Veterans (51 - 60 of 446 items)
VA Nursing Homes: Reporting More Complete Data on Workload and Expenditures Could Enhance Oversight
GAO-14-89: Published: Dec 20, 2013. Publicly Released: Dec 20, 2013.
In fiscal year 2012, the Department of Veterans Affairs' (VA) nursing home workload--the average number of veterans receiving nursing home care per day--was 36,250 across all of the three nursing home settings in which VA provided or paid for veterans' nursing home care. The three settings include Community Living Centers (CLCs), which are VA-owned and operated; community nursing homes with which...
VA Health Care: Additional Guidance, Training, and Oversight Needed to Improve Clinical Contract Monitoring
GAO-14-54: Published: Oct 31, 2013. Publicly Released: Oct 31, 2013.
All 12 contracts GAO reviewed from the four Department of Veterans Affairs' (VA) medical centers (VAMC) visited contained performance requirements consistent with VA acquisition policy. However, the performance requirements lacked detail in six categories: type of provider or care; credentialing and privileging; clinical practice standards; medical record documentation; business processes; and acc...
VA Health Care: Actions Needed to Improve Administration of the Provider Performance Pay and Award Systems
GAO-13-536: Published: Jul 24, 2013. Publicly Released: Aug 23, 2013.
The Department of Veterans Affairs' (VA) performance pay policy has gaps in information needed to appropriately administer this type of pay. The performance pay policy gives VA's 152 medical centers and 21 networks discretion in setting the goals providers must achieve to receive this pay, but does not specify an overarching purpose the goals are to support. VA officials responsible for writing th...
Veterans' Health Care Budget: Improvements Made, but Additional Actions Needed to Address Problems Related to Estimates Supporting President's Request
GAO-13-715: Published: Aug 8, 2013. Publicly Released: Aug 8, 2013.
The Department of Veterans Affairs (VA) expanded the use of the Enrollee Health Care Projection Model (EHCPM) in developing the agencys health care budget estimate that supported the Presidents fiscal year 2014 budget request. VA expanded the use of the EHCPM by using, for the first time, the models estimate for the amount of care providedworkloadto develop estimates...
VA Health Care: Additional Steps Needed to Strengthen Beneficiary Travel Program Management and Oversight
GAO-13-632: Published: Jul 15, 2013. Publicly Released: Jul 15, 2013.
The Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) has developed efforts to improve the Beneficiary Travel Program, but lack of internal controls may impede their effectiveness. Specifically, VHA has developed multiple efforts to improve the management and oversight of its process for reimbursing veterans' travel expenses for medical appointments, as well as the timeline...
VA Health Care: Management and Oversight of Fee Basis Care Need Improvement
GAO-13-441: Published: May 31, 2013. Publicly Released: May 31, 2013.
The Department of Veterans Affairs' (VA) fee basis care spending increased from about $3.04 billion in fiscal year 2008 to about $4.48 billion in fiscal year 2012. The slight decrease in fiscal year 2012 spending from the fiscal year 2011 level was due to VA's adoption of Medicare rates as its primary payment method for fee basis providers. VA's fee basis care utilization also increased from about...
Prescription Drugs: Comparison of DOD and VA Direct Purchase Prices
GAO-13-358: Published: Apr 19, 2013. Publicly Released: May 20, 2013.
When GAO compared prices paid by the Department of Defense (DOD) and the Department of Veterans Affairs (VA) for a sample of 83 drugs purchased in the first calendar quarter of 2012, DOD's average unit price for the entire sample was 31.8 percent ($0.11 per unit) higher than VA's average price, and DOD's average unit price for the subset of 40 generic drugs was 66.6 percent ($0.04 per unit) higher...
VA Construction: Additional Actions Needed to Decrease Delays and Lower Costs of Major Medical-Facility Projects
GAO-13-556T: Published: May 7, 2013. Publicly Released: May 7, 2013.
In summary, GAO recognizes that some cost increases and schedule delays result from factors beyond VA's control; however, GAO's review of VA's largest projects indicated weaknesses in VA's construction management processes also contributed to cost increases and schedule delays. Given that VA is currently involved in 50 major medical-facility construction projects, including four large medical cent...
Veterans Health Care: VHA Has Taken Steps to Address Deficiencies in Its Logistics Program, but Significant Concerns Remain
GAO-13-336: Published: Apr 17, 2013. Publicly Released: Apr 17, 2013.
To address deficiencies in its logistics program, the Veterans Health Administration (VHA) issued new requirements in 2011 regarding the management of medical supplies and equipment in Veterans Affairs medical centers (VAMC) inventories, the standardization of these items, and the monitoring of VAMCs logistics programs. These requirements, some of which apply to VAMCs and some of which...
VA Health Care: Appointment Scheduling Oversight and Wait Time Measures Need Improvement
GAO-13-372T: Published: Mar 14, 2013. Publicly Released: Mar 14, 2013.
Outpatient medical appointment wait times reported by the Veterans Health Administration (VHA), within the Department of Veterans Affairs (VA), are unreliable. Wait times for outpatient medical appointmentsreferred to as medical appointmentsare calculated as the number of days elapsed from the desired date, which is defined as the date on which the patient or health care provider wants...