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U.S. Department of Veterans Affairs
Office Of Inspector General

List of Reports Issued Fiscal Year 2010
(October 2, 2009 through May 20, 2010)



Links to VA - Office of Inspector General.... Reports 2010..or.. Reports 2009



5/20/2010

Inspection of the VA Regional Office Albuquerque, NM

Report Number 10-00935-156, 5/20/2010 | Report (PDF)



5/18/2010

Combined Assessment Program Review of the Aleda E. Lutz VA Medical Center Saginaw, Michigan

Report Number 09-03276-154, 5/18/2010 |Report (PDF)



5/17/2010

Audit of Oversight of Patient Transportation Contracts

Report Number 09-01958-155, 5/17/2010 | Report (PDF)



5/14/2010

Healthcare Inspection Alleged Quality of Care Issues and Privacy Violations Battle Creek VA Medical Center Battle Creek, Michigan

Report Number 10-00355-153, 5/14/2010 | Report (PDF)



5/13/2010

Combined Assessment Program Review of the Michael E. DeBakey VA Medical Center, Houston, Texas

Report Number 09-03275-147, 5/13/2010 | Report (PDF)



5/13/2010

Audit of National Call Centers and the Inquiry Routing and Information System

Report Number 09-01968-150, 5/13/2010 | Report (PDF)



5/11/2010

Healthcare Inspection Post-Operative Care Case Review at the Lexington VA Medical Center, Lexington, Kentucky

Report Number 10-00389-146, 5/11/2010 | Report (PDF)



5/4/2010

Healthcare Inspection Progress in Implementing the Veterans Health Administration’s Uniform Mental Health Services Handbook

Report Number 08-02917-145, 5/4/2010 | Report (PDF)



5/3/2010

Healthcare Inspection Review of Brachytherapy Treatment of Prostate Cancer, Philadelphia, Pennsylvania and Other VA Medical Centers

Report Number 09-02815-143, 5/3/2010 |Report (PDF)



4/29/2010

Healthcare Inspection Alleged Quality of Care Issues in the Geriatrics and Extended Care Service VA North Texas Health Care System Dallas, Texas

Report Number 09-03610-141, 4/29/2010 | Report (PDF)



4/28/2010

Healthcare Inspection Evaluation of Emergency Departments and Urgent Care Clinics in Veterans Health Administration Facilities

Report Number 07-03165-139, 4/28/2010 | Report (PDF)



4/27/2010

Combined Assessment Program Review of the William Jennings Bryan Dorn VA Medical Center, Columbia, South Carolina

Report Number 10-00044-138, 4/27/2010| Report (PDF)



4/26/2010

Combined Assessment Program Review of the South Texas Veterans HealthCare System San Antonio, Texas

Report Number 10-01233-136, 4/26/2010 |Report (PDF)



4/22/2010

Healthcare Inspection - Alleged Radiology and Cardiology Quality of Care Issues Malcom Randall VA Medical Center, Gainesville, Florida

Report Number 10-00169-134, 4/22/2010 |Report (PDF)



4/22/2010

Combined Assessment Program Review of the VA Central California Health Care System Fresno, California

Report Number 10-01081-135, 4/22/2010 |Report (PDF)



4/21/2010

Community Based Outpatient Clinic Reviews Payson and Sun City, AZ Sidney, NE and Fort Collins, CO Eureka and Ukiah, CA

Report Number 09-01446-132, 4/21/2010 | Report (PDF)



4/21/2010

Healthcare Inspection Alleged Endoscope Reprocessing Issues St. Louis VA Medical Center, St. Louis, Missouri

Report Number 10-01141-133, 4/21/2010 |Report (PDF)



4/16/2010

Inspection of VA Regional Office Waco, TX

Report Number 09-03848-130, 4/16/2010 |Report (PDF)



4/15/2010

Audit of State Home Construction Grant Program Management of American Recovery and Reinvestment Act Funds

Report Number 09-01814-129, 4/15/2010 |Report (PDF)



4/8/2010

Combined Assessment Program Review of the Harry S. Truman Memorial Veterans’ Hospital Columbia, Missouri

Report Number 10-00879-126, 4/8/2010 |Report (PDF)



4/7/2010

Healthcare Inspection Community Based Outpatient Clinic Reviews Coral Springs and Key West, FL Boca Raton and Vero Beach, FL Denton and Fort Worth, TX

Report Number 09-01446-125, 4/7/2010 |Report (PDF)



4/6/2010

Combined Assessment Program Review of the Manchester VA Medical Center Manchester, New Hampshire

Report Number 10-00469-122, 4/6/2010 |Report (PDF)



4/6/2010

Informational Report Community Based Outpatient Clinic Cyclical Reports

Report Number 10-00627-124, 4/6/2010 | Report (PDF)



