Health services administration (1 - 10 of 89 items)
VA Mental Health: Action Needed to Improve Access Policies and Wait-Time Data
GAO-16-170T: Published: Oct 28, 2015. Publicly Released: Oct 28, 2015.
The way in which the Department of Veterans Affairs’ (VA) Veterans Health Administration (VHA) calculates veteran mental health wait times may not always reflect the overall amount of time a veteran waits for care. VHA uses a veteran’s preferred date (determined when an appointment is scheduled) to calculate the wait time for that patient’s full mental health evaluation, the primary entry po...
VA Health Care: Actions Needed to Ensure Adequate and Qualified Nurse Staffing
GAO-15-61: Published: Oct 16, 2014. Publicly Released: Nov 17, 2014.
The seven Department of Veterans Affairs medical centers (VAMC) in GAO's review implemented the Veterans Health Administration's (VHA) nurse staffing methodology, experienced problems developing and executing the related nurse staffing plans, and some reported improvements in nurse staffing. Specifically, GAO found that each of the seven VAMCs had developed a facility-wide staffing plan—which ou...
VA Health Care: Management and Oversight of Consult Process Need Improvement to Help Ensure Veterans Receive Timely Outpatient Specialty Care
GAO-14-808: Published: Sep 30, 2014. Publicly Released: Oct 30, 2014.
Based on its review of a non-generalizable sample of 150 consults requested from April 2013 through September 2013, GAO found that the Department of Veterans Affairs' (VA) Veterans Health Administration's (VHA) management of the consult process has not ensured that veterans always receive outpatient specialty care in a timely manner, if at all. Specifically, GAO found that for 122 of the 150 consu...
VA Health Care: VA Lacks Accurate Information about Outpatient Medical Appointment Wait Times, Including Specialty Care Consults
GAO-14-620T: Published: May 15, 2014. Publicly Released: May 15, 2014.
As GAO previously reported in its testimony on April 9, 2014, its preliminary work examining the Department of Veterans Affairs' (VA), Veterans Health Administration's (VHA) management of outpatient specialty care consults identified examples of delays in veterans receiving outpatient specialty care, as well as limitations in the implementation of new consult business rules designed to standardize...
VA Health Care: Ongoing and Past Work Identified Access Problems That May Delay Needed Medical Care for Veterans
GAO-14-509T: Published: Apr 9, 2014. Publicly Released: Apr 9, 2014.
GAO's ongoing work examining VHA's management of outpatient specialty care consults identified examples of delays in veterans receiving outpatient specialty care, as well as limitations in the Department of Veterans Affairs' (VA), Veterans Health Administration's (VHA) implementation of new consult business rules designed to standardize aspects of the clinical consult process. For example, for 4 o...
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: 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...
Veterans Health Care: Monitoring Is Needed to Determine the Accuracy of Veteran Copayment Charges
GAO-11-795: Published: Aug 29, 2011. Publicly Released: Sep 28, 2011.
In fiscal year 2010, the Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) billed veterans millions of medical copayment charges totaling more than $1 billon. Witnesses at a 2009 Subcommittee on Health, House Committee on Veterans' Affairs, hearing raised concerns about inappropriate copayment charges, including some associated with veterans' service-connected conditions. A...
VA Long-Term Care: The Availability of Noninstitutional Services Is Uneven
GAO-02-652T: Published: Apr 25, 2002. Publicly Released: Apr 25, 2002.
Noninstitutional long-term care services are delivered by the Department of Veterans Affairs (VA) to veterans in their own homes and other community locations. The Veterans Millennium Health Care and Benefits Act requires VA to offer long-term care services to eligible veterans, including services provided in noninstitutional settings. More than two years after the act's passage, VA has yet to off...