Reports

The Office of Inspector General (OIG) reviewed Veterans Crisis Line (VCL) operations ranging from contingency planning to quality metrics and lessons learned during the COVID-19 pandemic. The OIG completed remote interviews, document reviews, and surveyed VCL employees and Suicide Prevention staff. VCL staff had historically worked from communal call centers with shared space and equipment, a model that posed a safety risk to staff during the pandemic. To continue operations, VCL’s primary challenge was to equip and transition nearly 800 employees to telework-based operations. Over the course...

The OIG reviewed the Veterans Benefits Administration’s (VBA) processing of mail and benefit claims during the COVID-19 pandemic. Specifically, the review team examined whether VBA staff documented the date of receipt for benefits-related correspondence as required by new guidance during the national state of emergency and continued mail operations at VA facilities to ensure benefit claims were processed. Based on its sample analysis, the OIG found VBA staff did not properly apply date of receipt documentation guidance for an estimated 98 percent of 3,200 claims established from April 7...

The Veterans Health Administration (VHA) took measures to protect patients and employees from COVID-19 by canceling face-to-face appointments that were not urgent and converting some of them to virtual appointments. The VA Office of Inspector General (OIG) assessed VHA’s appointment management strategies and the status of canceled appointments. The review team found that about five million appointments (68 percent) canceled from March 15 through May 1, 2020, had evidence of follow up or other tracking. Patients completed appointments predominantly by telephone and some by video. Other...

The VA Office of Inspector General (OIG) conducted a healthcare inspection to determine the validity of allegations related to the management of staff exposure to a patient diagnosed with COVID-19 at the VA Portland Medical Center (facility) in Oregon. The events under review involved the facility’s first patient diagnosed with COVID-19. The OIG did not substantiate that emergency department staff failed to notify imaging department staff that a patient was suspected to have COVID-19 before sending the patient to the imaging department. At the time of the patient’s transport to the imaging...

The Defense Intelligence Agency Office of the Inspector General initiated an evaluation of the Agency's use of Reserve military intelligence capabilities across the Defense Intelligence Enterprise.  Our objective is to assess the effectiveness of Agency’s use of Reserve military intelligence forces for the delivery and integration of Reserve capabilities across the Defense Intelligence Enterprise in peacetime and during crisis and contingency operations.  Through this evaluation effort, we will examine the use of Reserve military intelligence capabilities during the COVID-19 pandemic.

In response to the Under Secretary of Defense for Intelligence and Security's initiative to professionalize the analysis workforce within the Department of Defense (DoD), the Defense Intelligence Agency (DIA) Office of the Inspector General initiated an evaluation to assess the Agency's effectiveness in serving as the All-Source Analyst Professional Certification Program management lead.  We will assess the effectiveness of the DIA’s efforts to administer, implement, and oversee the program in accordance with DoD, Intelligence Community, Agency, and national accreditation policies and standards. As a part of this evaluation effort, we will also examine the impact of the COVID-19 pandemic on DIA's ability to provide the DoD analysis workforce with continuous opportunities to attain the Certified Defense All-Source Analyst-I professional credential.

In accordance with the CARES Act, Section 3610, “Federal Contractor Authority,” March 27, 2020 we will evaluate DIA’s implementation of Section 3610. Our objective is to determine whether DIA’s contractor reimbursements were appropriate and governed by policies and procedures that met the Act’s requirements.

On March 26, 2020, the VA Office of Inspector General (OIG) published its first COVID-19-focused report, OIG Inspection of Veterans Health Administration’s COVID-19 Screening and Pandemic Readiness. In that report, the OIG evaluated how the Veterans Health Administration (VHA) was preparing facilities to meet anticipated rising demands. This report outlines VHA’s continued response to the pandemic and provides VHA leaders’ descriptions of the evolving challenges they faced in caring for veterans and potentially nonveteran patients as well. The OIG engaged leaders from 70 selected facilities in...