3/31/2010

Audit of the Fiduciary Program’s Effectiveness in Addressing Potential Misuse of Beneficiary Funds

Report Number 09-01999-120, 3/31/2010 |Report (PDF)



3/31/2010

Healthcare Inspection Mental Health Safety Issues and Credentialing & Privileging Irregularities Alexandria VA Medical Center Pineville, Louisiana

Report Number 09-02858-121, 3/31/2010 |Report (PDF)



3/29/2010

Combined Assessment Program Review of the Overton Brooks VA Medical Center Shreveport, Louisiana

Report Number 10-00048-118, 3/29/2010 |Report (PDF)



3/24/2010

Combined Assessment Program Review of the VA Eastern Colorado Health Care System Denver, Colorado

Report Number 09-03040-114, 3/24/2010 |Report (PDF)



3/23/2010

Inspection of VA Regional Office Togus, ME

Report Number 09-03659-111, 3/23/2010 |Report (PDF)



3/23/2010

Healthcare Inspection Alleged Mental Health Issues Fargo VA Medical Center Fargo, North Dakota

Report Number 09-01636-113, 3/23/2010 |Report (PDF)



3/19/2010

Combined Assessment Program Review of the Cincinnati VA Medical Center Cincinnati, Ohio

Report Number 09-03532-112, 3/19/2010 | Report (PDF)



3/18/2010

Combined Assessment Program Review of the Clement J. Zablocki VA Medical Center Milwaukee, Wisconsin

Report Number 09-03274-110, 3/18/2010 |Report (PDF)



3/17/2010

Healthcare Inspection Community Based Outpatient Clinic Reviews Kosciusko and Meridian, MS Tulsa, OK Konawa and Lawton, OK Texarkana, AR and Longview, TX

Report Number 09-01446-105, 3/17/2010 |Report (PDF)



3/17/2010

Audit of VA’s Efforts To Provide Timely Compensation and Pension Medical Examinations

Report Number 09-02135-107, 3/17/2010 |Report (PDF)



3/17/2010

Review of Outpatient Fee Payments at the VA Pacific Islands Health Care System

Report Number 09-02088-106, 3/17/2010 |Report (PDF)



3/16/2010

Healthcare Inspection Patient Safety Issues VA Caribbean Healthcare System San Juan, Puerto Rico

Report Number 09-03055-103, 3/16/2010 |Report (PDF)



3/15/2010

American Recovery and Reinvestment Act Oversight Advisory Report - VHA Non-Recurring Maintenance Contract Award Oversight Needs Strengthening

Report Number 09-01814-97, 3/15/2010 |Report (PDF)



3/9/2010

Independent Review of VA’s Fiscal Year 2009 Performance Summary Report to the Office of National Drug Control Policy

Report Number 10-01105-96, 3/9/2010|Restricted - Contact our FOIA office for assistance



3/8/2010

Independent Review of VA’s Fiscal Year 2009 Detailed Accounting Submission to the Office of National Drug Control Policy

Report Number 10-01106-95, 3/8/2010|Restricted - Contact our FOIA office for assistance



3/4/2010

Healthcare Inspection - Hospitalized Community-Dwelling Elderly Veterans: Cognitive and Functional Assessments and Follow-up after Discharge

Report Number 09-01588-92, 3/4/2010 |Report (PDF)



3/4/2010

Inspection of VA Regional Office Philadelphia, PA

Report Number 09-03846-93, 3/4/2010 |Report (PDF)



3/4/2010

Fiscal Year 2009 Federal Information Security Management Act Assessment

Report Number 09-01682-91, 3/4/2010 | Restricted - Contact our FOIA office for assistance



3/2/2010

Healthcare Inspection Alleged Mismanagement of Resources and Patient Safety Issues VA Northern Indiana Health Care System Fort Wayne and Marion, Indiana

Report Number 09-02346-90, 3/2/2010 |Report (PDF)



2/23/2010

Healthcare Inspection Alleged Quality of Care Issues Wilkes-Barre VA Medical Center Wilkes-Barre, Pennsylvania

Report Number 09-03851-87, 2/23/2010 |Report (PDF)



2/19/2010

Administrative Investigation Misuse of Official Time North Chicago VA Medical Center

Report Number 08-01589-86, 2/19/2010 | Restricted - Contact our FOIA office for assistance



2/18/2010

Veterans Benefits Administration Review of New Hire Productivity and the American Recovery and Reinvestment Act Hiring Initiative

Report Number 09-01814-85, 2/18/2010 |Report (PDF)



2/16/2010

Combined Assessment Program Review of the VA Ann Arbor Healthcare System Ann Arbor, Michigan

