Veterans Affairs Office of Inspector General

Mission, Vision, and Values

 

Mission

To serve veterans and the public by conducting meaningful independent oversight of the Department of Veterans Affairs (VA).


Vision

To perform audits, inspections, investigations, and reviews that improve the efficiency, effectiveness, and integrity of VA.


To achieve this vision, the Office of Inspector General will prioritize work with the greatest impact on the lives of veterans, their families and caregivers, and on VA resources and operations; prevent and address fraud and other crimes, waste, and abuse, as well as advance efforts to hold responsible individuals accountable; issue accurate, timely, and objective reports that help VA ensure it delivers high-quality health care, benefits, and services to eligible veterans and other beneficiaries; and make data- and evidence-driven recommendations that enhance VA programs or operations and promote the appropriate use of taxpayer dollars.


Values

  • Protect individuals alleging wrongdoing and treat them with respect and dignity
  • Attract and retain the highest-quality staff committed to innovation, effectiveness, and efficiency
  • Meet the highest standards of integrity, professionalism, and accountability
  • Safeguard the Office of Inspector General’s independence and maintain transparency
  • Honor veterans by continually striving for excellence

Investigations Relevant to Veterans Justice Project and Partners

Deficiencies in Case Management and Access to Care for HUD-VASH Veterans at the VA Greater Los Angeles Healthcare System in California

Date Issued: 1/30/2025

Report Number: 24-01598-43

Topics:  Care Coordination ● Clinical Care Services Operations ● Patient Care Services Operations


Leaders Failed to Ensure a Dermatologist Provided Quality Care at the Carl T. Hayden VA Medical Center in Phoenix, Arizona

Date Issued: 1/23/2025

Report Number: 24-00194-42

Topics:  Care Coordination ● Medical Staff Privileging Credentialing ● Patient Safety


Healthcare Facility Inspection of the VA Western New York Healthcare System in Buffalo

Date Issued: 1/8/2025

Report Number: 24-00597-22

Topics:  Patient Care Services Operations ● Patient Safety


Deficiencies in Inpatient Mental Health Suicide Risk Assessment, Mental Health Treatment Coordinator Processes, and Discharge Care Coordination

Date Issued: 12/18/2024

Report Number: 21-02389-23

Topics:  Care Coordination ● Mental Health ● Suicide Prevention


Staff Incorrectly Processed Claims When Denying Veterans’ Benefits for Presumptive Disabilities Under the PACT Act

Date Issued: 12/3/2024

Report Number: 24-00118-01

Topics:  PACT Act


Healthcare Facility Inspection of the VA Hudson Valley Healthcare System in Montrose, New York

Date Issued: 9/24/2024

Report Number: 24-00601-254

Topics:  Patient Safety



Additional Controls Are Needed to Improve the Reliability of Grant and Per Diem Program Data

Date Issued: 9/18/2024

Report Number: 23-02610-226

Topics:  Clinical Care Services Operations

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