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
Congressional Testimony - 4/18/2013
Statement of Richard J. Griffin Deputy Inspector General Office of Inspector General Department of Veterans Affairs Before The Subcommittee On Military Construction Veterans Affairs, And Related Agencies Committee On Appropriations United States Senate He More
Healthcare Inspection - Mismanagement of Inpatient Mental Health Care, Atlanta VA Medical Center, Decatur, Georgia
OIG evaluated allegations regarding the Mental Health Service Inpatient Unit at the Atlanta VA Medical Center (facility), Decatur, GA. Specifically, the complainant alleged that an inpatient’s death was due to mental health service leadership’s negligence and mismanagement of unit policies, patient monitoring, staffing, and lack of caring about patients. ...More
Healthcare Inspection – Patient Care Issues and Contract Mental Health Program Mismanagement, Atlanta VA Medical Center, Decatur, Georgia
The VA OIG conducted an inspection to assess the merit of allegations of mismanagement and lack of oversight of a mental health (MH) contract. We substantiated mismanagement in the administration of the contract, and also substantiated additional allegations that there was inadequate coordination, monitoring, and staffing for oversight of contracted...More
Kentucky Attorney Sentenced to Prison for Stealing More Than Half a Million Dollars From Disabled Veteran
Fiduciary Gets 41 Months in Prison for Defrauding Veterans of $639K in VA, Social Security Benefits...Read this press release
-Interim Report - Participation in VBA's Veterans Retraining Assistance Program
During our ongoing national audit of the Veterans Retraining Assistance Program (VRAP), we determined VBA’s continued current method of counting authorized participants, veterans’ use of VRAP would not achieve the levels authorized by Congress. The Veterans Opportunity to Work (VOW) to Hire Heroes Act authorized benefits for 99,000 participants October...More