|Title:||Critical Deficiencies at the Washington DC VAMC|
|VA Office:||Veterans Health Administration (VHA)
|Report Author:||Office of Healthcare Inspections
|Report Type:||Hotline Healthcare Inspection
This report is the result of an Office of Inspector General (OIG) inspection of the VA Medical Center in Washington, D.C., (DC VAMC) that began in March 2017 after receiving a confidential complaint. The OIG released an interim report on April 12, 2017, identifying risks to patients and VA assets. This final report provided findings in four areas: (1) risk of harm to patients, (2) hospital service deficiencies affecting patient care, (3) lack of financial controls, and 4) failures in leadership.