OIG Seal
Department of Veterans Affairs, Office of Inspector General
Michael J. Missal, Inspector General

OIG Reports

| 22-00066-184 | Summary | Report

Recommendations (7)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Veterans Health Administration (VHA)

The OIG made the following recommendation to the director of the VA Black Hills Health Care System: Ensure finance office staff conduct reviews on all inactive open obligations as required by VA Financial Policy, vol. 2, chap. 5, “Obligations Policy.”

No. 2   to Veterans Health Administration (VHA)

Establish procedures to ensure cardholders comply with processing requirements as stated in VA’s Financial Policy, vol. XVI, chap. 1B, “Government Purchase Card for Micro-Purchases.”

No. 3   to Veterans Health Administration (VHA)

Establish controls to confirm approving officials and purchase cardholders review their purchases and make sure contracting is used when it is in the best interest of the government.

No. 4   to Veterans Health Administration (VHA)

Develop measures to confirm that completed VA Form 0242 submissions are accurate and updated for all cardholders.

No. 5   to Veterans Health Administration (VHA)

Ensure the supply chain management staff implement a plan to monitor and correct unit conversion factor errors consistently and promptly to improve data reliability in the Generic Inventory Package.

No. 6   to Veterans Health Administration (VHA)

Develop and implement a plan to achieve an inventory turnover rate closer to the Veterans Health Administration-recommended level.

No. 7   to Veterans Health Administration (VHA)

Establish measures to improve compliance with the VHA directive to avoid end-of-year pharmaceutical purchases.

Total Monetary Impact of All Recommendations

Open: $ 174,468.00
Closed: $ 0.00

| 21-03853-174 | Summary | Report

Recommendations (8)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Veterans Health Administration (VHA)

Ensure that healthcare system finance office staff are made aware of policy requirements and that reviews are conducted on all inactive open obligations, and deobligate any identified excess funds as required by VA Financial Policy, vol. 2, chap. 5, “Obligations Policy.”

No. 2   to Veterans Health Administration (VHA)

Ensure cardholders comply with record retention requirements as stated in VA’s Financial Policy, vol. XVI, “Charge Card Programs.”

No. 3   to Veterans Health Administration (VHA)

Establish controls to confirm approving officials and purchase cardholders review their purchases and make sure contracting is used when it is in the best interest of the government.

No. 4   to Veterans Health Administration (VHA)

Require purchase cardholders to submit a request for ratification for any unauthorized commitments identified.

No. 5   to Veterans Health Administration (VHA)

Ensure quarterly purchase card audits are performed as required by the Veterans Health Administration’s standard operating procedure, “Internal Audits—Purchase Cards and Convenience Checks.”

No. 6   to Veterans Health Administration (VHA)

Ensure supply chain management staff implement a plan to improve data reliability within the Generic Inventory Package system.

No. 7   to Veterans Health Administration (VHA)

Ensure the chief of supply chain management signs quarterly physical inventory memorandums of “A” classified items and makes them available to Veterans Integrated Service Network personnel as required in the VHA’s Directive 1761 Supply Chain Management Operations.

No. 8   to Veterans Health Administration (VHA)

Develop and implement a plan to increase inventory turnover to meet the level recommended by the Veterans Health Administration Pharmacy Benefits Management Office.

Total Monetary Impact of All Recommendations

Open: $ 379,439.00
Closed: $ 0.00

| 21-02197-165 | Summary | Report

Recommendations (12)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Veterans Health Administration (VHA)

Ensure healthcare system finance office staff are made aware of policy requirements for open obligations and the responsible healthcare system finance office conducts reviews on all open obligations as required by VA Financial Policies and Procedures, Volume II, Chapter 5, “Obligations Policy,” October 2020.

No. 2   to Veterans Health Administration (VHA)

Establish procedures to ensure cardholders comply with record retention and transaction-processing requirements as stated in VA’s Financial Policy, vol. XVI, “Charge Card Program.”

No. 3   to Veterans Health Administration (VHA)

Develop a plan to work with the prime vendor to address having adequate stock to meet orders, reducing the need for the healthcare system to use nonprime vendors.

No. 4   to Veterans Health Administration (VHA)

Ensure the healthcare system follows the Medical Surgical Prime Vendor-Next Generation ordering hierarchy and purchases items from the Medical Surgical Prime Vendor-Next Generation contract before using other sources.