Report Number 09-03271-84, 2/16/2010 |Report (PDF)



2/5/2010

Administrative Investigation Abuse of Authority, Misuse of Position and Resources, Acceptance of Gratuities, & Interference with an OIG Investigation National Programs & Special Events

Report Number 09-01492-83, 2/5/2010 | Report (PDF)



2/4/2010

Healthcare Inspection Review of Inappropriate Copayment Billing for Treatment Related to Military Sexual Trauma

Report Number 09-01110-81, 2/4/2010 |Report (PDF)



2/2/2010

Combined Assessment Program Review of the Charlie Norwood VA Medical Center, Augusta, Georgia

Report Number 09-03298-80, 2/2/2010 |Report (PDF)



1/27/2010

Combined Assessment Program Review of the VA Southern Nevada Healthcare System Las Vegas, Nevada

Report Number 09-03613-74, 1/27/2010 |Report (PDF)



1/25/2010

Combined Assessment Program Review of the James J. Peters VA Medical Center Bronx, New York

Report Number 09-03272-70, 1/25/2010 |Report (PDF)



1/25/2010

Combined Assessment Program Review of the VA Eastern Kansas Health Care System Topeka, Kansas

Report Number 09-03742-73, 1/25/2010 |Report (PDF)



1/21/2010

Healthcare Inspection Telemetry Monitoring Issues VA Eastern Colorado Health Care System Denver, Colorado

Report Number 09-01047-69, 1/21/2010 |Report (PDF)



1/20/2010

Healthcare Inspection Review of Allegations of Coding and Billing Irregularities, VA Medical Center, Kansas City, Missouri

Report Number 09-03418-68, 1/20/2010 |Report (PDF)



1/19/2010

Healthcare Inspection Alleged Quality of Care Issues Huntington VA Medical Center Huntington, West Virginia

Report Number 09-02988-66, 1/19/2010 |Report (PDF)



1/14/2010

Combined Assessment Program Review of the VA Sierra Nevada Health Care System Reno, Nevada

Report Number 09-03039-62, 1/14/2010 |Report (PDF)



1/14/2010

Inspection of VA Regional Office Roanoke, VA

Report Number 09-01995-63, 1/14/2010 |Report (PDF)



1/13/2010

Healthcare Inspection Alleged Denial of Care and Quality of Care Issues Veterans Health Care System of the Ozarks Fayetteville, Arkansas

Report Number 09-02987-60, 1/13/2010 |Report (PDF)



1/13/2010

Healthcare Inspection Alleged Management Decisions Impacting Patient Care and Work Environment Oscar G. Johnson VA Medical Center Iron Mountain, Michigan

Report Number 09-02470-61, 1/13/2010 |Report (PDF)



1/11/2010

Combined Assessment Program Review of the Phoenix VA Health Care System Phoenix, Arizona

Report Number 09-03313-59, 1/11/2010 |Report (PDF)



1/7/2010

Healthcare Inspection Quality of Care Issues Louis A. Johnson VA Medical Center Clarksburg, West Virginia

Report Number 09-02950-58, 1/7/2010 |Report (PDF)



1/5/2010

Combined Assessment Program Review of the VA Roseburg Healthcare System Roseburg, Oregon

Report Number 09-02921-57, 1/5/2010 |Report (PDF)



12/30/2009

Combined Assessment Program Review of the Louis Stokes Cleveland VA Medical Center Cleveland, Ohio

Report Number 09-03550-55, 12/30/2009 |Report (PDF)



12/28/2009

Healthcare Inspection Alleged Quality of Care Issues VA Salt Lake City Health Care System Salt Lake City, Utah

Report Number 09-02589-54, 12/28/2009 |Report (PDF)



12/22/2009

Healthcare Inspection Review of an Unexpected Death North Chicago VA Medical Center North Chicago, Illinois

Report Number 09-03245-53, 12/22/2009 |Report (PDF)



12/14/2009

Healthcare Inspection Delay in Cancer Diagnosis and Treatment Clement J. Zablocki VA Medical Center Milwaukee, Wisconsin

Report Number 09-01348-49, 12/14/2009 |Report (PDF)



12/11/2009

Healthcare Inspection Alleged Quality of Care Issues Central Arkansas Veterans Healthcare System Little Rock, Arkansas

Report Number 09-02397-48, 12/11/2009 |Report (PDF)



12/10/2009

Healthcare Inspection Access to Care, Diagnosis, and Treatment at Community Based Outpatient Clinics in Smyrna and Rome, Georgia

Report Number 09-02985-46, 12/10/2009 |Report (PDF)



12/9/2009

Combined Assessment Program Review of the W.G. (Bill) Hefner VA Medical Center Salisbury, North Carolina

