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Navy, Department of Defense, Executive (1 - 10 of 15 items)
Federal Health Care Center: VA and DOD Need to Develop Better Information to Monitor Operations and Improve Efficiency
GAO-17-197: Published: Jan 23, 2017. Publicly Released: Jan 23, 2017.
The Department of Veterans Affairs (VA) and the Department of Defense's (DOD) evaluation to determine whether the Captain James A. Lovell Federal Health Care Center (FHCC) should continue operating as an integrated facility or revert to a “joint venture” included conducting both separate and joint reviews. As an integrated facility, the FHCC has a unified governance structure, workforce, and b...
Federal Health Care Center: VA and DOD Need to Address Ongoing Difficulties and Better Prepare for Future Integrations
GAO-16-280: Published: Feb 29, 2016. Publicly Released: Feb 29, 2016.
The governance structure for the Captain James A. Lovell Federal Health Care Center (FHCC) demonstration—which includes leadership officials within the Departments of Veterans Affairs (VA) and Defense (DOD)—helped resolve collaboration problems with local leadership, but limitations with the FHCC's leadership selection and evaluation processes may impede future collaboration. For example, VA a...
Recovering Servicemembers and Veterans: Sustained Leadership Attention and Systematic Oversight Needed to Resolve Persistent Problems Affecting Care and Benefits
GAO-13-5: Published: Nov 16, 2012. Publicly Released: Nov 16, 2012.
Deficiencies exposed at Walter Reed Army Medical Center in 2007 served as a catalyst compelling the Departments of Defense (DOD) and Veterans Affairs (VA) to address a host of problems for wounded, ill, and injured servicemembers and veterans as they navigate through the recovery care continuum. This continuum extends from acute medical treatment and stabilization, through rehabilitation to reinte...
Military Disability System: Preliminary Observations on Efforts to Improve Performance
GAO-12-718T: Published: May 23, 2012. Publicly Released: May 23, 2012.
Case processing times under the Integrated Disability Evaluation System (IDES) process have increased over time, and measures of servicemember satisfaction have shortcomings. Each year, average processing time for IDES cases has climbed, reaching 394 and 420 days for active and reserve component members in fiscal year 2011well over established goals of 295 and 305 days, respectively. Also in...
Medicare: Lack of Price Transparency May Hamper Hospitals' Ability to Be Prudent Purchasers of Implantable Medical Devices
GAO-12-126: Published: Jan 13, 2012. Publicly Released: Feb 3, 2012.
From 2004 through 2009, expenditures for hospital IMD procedures increased from $16.1 billion to $19.8 billion, an increase of 4.3 percent per yeara rate equal to that of Medicare spending for other hospital procedures. While cardiac and orthopedic procedures accounted for nearly all IMD-related expenditures, orthopedic procedures accounted for most of the increase in such expenditures durin...
Electronic Health Records: DOD and VA Interoperability Efforts Are Ongoing; Program Office Needs to Implement Recommended Improvements
GAO-10-332: Published: Jan 28, 2010. Publicly Released: Jan 28, 2010.
The National Defense Authorization Act for Fiscal Year 2008 required the Department of Defense (DOD) and the Department of Veterans Affairs (VA) to accelerate their exchange of health information and to develop capabilities that allow for interoperability (generally, the ability of systems to exchange data) by September 30, 2009. It also required compliance with federal standards and the establish...
Military and Veterans' Benefits: Analysis of VA Compensation Levels for Survivors of Veterans and Servicemembers
GAO-10-62: Published: Nov 13, 2009. Publicly Released: Nov 13, 2009.
The Dependency and Indemnity Compensation (DIC) program provides monthly payments to the survivors of those who died as a result of a service-connected disability or while on active duty in the military. In fiscal year 2008, the Department of Veterans Affairs (VA) paid over $4.7 billion to about 354,000 survivors, replacing a portion of income lost with the death of the veteran or servicemember. T...
Veterans' Health Care: Service Delivery for Veterans on Guam and the Commonwealth of the Northern Mariana Islands
HEHS-99-14: Published: Nov 4, 1998. Publicly Released: Nov 19, 1998.
Pursuant to a congressional request, GAO reviewed the need for establishing a Department of Veterans Affairs (VA) inpatient facility on Guam, focusing on: (1) how VA currently meets Guam and the Commonwealth of the Northern Mariana Islands (CNMI) veterans' health care needs; (2) veterans' possible future demand for health care and VA's ability to meet this demand; and (3) the cost to establish a v...
Blue-Collar Workers: Appraisal Systems Are in Place, But Basic Refinements Are Needed
GGD-87-72: Published: Jun 18, 1987. Publicly Released: Jun 18, 1987.
GAO evaluated how the Air Force, the Army, the Navy, and the Veterans Administration (VA) have implemented performance appraisal systems for federal wage system, or blue-collar, employees.GAO reviewed 84 performance plans applicable to 5,843 employees and found that 54 contained standards that were not clear, did not distinguish among all levels of performance, or were based on uncontrollable exte...