No. 5   to Veterans Health Administration (VHA)

Ensure the healthcare system elects and is granted a delivery method that meets just-in-time requirements.

No. 6   to Veterans Health Administration (VHA)

Ensure the healthcare system submits Medical Surgical Prime Vendor-Next Generation waiver requests and obtains approval before purchasing available formulary items from nonprime vendor sources.

No. 7   to Veterans Health Administration (VHA)

Ensure logistics staff and contracting officer’s representatives use all the tools available to inform the Medical Supplies Program Office and Strategic Acquisition Center of prime vendor performance issues.

No. 8   to Veterans Health Administration (VHA)

Develop formalized processes for achieving identified efficiency targets and use available pharmacy data to make business decisions.

No. 9   to Veterans Health Administration (VHA)

Educate non-VA providers on prescribing lower-cost drugs.

No. 10   to Veterans Health Administration (VHA)

Develop and implement a plan to increase inventory turnover to the Veterans Health Administration-recommended level.

No. 11   to Veterans Health Administration (VHA)

Develop and implement a plan to complete facility-based inventory audits of noncontrolled drug line items in compliance with Veterans Health Administration policy.

No. 12   to Veterans Health Administration (VHA)

Develop a plan to ensure that appropriate metrics for monitoring compliance with Veterans Health Administration policy are calculated correctly in the Pharmacy Benefits Management inventory reporting tool.

Total Monetary Impact of All Recommendations

Open: $ 185,533.00
Closed: $ 0.00

| 21-02453-99 | Summary | Report

Recommendations (6)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Veterans Health Administration (VHA)

Implement more effective inventory management tools for all network segments.

No. 2   to Veterans Health Administration (VHA)

Implement a more effective vulnerability and flaw remediation program that can accurately identify vulnerabilities and enforce flaw remediation.

No. 3   to Veterans Health Administration (VHA)

Develop and implement methods to ensure delivery, receipt, and understanding of assigned roles and responsibilities for Consolidated Mail Outpatient Pharmacy activities to ensure full implementation of approved policy.

No. 4   to Veterans Health Administration (VHA)

Develop and implement a disaster recovery plan and capability that will restore operations in the event of a disruption to critical operations.

No. 5   to Veterans Health Administration (VHA)

Task the facility manager to change the default username and password for the security camera system.

No. 6   to Veterans Health Administration (VHA)

Request the Office of Information and Technology to configure audit logging on the misconfigured devices in accordance with established baselines, policy, and procedures.

| 21-03305-139 | Summary | Report

Recommendations (10)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Office of Information and Technology (OIT)

Implement an effective inventory management system for all network segments.

No. 2   to Office of Information and Technology (OIT)

Implement an effective vulnerability and flaw remediation program that can accurately identify vulnerabilities and enforce flaw remediation

No. 3   to Office of Information and Technology (OIT)

Develop and implement methods to ensure delivery, receipt, and understanding of assigned roles and responsibilities for local activities to ensure full implementation of approved policy.

No. 4   to Office of Information and Technology (OIT)

Implement effective configuration control processes that ensure network devices maintain standards mandated by the VA Office of Information and Technology Configuration Control Board.

No. 5   to Office of Information and Technology (OIT)

Remove or disable group accounts to comply with established requirements and criteria.

No. 6   to Office of Information and Technology (OIT)

Ensure employees lock devices when they are unattended.

No. 7   to Office of Information and Technology (OIT)

Implement database authentication processes that comply with National Institute of Standards and Technology standards and VA security requirements.

No. 8   to Office of Information and Technology (OIT)

Implement a process to retain database logs for a period consistent with VA’s record retention policy.

No. 9   to Office of Information and Technology (OIT)

Establish a process for validating and logging the sanitization of hard drives.

No. 10   to Office of Information and Technology (OIT)

Implement parking barriers that meet VA Physical Security & Resiliency Design Manual requirements.

| 21-01221-24 | Summary | Report

Recommendations (5)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Office of Information and Technology (OIT)

The Financial Services Center director implements measures to maintain an accurate system inventory.

