Inside Oversight

Sep 07 2023 1

Inside Oversight is an official podcast of the Department of Veteran Affairs, Office of Inspector General. Each episode examines in detail some of our more nuanced oversight reporting. To understand the complexities of the topics, we talk with the report authors to gain insight into how the team conducted its work, what it found, and the impact on veterans and the public. Visit the VA OIG website for recently published reports.

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Nurse Consultant Shares Challenges for Veterans with Opioid Use Disorder Transitioning from DoD to VHA

Sep 07 2023 20 mins

In this episode of Inside Oversight, Nicole Maxey, a nurse consultant with the Office of Healthcare Inspections, discusses the VA OIG’s evaluation of the transition of clinical care for service members with opioid use disorder from the Department of Defense to the Veterans Health Administration. Nicole describes deficiencies in documenting patients’ opioid use disorder, as well

Health System Specialist Discusses Inadequate Care at the West Palm Beach VA Facility

Jul 31 2023 9 mins

In this podcast episode of Inside Oversight, Erica Taylor, a health system specialist with the Office of Healthcare Inspections, discusses a healthcare inspection at the West Palm Beach VA Healthcare System in Florida that assessed allegations related to a patient’s cancer care coordination. “Over the years, the OIG has published many reports detailing issues related to appoin

VA OIG Safety Expert Discusses Deficiencies with Patient Safety at the Tuscaloosa VAMC

Jul 05 2023 32 mins

In this episode of Inside Oversight, Amanda Newton, an associate director with the Office of Healthcare Inspections, discusses a report on deficiencies with the Patient Safety Program at the Tuscaloosa VA Medical Center in Alabama. She shares how a lack of resources, supervisory engagement, and failure of facility leaders to act impacted the medical center’s culture of safety. Fi

Intimate Partner Violence Assistance Program Implementation Status and Barriers to Compliance

Mar 21 2023 21 mins

In this episode, Dr. Amber Singh, an associate director with the VA OIG’s mental health team within the Office of Healthcare Inspections, discusses a published report on VHA’s Intimate Partner Violence Assistance Program. Her team conducted a national review of the program to evaluate implementation status and identify perceived barriers to compliance by surveying program coord

VA OIG Healthcare Systems Specialist Discusses New Report on Intensive Community Mental Health Recovery Programs

Feb 06 2023 33 mins

In this episode, Dr. Wanda Hunt, a VA OIG healthcare systems specialist, discusses a recently published report on VHA’s Intensive Community Mental Health Recovery Programs. The report examined the visit frequency for veterans enrolled in these programs between April 2019 and March 2021.

Healthcare Inspector Discusses COVID-19 Outbreak at a Community Living Center in Illinois

Sep 08 2022 28 mins

In this episode, Susan Tostenrude, a director within the Office of Healthcare Inspections, discusses the report, Failure to Mitigate Risk of and Manage a COVID-19 Outbreak at a Community Living Center at VA Illiana Health Care System in Danville, Illinois.

Healthcare Inspectors Discuss Issues Related to a Patient's Quality of Care in Ohio's Chillicothe VAMC

Sep 01 2022 11 mins

In this episode, healthcare inspectors discuss the report Failure to Follow a Consult Process Resulting in Undocumented Patient Care at the Chillicothe VA Medical Center in Ohio.

Inside Oversight

By VA OIG