Veteran Oversight Now

Apr 26 2024 1
Veteran Oversight Now Podcast artwork

Veteran Oversight Now is an official podcast of the Department of Veteran Affairs, Office of Inspector General. Each episode features interviews with key stakeholders, discussions on high-impact reports, and highlights of recent oversight work. Listen regularly for the inside story on how the VA OIG investigates crimes and wrongdoings, audits programs that provide benefits and services to veterans, and inspects medical facilities to ensure our nation’s veterans receive safe and timely health care.

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Veteran Dies Following Delay in “Code Blue” Alert at Memphis VA Medical Center

Apr 26 2024 27 mins  
In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses a telemetry technician’s failure to follow a series of communications within the time frame established in the facility’s cardiac telemetry monitoring policy delayed initiating a code blue alert, ending with the patient’s death. This edition also includes highlights of th

Chronic Leadership Failures Plague Cardiology Department at Indiana VAMC

Mar 28 2024 26 mins  
In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses how multiple OIG reports detail chronic leadership failures at the Indianapolis, Indiana VA medical center. This edition also includes highlights of the VA OIG’s work from February 2024. “It overall affects the care that the patients receive. Some of the care just wasn’t

Unpaid Postage Bill Delays Critical Cancer Screenings

Feb 22 2024 30 mins  
In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses delays in the receipt of patients’ colorectal cancer screening tests due to an unpaid postage bill by the Phoenix VA Health Care System in Arizona. This edition also includes highlights of the VA OIG’s work from January 2024. “The VISN actually led a stand-down at the fa

IG Missal Reflects on Inspector General 45th Anniversary and Latest Semiannual Report to Congress

Nov 28 2023 36 mins  
In the latest episode of Veteran Oversight Now, VA Inspector General Michael J. Missal shares his thoughts on changes to federal oversight since the passage of the Inspector General Act in 1978, which established 12 presidentially appointed IGs in federal departments with a mission to provide independent oversight. The VA OIG was one of the original 12. He also discusses the VA OIG

Lessons Learned after Patient Death following a Fall in a Las Vegas VA Outpatient Clinic

Sep 26 2023 31 mins  
In this latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses the lessons learned in the care of a veteran who died after a fall in a VA outpatient clinic, part of the Southern Nevada Healthcare System in Las Vegas. This edition also includes highlights of the VA OIG’s work from August 2023. “Since [the incident] happened, the facil

“I don’t want to die.” Veteran Left Alone in VA Emergency Department Dies from Suicide

Aug 24 2023 48 mins  
In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses deficiencies in the quality of emergency department care for a veteran who died by suicide at the John Cochran Division of the VA St. Louis Healthcare System in Missouri. This edition also includes highlights of the VA OIG’s work from July 2023.“Approximately 10 minutes lat

Veteran Suicide at Outpatient Clinic in South Carolina Highlights Tragic Missteps in Patient Care

Jul 26 2023 47 mins  
In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses missteps in the care of a veteran who eventually committed suicide on the grounds of the Aiken Community Based Outpatient Clinic, part of the Charlie Norwood VA Medical Center in Augusta, Georgia. This edition also includes highlights of the VA OIG’s work from June 2023. “

Oversight, Employee Participation Critical to Patient Safety Programs Says Healthcare Hotline Director

Jun 15 2023 38 mins  
In the latest episode of Veteran Oversight Now, a VA OIG healthcare inspection hotline director discusses how she and her team triage healthcare-related hotline inquiries. She shares how concerns over the management of a patient safety program led to an inspection and subsequent report at the Tuscaloosa VA Medical Center in Alabama. This edition also includes highlights of the VA O

IG Michael J. Missal Discusses VA OIG's 89th Semiannual Report to Congress

May 24 2023 25 mins  
IG Michael J. Missal discusses the VA OIG's 89th Semiannual Report to Congress covering the reporting period of October 1, 2022, to March 31, 2023. Plus oversight highlights from the VA OIG's work in March and April of 2023. For this six-month period, the VA OIG identified more than $401 million in monetary impact for a return on investment of $4 for every dollar spent on oversight

Proactive Oversight: Senior Leader Shares How the VA OIG is Changing Some Healthcare Inspections

Mar 23 2023 21 mins  
In this episode, host Fred Baker talks with Dr. Julie Kroviak, the principal deputy assistant inspector general of the VA OIG’s Office of Healthcare Inspections, about changes to how cyclical healthcare reviews are conducted. Dr. Kroviak explains how her teams are reworking the Comprehensive Healthcare Inspection Program cyclical reports to provide more information on the veteran