No. 2   to Office of Information and Technology (OIT)

The Financial Services Center director implements a more effective patch and vulnerability management program that can accurately identify vulnerabilities and enforce patch application.

No. 3   to Office of Information and Technology (OIT)

The Financial Services Center director implements systems and information integrity procedures that detail how policies are applied to local systems, and create a mechanism for informing employees of new or updated policies and procedures.

No. 4   to Office of Information and Technology (OIT)

The Financial Services Center director, in conjunction with the system owner, develops and implements capabilities for all systems to generate audit logs and collect and forward audit events to the Cybersecurity Operations Center for review, analysis, and reporting.

No. 5   to Office of Information and Technology (OIT)

The Financial Services Center director continues to upgrade the video surveillance system and ensure new capabilities provide full surveillance and video retention to improve monitoring and incident response.

| 21-02458-94 | Summary | Report

Recommendations (10)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Veterans Health Administration (VHA)

Ensure finance office staff are made aware of policy requirements and reviews are conducted on all inactive open obligations as required by VA Financial Policy, vol. 2, chap. 5, “Obligations Policy.”

No. 2   to Veterans Health Administration (VHA)

Ensure quarterly purchase card audits are performed as required by the Veterans Health Administration’s standard operating procedure, “Internal Audits—Purchase Cards and Convenience Checks.”

No. 3   to Veterans Health Administration (VHA)

Establish controls to confirm approving officials and purchase cardholders review their purchases and make sure contracting is used when it is in the best interest of the government.

No. 4   to Veterans Health Administration (VHA)

Require purchase cardholders to submit a request for ratification for any unauthorized commitments identified.

No. 5   to Veterans Health Administration (VHA)

Develop measures to confirm that completed VA Form 0242 submissions are accurate and updated for all cardholders.

No. 6   to Veterans Health Administration (VHA)

Ensure cardholders comply with record retention requirements as stated in VA’s Financial Policy, vol. 16, “Charge Card Programs.”

No. 7   to Veterans Health Administration (VHA)

Establish controls to make certain that budget or accounting staff review the salary cost data each pay period and promptly address cost center corrections with human resources staff as needed.

No. 8   to Veterans Health Administration (VHA)

Ensure service chiefs and supervisors review labor mapping for accuracy and completeness.

No. 9   to Veterans Health Administration (VHA)

Develop and implement a plan to increase inventory turnover closer to the VHA recommended level.

No. 10   to Veterans Health Administration (VHA)

Develop and implement a plan to complete facility based inventory audits of noncontrolled drug line items in compliance with VHA policy.

Total Monetary Impact of All Recommendations

Open: $ 308,000.00
Closed: $ 0.00

| 21-00960-17 | Summary | Report

Recommendations (8)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Veterans Health Administration (VHA)

Develop a plan to routinely provide updates when changes in stock levels are anticipated and work with the prime vendor to address having adequate stock to meet orders.

No. 2   to Veterans Health Administration (VHA)

Ensure logistics staff and contracting officer’s representative use the tools available to inform the Medical Supplies Program Office and Strategic Acquisition Center of prime vendor performance concerns and challenges.

No. 3   to Veterans Health Administration (VHA)

Implement a process to routinely check the formulary for additions and update the ordering system to reflect the prime vendor as the source for purchasing newly added supplies.

No. 4   to Veterans Health Administration (VHA)

Ensure quarterly purchase card audits are performed as required by the Veterans Health Administration standard operating procedure, “Internal Audits—Purchase Cards and Convenience Checks.”

No. 5   to Veterans Health Administration (VHA)

Ensure healthcare system finance office staff are made aware of policy requirements and the responsible finance office conducts reviews on all open obligations as required by VA Financial Policies and Procedures, vol. II, chap. 5, “Obligations Policy,” January 2018.

No. 6   to Veterans Health Administration (VHA)

Promote veterans’ use of the Consolidated Mail Outpatient Pharmacy.

No. 7   to Veterans Health Administration (VHA)

Educate non-VA providers on prescribing lower-cost drugs.

