Veteran Dies Following Delay in “Code Blue” Alert at Memphis VA Medical Center

In this episode of Veteran Oversight Now, a telemetry technician’s failure to follow a series of communications within the established time frame delayed initiating a code blue alert, ending with the patient’s death. This edition also includes OIG's March 2024 highlights.      

Veteran Oversight Now artwork

Veteran Dies Following Delay in “Code Blue” Alert at Memphis VA Medical Center
April 26, 2024

In this episode of Veteran Oversight Now, a telemetry technician’s failure to follow a series of communications within the established time frame delayed initiating a code blue alert, ending with the patient’s death. This edition also includes OIG's March 2024 highlights.      

Listen Here

Florida Man Pleads Guilty to Stealing VA Funds

Florida man pleaded guilty to theft of government property and faces a maximum penalty of 10 years in federal prison. Click to read more.

Office of Investigations artwork

Florida Man Pleads Guilty to Stealing VA Funds
April 26, 2024

Florida man pleaded guilty to theft of government property and faces a maximum penalty of 10 years in federal prison. Click to read more.

Read More

Opportunities Exist to Better Integrate Health-Related Social Needs and Social Determinants of Health into Discharge Assessment and Planning

Click to read about the VA OIG’s five recommendations related to incorporating patients’ social risk factors into discharge assessment and planning.

Office of Healthcare Inspections artwork

Opportunities Exist to Better Integrate Health-Related Social Needs and Social Determinants of Health into Discharge Assessment and Planning
April 25, 2024

Click to read about the VA OIG’s five recommendations related to incorporating patients’ social risk factors into discharge assessment and planning.

Read More

Improved Oversight Needed to Evaluate Network Adequacy and Contractor Performance

The VA OIG audited VHA’s oversight of its community care network third-party administrators (Optum and TriWest) to ensure VA medical facilities have sufficient access to providers.

Office of Audits and Evaluations artwork

Improved Oversight Needed to Evaluate Network Adequacy and Contractor Performance
April 9, 2024

The VA OIG audited VHA’s oversight of its community care network third-party administrators (Optum and TriWest) to ensure VA medical facilities have sufficient access to providers.

Read More

Logistics Managers Improperly Allowed Employees to Auction Off Government Property

An employee association at VA’s Denver Logistics Center funded holiday parties through the auctioning of coolers and other items received by VA as free offers with supply purchases. Click below to read more.

Image of the website redesign slider for the Office of Special Reviews

Logistics Managers Improperly Allowed Employees to Auction Off Government Property
March 20, 2024

An employee association at VA’s Denver Logistics Center funded holiday parties through the auctioning of coolers and other items received by VA as free offers with supply purchases. Click below to read more.

Read More

Data Dashboard

Reports and Recommendations Published Within the Last 12 Months
204
Reports
1011
Recommendations
$433M
Monetary Impact

The numbers totaled above are for published reports and recommendations only; the investigations and procurement-sensitive contract review totals can be found in the Semiannual Reports to Congress.

thumbs up
CONNECT
Follow us on Twitter, LinkedIn, and YouTube.
whistle
WHISTLEBLOWER PROTECTION
Learn about your rights and protections.
Learn More
fraud alert
CRIME ALERTS
Explore fraud alerts and potential indicators of fraud.
Learn More
fraud alert
SIGN UP
Get every VA OIG report and update in your inbox.
Learn More