Report Number 08-03078-44, 12/9/2009 |Report (PDF)



12/9/2009

Healthcare Inspection Alleged Quality of Care Issues Amarillo VA Health Care System Amarillo, Texas

Report Number 09-02797-45, 12/9/2009 |Report (PDF)



12/7/2009

Inspection of VA Regional Office Anchorage, AK

Report Number 09-01998-42, 12/7/2009 |Report (PDF)



12/4/2009

Inspection of VA Regional Office San Juan, PR

Report Number 09-01996-41, 12/4/2009 |Report (PDF)



12/3/2009

Healthcare Inspection VistA Outages Affecting Patient Care Office of Risk Management and Incident Response Falling Waters, WV

Report Number 09-01849-39, 12/3/2009 |Report (PDF)



12/3/2009

Healthcare Inspection Review of Selected Pharmacy Operations in Veterans Health Administration Facilities

Report Number 07-03254-40 , 12/3/2009 |Report (PDF)



12/2/2009

Healthcare Inspection Community Based Outpatient Clinic Reviews Macon and Albany, GA Beaver Dam, WI and Rockford, IL Sioux City, IA and Aberdeen, SD Waterloo, IA and Galesburg, IL

Report Number 09-01446-37, 12/2/2009 |Report (PDF)



12/2/2009

Audit of Veterans Health Administration's Undelivered Orders

Report Number 09-00088-38, 12/2/2009 |Report (PDF)



12/1/2009

Healthcare Inspection Alleged Quality of Care Issues Martinsburg VA Medical Center Martinsburg, West Virginia

Report Number 09-02931-36, 12/1/2009 |Report (PDF)



11/30/2009

Office of Inspector General Department of Veterans Affairs Semiannual Report to Congress April 1, 2009 - September 30, 2009

11/30/2009 |Semiannual Report (PDF)



11/30/2009

Healthcare Inspection Post-Operative Care Case Review at the VA Central Iowa Health Care System’s Knoxville Division Knoxville, Iowa

Report Number 09-02986-31, 11/30/2009 |Report (PDF)



11/30/2009

Healthcare Inspection Alleged Quality of Care Issues Ralph H. Johnson VA Medical Center Charleston, South Carolina

Report Number 09-02538-30, 11/30/2009 |Report (PDF)



11/19/2009

Inspection of VA Regional Office Baltimore, MD

Report Number 09-01993-29, 11/19/2009 |Report (PDF)



11/18/2009

Healthcare Inspection Alleged Vision Care Issues and Research Improprieties, James A. Haley VA Hospital, Tampa, Florida

Report Number 09-02554-28, 11/18/2009 |Report (PDF)



11/16/2009

Audit of VA’s Consolidated Financial Statements for Fiscal Years 2009 and 2008

Report Number 09-00976-25, 11/16/2009 |Report (PDF)



11/5/2009

Combined Assessment Program Review of the Huntington VA Medical Center Huntington, West Virginia

Report Number 08-03087-20, 11/5/2009 |Report (PDF)



11/4/2009

Combined Assessment Program Review of the VA Hudson Valley Health Care System Montrose, New York

Report Number 08-02567-18, 11/4/2009 | Summary | Report (PDF)



11/2/2009

Combined Assessment Program Review of the Marion VA Medical Center Marion, Illinois

Report Number 08-03083-17, 11/2/2009 |Report (PDF)



10/30/2009

Audit of VA’s Data Quality Review Process under the American Recovery and Reinvestment Act of 2009

Report Number 09-01814-16, 10/30/2009 |Report (PDF)



10/21/2009

Combined Assessment Program Review of the VA Maryland Health Care System Baltimore, Maryland

Report Number 09-01730-14, 10/21/2009 |Report (PDF)



10/16/2009

Combined Assessment Program Review of the James E. Van Zandt VA Medical Center Altoona, Pennsylvania

Report Number 09-01732-10, 10/16/2009 |Report (PDF)



10/7/2009

Combined Assessment Program Review of the Oscar G. Johnson VA Medical Center Iron Mountain, Michigan

Report Number 08-02603-05, 10/7/2009 |Report (PDF)



10/6/2009

Combined Assessment Program Review of the Salem VA Medical Center Salem, Virginia

Report Number 08-03077-04, 10/6/2009 |Report (PDF)



10/5/2009

Combined Assessment Program Review of the Washington, DC, VA Medical Center Washington, DC

Report Number 09-02376-02, 10/5/2009 |Report (PDF)



10/2/2009

Healthcare Inspection Alleged Nursing Quality of Care Issues Edward Hines Jr. VA Hospital Hines, Illinois

Report Number 09-02449-01, 10/2/2009 |Report (PDF)



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