Veterans hospitals (21 - 30 of 209 items)
VA Surgical Implants: Purchase Requirements Were Not Always Followed at Selected Medical Centers and Oversight Needs Improvement
GAO-14-146: Published: Jan 13, 2014. Publicly Released: Jan 13, 2014.
Clinicians at the four Department of Veterans Affairs Medical Centers (VAMC) GAO visited said that patient need and their clinical expertise were the main factors influencing their decisions of which surgical implants to use. Also, clinicians in certain specialties said they typically used one of the implants available on VA-negotiated national committed-use contracts, which generally establish a...
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...
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...
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...
Veterans' Health Care Budget: Better Labeling of Services and More Detailed Information Could Improve the Congressional Budget Justification
GAO-12-908: Published: Sep 18, 2012. Publicly Released: Sep 18, 2012.
The Department of Veterans Affairs (VA) creates its budget request through its Enrollee Health Care Projection Model (EHCPM) using data from systems designed for the former single-account structure. These systems do not explicitly consider the three appropriations accounts: Medical Services, Medical Support and Compliance, and Medical Facilities. According to Veterans Health Administration (VHA) o...
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...
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans' Care, but Should Take Action to Ensure That These Data Are Complete
GAO-12-6R: Published: Oct 28, 2011. Publicly Released: Oct 28, 2011.
The Department of Veterans Affairs (VA) operates one of the largest health care delivery systems in the nation--providing health care services to more than 5 million veterans each year in over 1,000 facilities. These health care services are delivered by physicians, nurses, and other types of practitioners and range from routine examinations to complex surgical procedures. As in any health care se...