-01912-72, 2/8/2008 | Summary | Report (PDF)

Audit of Veterans Benefits Administration Non-Rating Claims Processing -- Report Number 06-03537-69, 2/7/2008 | Report (PDF)

Combined Assessment Program Review of the Harry S. Truman Memorial Veterans' Hospital Columbia, Missouri -- Report Number 07-02836-66, 2/4/2008 | Summary | Report (PDF)

-------------------------------------

Healthcare Inspection Alleged Mismanagement and Patient Care Issues Martinsburg VA Medical Center Martinsburg, West Virginia -- Report Number 07-02388-68, 1/31/2008 | Summary | Report (PDF)

Healthcare Inspection Alleged Certification Irregularities of Licensed Clinical Social Workers VA Western New York Healthcare System Buffalo, New York -- Report Number 07-02335-67, 1/31/2008 | Report (PDF)

Statement of John D. Daigh, Jr., M.D., CPA, Assistant Inspector General for Healthcare Inspections, Office of Inspector General, Department of Veterans Affairs, before Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, United States House of Representatives, hearing on VA Credentialing and Privileging: A Patient Safety Issue, January 29, 2008 -- 1/29/2008 | View Statement/Testimony (PDF)

Healthcare Inspection Quality of Care Issues VA Medical Center, Marion, Illinois -- Report Number 07-03386-65, 1/28/2008 | Report (PDF)

Healthcare Inspection Alleged Premature Discharge of a Veteran VA Pittsburgh Healthcare System Pittsburgh, Pennsylvania -- Report Number 07-01622-62, 1/24/2008

Combined Assessment Program Review of the Manchester VA Medical Center Manchester, New Hampshire -- Report Number 07-03100-63, 1/23/2008 | Report (PDF)

Healthcare Inspection Alleged Quality of Care Issues VA Loma Linda Healthcare System Loma Linda, California -- Report Number 07-03292-60, 1/16/2008 | Summary | Report (PDF)

Healthcare Inspection Surgery Quality of Care Issues VA Eastern Kansas Health Care System Leavenworth, Kansas -- Report Number 07-02655-56, 1/10/2008 | Report (PDF)

Combined Assessment Program Review of the VA Greater Los Angeles Healthcare System Los Angeles, California -- Report Number 07-02946-55, 1/9/2008 | Report (PDF)

Combined Assessment Program Review of the Erie VA Medical Center Erie, Pennsylvania -- Report Number 07-03081-54, 1/8/2008 | Report (PDF)

Healthcare Inspection Alleged Administrative Review Issues VA Nebraska Western Iowa Health Care System Omaha, Nebraska -- Report Number 07-03010-53, 1/7/2008 | Report (PDF)

Healthcare Inspection Vascular Laboratory Quality of Care Issues at the Hunter Holmes McGuire VA Medical Center Richmond, Virginia -- Report Number 07-02405-51, 1/4/2008

Combined Assessment Program Review of the Philadelphia VA Medical Center Philadelphia, Pennsylvania -- Report Number 07-02498-52, 1/4/2008 | Report (PDF)

Combined Assessment Program Review of the Southern Arizona VA Health Care System Tucson, Arizona -- Report Number 07-02557-50, 1/3/2008 | Report (PDF)

Combined Assessment Program Review of the Sioux Falls VA Medical Center Sioux Falls, South Dakota -- Report Number 07-02705-49, 1/2/2008 | Report (PDF)

-------------------------------------

Healthcare Inspection Infusion Clinic Closure and Patient Notification VA Southern Nevada Healthcare System Las Vegas, Nevada -- Report Number 07-03298-48, 12/20/2007 | Report (PDF)

Healthcare Inspection Pain Management Concerns Primary Care Clinic Richard L. Roudebush VA Medical Center Indianapolis, Indiana -- Report Number 07-02296-44, 12/19/2007 | Report (PDF)

Audit of the Effectiveness of Veterans Benefits Administration Compensation Writeouts -- Report Number 06-01791-45, 12/19/2007 | Report (PDF)

Combined Assessment Program Review of the VA Medical Center Durham, North Carolina -- Report Number 07-03443-46, 12/19/2007 | Report (PDF)

Healthcare Inspection Alleged Quality of Care Issues VA Nebraska-Western Iowa Health Care System Omaha, Nebraska -- Report Number 07-03037-43, 12/18/2007 | Report (PDF)

Healthcare Inspection Quality of Care in the Surgical Intensive Care Unit South Texas Veterans Health Care System San Antonio, Texas -- Report Number 06-02509-40, 12/17/2007 | Report (PDF)

Audit of Vocational Rehabilitation and Employment Program Operations -- Report Number 06-00493-42, 12/17/2007 | Report (PDF)

Healthcare Inspection Alleged Quality of Care Issues VA Medical Center Birmingham, Alabama -- Report Number 07-02106-38, 12/13/2007 | Report (PDF)

Healthcare Inspection Evaluation of the Veterans Health Administration's Contract Community Nursing Home Program -- Report Number 05-00266-39, 12/13/2007 | Report (PDF)

Healthcare Inspection Atypical Antipsychotic Medications and Diabetes Screening and Management -- Report Number 05-00680-37, 12/12/2007 | Report (PDF)

Statement of Belinda J. Finn, Assistant Inspector General for Auditing, Office of Inspector General, Department of Veterans Affairs, before the Subcommittee on Oversight and Investigations and the Subcommittee on Health, Committee on Veterans' Affairs, United States House of Representatives, Hearing on Veterans Health Administration's Outpatient Waiting Times, December 12, 2007 -- 12/12/2007 | View Statement/Testimony (PDF)

