Reports
Search reports, investigative results, and agency plansShowing 1 - 10 of 21 results
Federal Reserve Board & CFPB OIG
Following Established Processes Helped FRB New York and the Board Reduce Risks Associated With Lending Facility Contracts
General Services Administration OIG
Ventilation Issues Persist in Unrenovated Wings of GSA Headquarters Building
Federal Reserve Board & CFPB OIG
The CFPB Implemented Safety Measures in Accordance With Its Reentry Plan
General Services Administration OIG
Management Alert: Inadequate Ventilation in GSA Headquarters Child Care Center
Department of Veterans Affairs OIG
Care in the Community Consult Management During the COVID-19 Pandemic at the Martinsburg VA Medical Center in West Virginia
The VA Office of Inspector General (OIG) conducted a healthcare inspection at the Martinsburg VA Medical Center (facility) in West Virginia to assess allegations of failure to schedule a Care in the Community (CITC) COVID Priority 1 cardiology consult within Veterans Health Administration requirements, and delays in CITC consult scheduling caused by inadequate CITC staffing. The OIG substantiated that a COVID Priority 1 CITC cardiology consult was not scheduled within 30 days of the clinically indicated date. The OIG determined that the consult was amongst a backlog of approximately 5,000...
Department of Veterans Affairs OIG
Deficiencies in Select Community Care Consult (Stat) Processes During the COVID-19 Pandemic
The VA Office of Inspector General (OIG) conducted a national review of stat community care consults generated during the outset of the COVID-19 pandemic to evaluate consult processes. Patient involvement in care urgency disagreements and reporting of adverse events in community care were also reviewed. When the OIG identified deficiencies in processes, electronic health records (EHRs) of the patients at issue were further examined for potential negative outcomes. The OIG did not identify any negative care outcomes. For the 2,236 stat community care consults generated from March 20, 2020...