Inspectors General:

Veterans Affairs Special Inquiry Report Was Misleading

T-OSI-98-12: Published: May 14, 1998. Publicly Released: May 14, 1998.

Additional Materials:


Eljay B. Bowron
(202) 512-3000


Office of Public Affairs
(202) 512-4800

Pursuant to a congressional request, GAO discussed the Department of Veterans Affairs (VA) Office of Inspector General's (OIG) Special Inquiry into the alleged cover-up of an unexplained increase in deaths at the Harry S. Truman Memorial Veterans Medical Center, Columbia, Missouri.

GAO noted that: (1) the VA OIG conducted the Special Inquiry as a management review to determine how hospital and VA Central Region management had responded to an out-of-norm situation regarding unexplained deaths; (2) GAO determined that the OIG did not collect or analyze evidence in an manner that would identify intentional cover-up efforts; (3) thus, the Special Inquiry's conclusion that no evidence of an intentional cover-up had been found was not consistent with the inquiry conducted and was misleading; (4) OIG failed to comply with its own reporting policies on completeness and accuracy by presenting statements that were not supported by the evidence contained in OIG files, including reference to a discussion that the Special Inquiry never verified; (5) OIG attributed the nearly 2-year delay in acting on the cover-up allegations received in February 1993 to administrative error; (6) the confidentiality of the staff physician who had made the allegations of a cover-up was breached by OIG on at least three occasions; and (7) current OIG policies and procedures on confidentiality are adequate.

May 11, 2016

Apr 28, 2016

Mar 21, 2016

Feb 10, 2016

Jan 12, 2016

Nov 18, 2015

Nov 12, 2015

Nov 4, 2015

Oct 30, 2015

Oct 28, 2015

Looking for more? Browse all our products here