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Review of Roll-up Findings on Discharge Instructions and Risk-Benefit Discussions from Inspections of VA Inpatient Mental Health Care

The VA OIG provides oversight of VA programs to protect veterans' welfare. This review of previous inspections of inpatient mental health services identified recurring issues in two critical discharge practice areas: the quality and completeness of discharge instructions and the documentation of required risk benefit discussions for newly prescribed medications.

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Review of Roll-up Findings on Discharge Instructions and Risk-Benefit Discussions from Inspections of VA Inpatient Mental Health Care
October 8, 2026

The VA OIG provides oversight of VA programs to protect veterans' welfare. This review of previous inspections of inpatient mental health services identified recurring issues in two critical discharge practice areas: the quality and completeness of discharge instructions and the documentation of required risk benefit discussions for newly prescribed medications.

Click to Read the Report

Healthcare Facility Inspection of the VA Pittsburgh Healthcare System in Pennsylvania

The VA OIG conducts inspections to help VA deliver high-quality health care. The VA OIG established the Healthcare Facility Inspection program to review Veterans Health Administration medical facilities on an approximately three-year cycle, examining care delivery and safety across five domains.

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Healthcare Facility Inspection of the VA Pittsburgh Healthcare System in Pennsylvania
October 6, 2026

The VA OIG conducts inspections to help VA deliver high-quality health care. The VA OIG established the Healthcare Facility Inspection program to review Veterans Health Administration medical facilities on an approximately three-year cycle, examining care delivery and safety across five domains.

Click to Read the Report

Review of Care Coordination for a Patient with Breast Disease at the VA Eastern Colorado Health Care System in Aurora

The VA OIG remains committed to independent oversight. This report shares the results of a hotline inspection focused on care coordination and high-risk conditions.

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Review of Care Coordination for a Patient with Breast Disease at the VA Eastern Colorado Health Care System in Aurora
October 6, 2026

The VA OIG remains committed to independent oversight. This report shares the results of a hotline inspection focused on care coordination and high-risk conditions.

Click to Read the Report

Healthcare facility inspection results for VA Maine Healthcare System in Augusta and the VA Columbia Healthcare System in Missouri

The VA OIG is dedicated to helping VA provide high-quality health care. The VA OIG established the Healthcare Facility Inspection program to review Veterans Health Administration medical facilities on an approximately three-year cycle, examining care delivery and safety across five domains.

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Healthcare facility inspection results for VA Maine Healthcare System in Augusta and the VA Columbia Healthcare System in Missouri
October 5, 2026

The VA OIG is dedicated to helping VA provide high-quality health care. The VA OIG established the Healthcare Facility Inspection program to review Veterans Health Administration medical facilities on an approximately three-year cycle, examining care delivery and safety across five domains.

Click to Read the Reports

Results for the VA Finger Lakes Healthcare System in Bath, New York, the VA Shreveport Healthcare System in Louisiana, and the VA West Texas Healthcare System in Big Spring

The VA OIG is dedicated to helping VA provide high-quality health care. The VA OIG established the Healthcare Facility Inspection program to review Veterans Health Administration medical facilities on an approximately three-year cycle, examining care delivery and safety across five domains.

Emergency building

Results for the VA Finger Lakes Healthcare System in Bath, New York, the VA Shreveport Healthcare System in Louisiana, and the VA West Texas Healthcare System in Big Spring
October 2, 2026

The VA OIG is dedicated to helping VA provide high-quality health care. The VA OIG established the Healthcare Facility Inspection program to review Veterans Health Administration medical facilities on an approximately three-year cycle, examining care delivery and safety across five domains.

Click to Read the Reports

Data Dashboard

Reports and Recommendations Published Within the Last 12 Months
186
Reports
749
Recommendations
$4B
Monetary Impact

The numbers totaled above are for published reports and recommendations only; the investigations and procurement-sensitive contract review totals can be found in the Semiannual Reports to Congress.

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