In this episode of Inside Oversight, Nicole Maxey, a nurse consultant with the Office of Healthcare Inspections, discusses the VA OIG’s evaluation of the transition of clinical care for service members with opioid use disorder from the Department of Defense to the Veterans Health Administration. Nicole describes deficiencies in documenting patients’ opioid use disorder, as well as the barriers faced by healthcare providers accessing records, during the transition.   “We want to make sure that...

In this podcast episode of Inside Oversight, Erica Taylor, a health system specialist with the Office of Healthcare Inspections, discusses a healthcare inspection at the West Palm Beach VA Healthcare System in Florida that assessed allegations related to a patient’s cancer care coordination.     “Over the years, the OIG has published many reports detailing issues related to appointment scheduling with community providers and delays in VA getting clinical information back from community...

In this episode of Inside Oversight, Amanda Newton, an associate director with the Office of Healthcare Inspections, discusses a report on deficiencies with the Patient Safety Program at the Tuscaloosa VA Medical Center in Alabama. She shares how a lack of resources, supervisory engagement, and failure of facility leaders to act impacted the medical center’s culture of safety. Find this episode at the VA OIG’s podcast page or where you normally listen to podcasts.   “I would just add that...

In this episode, Dr. Amber Singh, an associate director with the VA OIG’s mental health team within the Office of Healthcare Inspections, discusses a published report on VHA’s Intimate Partner Violence Assistance Program. Her team conducted a national review of the program to evaluate implementation status and identify perceived barriers to compliance by surveying program coordinators and leaders. She shares how the team found over half of VHA facilities did not have the required program...

In this episode, Dr. Wanda Hunt, a VA OIG healthcare systems specialist, discusses a recently published report on VHA’s Intensive Community Mental Health Recovery Programs. The report examined the visit frequency for veterans enrolled in these programs between April 2019 and March 2021.

In this episode, Susan Tostenrude, a director within the Office of Healthcare Inspections, discusses the report, Failure to Mitigate Risk of and Manage a COVID-19 Outbreak at a Community Living Center at VA Illiana Health Care System in Danville, Illinois.

In this episode, healthcare inspectors discuss the report Failure to Follow a Consult Process Resulting in Undocumented Patient Care at the Chillicothe VA Medical Center in Ohio.

In this episode, the VA OIG's director of community care discusses a healthcare inspection of VISN 23, which includes sites in Iowa, Minnesota, Nebraska, N. Dakota, S. Dakota, and parts of Illinois, Kansas, Missouri, Wisconsin, and Wyoming. VISN 23 serves over 440,000 vets.

VA OIG healthcare inspectors share the history of vet centers, OIG’s oversight of vet center operations, and the findings from the first five VCIP reports published.

VA OIG Audit Manager discusses the report, Suicide Prevention Coordinators Need Improved Training, Guidance, and Oversight, published on June 6, 2022.

In this episode, two mental health experts with the VA OIG's Office of Healthcare Inspections discuss a report that focused on deficiencies with mental healthcare coordination and processes prior to a patient’s death by suicide at the VA hospital in Columbia, Missouri.

In this episode, two directors with the VA OIG's Office of Healthcare Inspections discuss a report that focused on challenges for military sexual trauma coordinators and the culture of safety for patients requesting related care.

In this episode, two associate directors with VA OIG's Office of Healthcare Inspections discuss a report that focused on the Veterans Health Administration’s virtual primary care response to the COVID-19 pandemic from February 7, 2020 through June 16, 2020.

VA OIG senior auditors discuss two related reports on improper payments for community acupuncture and chiropractic services and overall risks to evaluation and management services.

Daniel Morris, a director within the Office of Audits and Evaluations, discusses VA OIG’s recent report, Concerns with Consistency and Transparency in the Calculation and Disclosure of Patient Wait Time Data, published on April 7, 2022.