Reports
Search reports, investigative results, and agency plansShowing 1 - 10 of 82 results
Department of Veterans Affairs OIG
Comprehensive Healthcare Inspection Summary Report: Evaluation of Breast Cancer Surveillance in Veterans Health Administration Facilities
This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report evaluates notification and surveillance for patients with mammogram results requiring action during the COVID-19 pandemic. The inspections involved interviews with key staff and evaluations of clinical processes. The OIG reviewed providers’ notification of mammogram results requiring action to patients within VHA’s defined time frame and patients’ completion of the recommended actions. The OIG issued no recommendations for improvement.
Pandemic Response Accountability Committee
Key Insights: Contracts and Grants Workforce Response to the COVID-19 Pandemic
During the pandemic, the contracts and grants workforce played a critical role in providing support to taxpayers, local governments, and other recipients through pandemic relief programs. The CARES Act directed the PRAC to review the sufficiency of contract and grant staffing and other resources from agencies across the federal government to determine if they had the resources necessary to adequately perform their duties. The PRAC conducted a survey of 29 agencies, and each provided their experiences on the impact the pandemic had on their agency’s ability to effectively perform their work...
Department of Veterans Affairs OIG
Review of Personnel Shortages in Federal Health Care Programs During the COVID-19 Pandemic
The COVID-19 pandemic put an unprecedented strain on the nation’s federal healthcare systems. The Pandemic Response Accountability Committee (PRAC) Health Care Subgroup surveyed more than 300 facilities across four federal healthcare programs to determine if the facilities had sufficient medical staff during the pandemic. The VA Office of Inspector General (OIG) reviewed staffing at Veterans Health Administration facilities, the Department of Justice OIG reviewed Federal Bureau of Prisons facilities, the Department of Defense OIG reviewed medical treatment facilities, and the Health and Human...
Pandemic Response Accountability Committee
Review of Personnel Shortages in Federal Health Care Programs During the COVID-19 Pandemic
While personnel shortages existed in the health care community before the pandemic, the pandemic exacerbated these shortages. Maintaining an appropriate level of personnel in health care facilities is essential to providing a safe work environment for health care personnel and safe care to patients. The Pandemic Response Accountability Committee’s (PRAC) Health Care Subgroup developed this report to share insights into personnel shortages across four select federal health care programs, or the providers they reimburse. Together, these four programs provide health care services to approximately...
Department of Veterans Affairs OIG
Audie L. Murphy Memorial Veterans’ Hospital Missed Opportunities to Distribute Excess Ventilators during the COVID-19 Pandemic
The COVID-19 pandemic caused a surge in demand for ventilators and provoked concerns about potential supply shortages across VA medical facilities. During the course of a previous broader review, the VA Office of Inspector General (OIG) uncovered a potential issue with the number of ventilators procured and stored at the Audie L. Murphy Memorial Veterans’ Hospital in San Antonio, Texas, and sought to determine whether they had been properly requested, acquired, received, and accounted for. The OIG found the facility acquired more ventilators from March 1, 2020, through November 30, 2021, than...
Special Inspector General for Pandemic Recovery
Independent Review of 4003(b) Loan Recipient’s Validation Memo – Eastern Airlines, LLC
Independent Review of 4003(b) Loan Recipient’s Validation Memo – Eastern Airlines, LLC
Special Inspector General for Pandemic Recovery
Independent Review of 4003(b) Loan Recipient’s Validation Memo – Timco Engine Center, Inc.
Independent Review of 4003(b) Loan Recipient’s Validation Memo – Timco Engine Center, Inc.
Special Inspector General for Pandemic Recovery
Independent Review of 4003(b) Loan Recipient’s Validation Memo – Timco Engine Center, Inc.
Independent Review of 4003(b) Loan Recipient’s Validation Memo – Timco Engine Center, Inc.
Special Inspector General for Pandemic Recovery
Independent Review of 4003(b) Loan Recipient’s Validation Memo – Ovation Travel Group, Inc.
Independent Review of 4003(b) Loan Recipient’s Validation Memo – Ovation Travel Group, Inc.