Statement of Michael Shepherd, M.D., Physician, Office of Healthcare Inspections, Office of Inspector General, Department of Veterans Affairs, before the Committee on Veterans' Affairs, United States House of Representatives, Hearing on Stopping Suicides: Mental Health Challenges within the Department of Veterans Affairs, December 12, 2007 -- 12/12/2007 | View Statement/Testimony (PDF)

Healthcare Inspection Quality of Care Issues Tennessee Valley Healthcare System Nashville and Murfreesboro, Tennessee -- Report Number 07-01181-36, 12/11/2007 | Report (PDF)

Combined Assessment Program Review of the Edward Hines, Jr. VA Hospital Hines, Illinois -- Report Number 07-00767-34, 12/7/2007 | Report (PDF)

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Healthcare Inspection Importation of Blood Products for Research Purposes New Mexico VA Health Care System Albuquerque, New Mexico -- Report Number 07-03025-32, 11/30/2007 | Report (PDF)

Semiannual Report for April 1, 2007 to September 30, 2007 -- 11/30/2007 | Semiannual Report (PDF)

Audit of the Veterans Health Administration's Home Respiratory Care Program -- Report Number 06-00801-30, 11/28/2007 | Report (PDF)

Combined Assessment Program Review of the Central Texas Veterans Health Care System Temple, Texas -- Report Number 07-01731-28, 11/27/2007 | Report (PDF)

Combined Assessment Program Review of the New Mexico VA Health Care System Albuquerque, New Mexico -- Report Number 07-02349-29, 11/27/2007 | Report (PDF)

Audit of VA Purchases Made on Behalf of the Department of Defense -- Report Number 06-03540-24, 11/19/2007 | Report (PDF)

Report of the Audit of the Department of Veterans Affairs Consolidated Financial Statements for Fiscal Years 2007 and 2006 -- Report Number 07-01016-21, 11/15/2007 | Report (PDF)

Combined Assessment Program Review of the VA Nebraska Western Iowa Health Care System Omaha, Nebraska -- Report Number 07-00167-22, 11/13/2007 | Report (PDF)

Healthcare Inspection Quality of Care Issues VA Ann Arbor Healthcare System Ann Arbor, Michigan -- Report Number 06-03145-23, 11/7/2007 | Report (PDF)

Combined Assessment Program Review of the VA Medical Center Louisville, Kentucky -- Report Number 07-02271-20, 11/6/2007 | Report (PDF)

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Combined Assessment Program Review of the Portland VA Medical Center Portland, Oregon -- Report Number 07-02081-17, 10/30/2007 | Report (PDF)

Combined Assessment Program Review of the VA Montana Health Care System Fort Harrison, Montana -- Report Number 07-00171-15, 10/29/2007 | Report (PDF)

Healthcare Inspection Quality of Care and Management Issues in Surgical Service John D. Dingell VA Medical Center Detroit, Michigan -- Report Number 07-01400-16, 10/29/2007 | Report (PDF)

Healthcare Inspection Alleged Mismanagement and Safety Issues Battle Creek VA Medical Center Battle Creek, Michigan -- Report Number 06-02868-14, 10/25/2007 | Report (PDF)

Combined Assessment Program Review of the Bay Pines VA Healthcare System Bay Pines, Florida -- Report Number 07-01248-13, 10/24/2007 | Report (PDF)

Combined Assessment Program Review of the VA New York Harbor Healthcare System New York, New York -- Report Number 07-00766-11, 10/23/2007 | Report (PDF)

Combined Assessment Program Review of the Jesse Brown VA Medical Center Chicago, Illinois -- Report Number 07-00543-08, 10/18/2007 | Report (PDF)

Administrative Investigation Misuse of Time, Resources, & Title, And Improper Remote Access VA Central Office -- Report Number 07-02423-10, 10/18/2007

Combined Assessment Program Review of the Hunter Holmes McGuire VA Medical Center Richmond, Virginia -- Report Number 07-01753-07, 10/16/2007 | Report (PDF)

Statement of Mr. Jon A. Wooditch, Deputy Inspector General, Department of Veterans Affairs, before the Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, United States House of Representatives, Hearing on Disability Claims Ratings and Benefits Disparities Within the Veterans Benefits Administration, October 16, 2007 -- 10/16/2007 | View Statement/Testimony (PDF)

Final Report Special Review of Federal Supply Schedule Medical Equipment and Supply Contracts Awarded to Resellers -- Report Number 05-01670-04, 10/15/2007 | Report (PDF)

Administrative Investigation Misuse of Government Travel Card VA Central Office -- Report Number 06-02434-03, 10/9/2007

Statement of Michael Shepherd, M.D. ,Physician, Office of Healthcare Inspections, Office of Inspector General, Department of Veterans Affairs, before the Special Committee on Aging, United States Senate, Hearing on the Department of Veterans Affairs Implementation of Suicide Prevention Initiatives from the Mental Health Strategic Plan, October 3, 2007 -- 10/3/2007 | View Statement/Testimony (PDF)

Statement of Larry M. Reinkemeyer, Director, Kansas City Audit Operations Division, Office of Inspector General, Department of Veterans Affairs, before the Special Committee on Aging, United States Senate, Hearing on Audit of the Veterans Health Administration's Outpatient Waiting Times, October 3, 2007 -- 10/3/2007 | View Statement/Testimony (PDF)

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REPORTS FOR PREVIOUS YEARS CAN BE FOUND HERE...
http://www.va.gov/oig/   click the reports tab...

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