Healthcare Facility Inspection of the William S. Middleton Memorial Veterans Hospital and Clinics in Madison, Wisconsin

VA Office of Inspector General · Report 25-00254-277 · September 30, 2026 · Office of Healthcare Inspections

What the OIG found

The OIG conducted a focused inspection of the William S. Middleton Memorial Veterans Hospital and Clinics in Madison, Wisconsin, across culture, environment of care, patient safety, integrated veteran care, and the veteran-centered safety net. The identified weakness fell under patient safety and concerned how test results are communicated. The OIG made two recommendations: update the facility’s test-result communication policy so it aligns with VHA Directive 1088(1), and develop service-level workflows that spell out staff roles in communicating test results to providers and patients.

Who it concerns

William S. Middleton Memorial Veterans Hospital and Clinics in Madison, Wisconsin

Why it matters to a family

Families often wait alongside a veteran for test results that drive the next decision about care; this report is about whether the facility has a clear, written process for getting those results to the veteran and their providers without delay.

The official report

The OIG’s report page · Full report (PDF)

Summary ours; the report is the OIG’s. Read it at vaoig.gov →