No. 8   to Veterans Health Administration (VHA)

Implement Veterans Integrated Service Network 15 recommendations to ensure the cost-saving initiatives are implemented, tracked, and monitored to achieve identified efficiency targets and use available pharmacy data to make business decisions.

| 21-00942-16 | Summary | Report

Recommendations (9)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Veterans Health Administration (VHA)

The OIG recommended the director of the Eastern Oklahoma VA Health Care System ensure finance office staff are made aware of policy requirements and reviews are conducted on all open obligations as required by VA Financial Policies and Procedures, vol. 2, chap. 5, “Obligations Policy,” January 2018.

No. 2   to Veterans Health Administration (VHA)

The OIG recommended the director of contracting for Network Contracting Office 19, VA Rocky Mountain Network, develop checks on the successful completion of quarterly audits of the purchase card program as required by the Veterans Health Administration’s standard operating procedure, “Internal Audits—Purchase Cards and Convenience Checks.”

No. 3   to Veterans Health Administration (VHA)

The OIG recommended the director of the Eastern Oklahoma VA Health Care System establish controls to confirm approving officials and purchase cardholders review their purchases and make sure contracting is used when it is in the best interests of the government.

No. 4   to Veterans Health Administration (VHA)

The OIG recommended the director of the Eastern Oklahoma VA Health Care System ensure cardholders comply with record retention requirements as stated in VA’s Financial Policy, vol. XVI, “Charge Card Program.”

No. 5   to Veterans Health Administration (VHA)

The OIG recommended the director of the Eastern Oklahoma VA Health Care System develop measures to confirm completed VA Form 0242 submissions are accurate and updated for all cardholders.

No. 6   to Veterans Health Administration (VHA)

The OIG recommended the director of the Eastern Oklahoma VA Health Care System develop formalized processes for achieving identified efficiency targets and use available pharmacy data to make business decisions.

No. 7   to Veterans Health Administration (VHA)

The OIG recommended the director of the Eastern Oklahoma VA Health Care System develop and implement a plan to increase inventory turnover closer to the VHA recommended level.

No. 8   to Veterans Health Administration (VHA)

The OIG recommended the director of the Eastern Oklahoma VA Health Care System develop and implement a plan to complete facility based inventory audits of noncontrolled drug line items in compliance with VHA policy.

No. 9   to Veterans Health Administration (VHA)

The OIG recommended the director of the Eastern Oklahoma VA Health Care System establish measures to improve compliance with the nonformulary request process.

Total Monetary Impact of All Recommendations

Open: $ 0.00
Closed: $ 95,000.00

| 20-00971-235 | Summary | Report

Recommendations (6)Toggle Content


OpenClosed - ImplementedClosed - Not Implemented

No. 1   to Veterans Health Administration (VHA)

The OIG recommended the director of the Southeast Louisiana Veterans Health Care System develop a plan to work with the prime vendor to address having adequate stock from the facility’s formulary list in its warehouse to provide supplies when ordered.

No. 2   to Veterans Health Administration (VHA)

The OIG recommended the director of the Southeast Louisiana Veterans Health Care System ensure logistics staff and the contracting officer’s representative use the tools available to inform the Medical Supplies Program Office and Strategic Acquisition Center of prime vendor performance issues.

No. 3   to Veterans Health Administration (VHA)

The OIG recommended the director of the Southeast Louisiana Veterans Health Care System and the director of contracting for South Central VA Health Care Network Contracting Office 16 ensure approving officials and cardholders review their purchases and make sure strategic sourcing is used when it is in the best interest of the government.

No. 4   to Veterans Health Administration (VHA)

The OIG recommended the director of the Southeast Louisiana Veterans Health Care System in coordination with the network purchase card program manager, require purchase cardholders to submit ratification requests to the director of contracting for Network Contracting Office 16 for any unauthorized commitments identified.

No. 5   to Veterans Health Administration (VHA)

The OIG recommended the director of contracting for South Central VA Health Care Network Contracting Office 16 ensure quarterly audits of the purchase card program are completed as required by the Veterans Health Administration standard operating procedure, “Internal Audits—Purchase Cards and Convenience Checks.”

No. 6   to Veterans Health Administration (VHA)

The OIG recommended the director of the Southeast Louisiana Veterans Health Care System ensure that the facility meets the Veterans Health Administration’s recommended inventory turnover rate of 12 per year, established by the National Pharmacy Benefits Management program office.

Total Monetary Impact of All Recommendations

Open: $ 0.00
Closed: $ 192,070.00

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