Inspector General Reports

Report Date	Agency Reviewed / Investigated	Title	Type	Location
09/14/2023	Department of Veterans Affairs	A Patient’s Suicide Following Veterans Crisis Line Mismanagement and Deficient Follow-Up Actions by the Veterans Crisis Line and Audie L. Murphy Memorial Veterans Hospital in San Antonio, Texas	Inspection / Evaluation	TX, US
09/13/2023	Department of Veterans Affairs	Inconsistent Disability Benefits Questionnaires May Lead to Inaccurate Mental Competency Determinations	Other	Agency-Wide
09/13/2023	Department of Veterans Affairs	Comprehensive Healthcare Inspection of the Erie VA Medical Center in Pennsylvania	Review	PA, US OH, US PA, US PA, US PA, US PA, US
09/12/2023	Department of Veterans Affairs	Inconsistent Guidance and Limited Oversight Contributed to Inaccurate Community Care Wait Time Eligibility Calculations at the C.W. Bill Young VA Medical Center in Bay Pines, Florida	Review	Agency-Wide
09/07/2023	Department of Veterans Affairs	Nonadherence to Requirements for Processing Gulf War Illness Claims Led to Premature Decisions	Review	Agency-Wide
09/07/2023	Department of Veterans Affairs	VHA Faces Challenges Implementing the Appeals Modernization Act	Review	Agency-Wide
09/06/2023	Department of Veterans Affairs	Opportunities Exist to Improve the Accuracy of Veterans' Emergency Housing Assistance and Permanent Housing Placement Data	Review	Agency-Wide
09/06/2023	Department of Veterans Affairs	The Electronic Health Record Modernization Program Could Strengthen Its Process for Reviewing Task Order Progress	Other	Agency-Wide
08/30/2023	Department of Veterans Affairs	Deficiencies in Echocardiogram Interpretation Timeliness, Facility Policies, Patient Safety Reporting, and Oversight at the Fayetteville VA Coastal Health Care System in North Carolina	Inspection / Evaluation	NC, US
08/30/2023	Department of Veterans Affairs	VA Should Ensure Veterans’ Records in the New Electronic Health System Are Reviewed before Deciding Benefits Claims	Review	Agency-Wide

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