Veterans affairs (31 - 40 of 76 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: 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...
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...
VA Health Care: Reported Outpatient Medical Appointment Wait Times Are Unreliable
GAO-13-363T: Published: Feb 13, 2013. Publicly Released: Feb 13, 2013.
In brief, GAO found that (1) VHA's reported outpatient medical appointment wait times are unreliable, (2) there was inconsistent implementation of certain elements of VHA's scheduling policy that could result in increased wait times or delays in scheduling timely medical appointments, and (3) VHA is implementing or piloting a number of initiatives to improve veterans' access to medical appointment...
VA Health Care: Reliability of Reported Outpatient Medical Appointment Wait Times and Scheduling Oversight Need Improvement
GAO-13-130: Published: Dec 21, 2012. Publicly Released: Jan 18, 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 appointments--referred to as medical appointments--are 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 the pat...
VA and DOD Health Care: Department-Level Actions Needed to Assess Collaboration Performance, Address Barriers, and Identify Opportunities
GAO-12-992: Published: Sep 28, 2012. Publicly Released: Sep 28, 2012.
The Department of Veterans Affairs (VA) and Department of Defense (DOD) do not require that all collaboration sites--locations where the two departments share health care resources through hundreds of agreements and projects--develop and use performance measures to assess their effectiveness and efficiency. Officials cited several reasons for this, including not wanting to overburden sites with me...
Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events
GAO-12-827R: Published: Aug 24, 2012. Publicly Released: Aug 24, 2012.
Through its policy and guidance, VHA has outlined processes that enable VAMCs to respond to reported adverse events that occur. VHA generally grants individual VAMCs discretion on choosing which process to use. Specifically, VAMCs conduct an initial review to determine how best to respond to an adverse event. According to VHA officials, if the circumstances that led to an adverse event are clear,...
Veterans Paralympics Program: Improved Reporting Needed to Ensure Grant Accountability
GAO-12-703: Published: Jul 26, 2012. Publicly Released: Jul 26, 2012.
The Department of Veterans Affairs (VA) and the U.S. Olympic Committee (USOC) primarily awarded program funds through subgrants to 65 national and community organizations that support adaptive sports opportunities. However, their respective program expenditure reporting was not consistent with federal internal control standards, making it difficult to know fully how program funds were spent. VA...
VA/DOD Federal Health Care Center: Costly Information Technology Delays Continue and Evaluation Plan Lacking
GAO-12-669: Published: Jun 26, 2012. Publicly Released: Jun 26, 2012.
Officials at the Department of Veterans Affairs (VA) and Department of Defense (DOD) Captain James A. Lovell Federal Health Care Center (FHCC) have continued to make progress implementing provisions of the Executive Agreements 12 integration areas, but delays in the information technology (IT) area have proven costly. Specifically, for 6 integration areas, all provisions have been implemente...
VA Health Care: Estimates of Available Budget Resources Compared with Actual Amounts
GAO-12-383R: Published: Mar 30, 2012. Publicly Released: Mar 30, 2012.
VA estimates the amount of collections and reimbursements it expects to receive each year by using a projection model and other methods. These estimates have varied when compared with actual amounts for various reasons. VA used a projection model to estimate its collections for fiscal years 2005 through 2012 based on data reflecting the amount of health careknown as workloadVA has prov...