Congressional Testimony - 5/10/2013
Office of Inspector General, Department of Veterans Affairs Statement on Death of Veteran Joseph Petit on November 9, 2012, at Atlanta VA Medical Center More
Healthcare Inspection – Inappropriate Use of Insulin Pens, VA Western New York Healthcare System, Buffalo, New York
The VA Office of Inspector General (OIG) Office of Healthcare Inspections conducted an inspection to evaluate the circumstances surrounding the reported inappropriate use of insulin pens at the VA Western New York Healthcare System, Buffalo, New York (the facility). We conducted the inspection at the requests of the Chairmen and...More
Combined Assessment Program Summary Report – Evaluation of Moderate Sedation in Veterans Health Administration Facilities
OIG completed an evaluation of moderate sedation in Veterans Health Administration (VHA) facilities. The purpose of the evaluation was to determine whether VHA facilities used safe processes for the provision of moderate sedation that complied with selected requirements. OIG conducted this review at 44 facilities during Combined Assessment Program...More
Combined Assessment Program Summary Report – Evaluation of Nurse Staffing in Veterans Health Administration Facilities
OIG completed an evaluation of nurse staffing in Veterans Health Administration (VHA) facilities. The purpose of the evaluation was to determine the extent to which VHA facilities implemented the staffing methodology for nursing personnel and to evaluate nurse staffing on one selected acute care unit. OIG conducted this review...More
Andover Business Owner is Charged with Obstruction
Massachusetts Man Faces 20 Years in Prison if Convicted for Deleting Documents Subject to Grand Jury Subpoena...Read this press release
Combined Assessment Program Summary Report – Evaluation of Mental Health Treatment Continuity at Veterans Health Administration Facilities
OIG completed an evaluation of continuity of care for mental health patients at Veterans Health Administration facilities. The purpose of the evaluation was to determine whether patients who were discharged from acute mental health units received timely follow-up. OIG conducted this review at 24 facilities during Combined Assessment Program...More
Combined Assessment Program Summary Report - Evaluation of Quality Management in Veterans Health Administration Facilities Fiscal Year 2012
OIG completed an evaluation of quality management (QM) in Veterans Health Administration (VHA) facilities for fiscal year 2012. The purposes of the evaluation were to determine whether VHA facilities had comprehensive, effective QM programs designed to monitor patient care activities and coordinate improvement efforts and whether VHA facility senior managers...More
Top 10 VA OIG Downloads for March 2013
What are people who are interested in Veterans' issues reading these days? Here are the top 10 downloads from our Internet site for March 2013.
Healthcare Inspection - Legionnaires’ Disease at the VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania
The OIG conducted a review of Legionnaires’ disease (LD) at the VA Pittsburgh Healthcare System (VAPHS). VAPHS has a long history of comprehensive mitigation efforts for LD, and following a recent outbreak, VAPHS instituted numerous additional measures. However, we found that VAPHS inadequately managed its water treatment systems during...More