Internal controls (31 - 40 of 182 items)
VA Health Care: Improvements Needed to the Monitoring of Antidepressant Use for Major Depressive Disorder and the Accuracy of Suicide Data
GAO-15-648T: Published: Jun 10, 2015. Publicly Released: Jun 10, 2015.
Department of Veterans Affairs (VA) policy states that antidepressant treatment must be consistent with VA's current clinical practice guideline (CPG) for major depressive disorder (MDD); however, GAO's recent review of 30 veterans' medical records found that most contained deviations. For example, although the CPG recommends that veterans' depressive symptoms be assessed at 4-6 weeks after initia...
VA Health Care: Actions Needed to Improve Monitoring and Oversight of Non-VA and Contract Care
GAO-15-654T: Published: Jun 1, 2015. Publicly Released: Jun 1, 2015.
GAO's recent work has found significant weaknesses in the Department of Veterans Affairs' (VA) monitoring and oversight of its Non-VA Medical Care Program. Through this program, care is provided to veterans by non-VA providers in non-VA facilities. As GAO reported in May 2013, VA did not collect data on wait times veterans face in obtaining care from non-VA providers. Having data on wait times for...
Land-Use Agreements: Improved Data Reliability and Monitoring Needed for Department of Veterans Affairs
GAO-15-134T: Published: Feb 10, 2015. Publicly Released: Feb 10, 2015.
According to the Department of Veterans Affairs' (VA) Capital Asset Inventory system—the system VA utilizes to record land-use agreements and revenues—VA had hundreds of land-use agreements with tens of millions of dollars in estimated revenues for fiscal year 2012, but GAO's review raised questions about the reliability of those data. For example, one land-use agreement was recorded 37 times,...
Health Care: Information on Coverage Choices for Servicemembers, Former Servicemembers, and Dependents
GAO-15-4: Published: Dec 12, 2014. Publicly Released: Dec 12, 2014.
Servicemembers', former servicemembers', and their dependents' eligibility for health care coverage through the Department of Defense (DOD) and the Department of Veterans Affairs (VA) is primarily based on military status, while eligibility for Medicare, Medicaid, and coverage purchased through an exchange established by the Patient Protection and Affordable Care Act (PPACA) is based on age, incom...
VA Health Care: Improvements Needed to Manage Higher-Than-Expected Demand for the Family Caregiver Program
GAO-15-245T: Published: Dec 3, 2014. Publicly Released: Dec 3, 2014.
The Veterans Health Administration (VHA)--within the Department of Veterans Affairs (VA)--significantly underestimated caregivers' demand for services when it implemented the Program of Comprehensive Assistance for Family Caregivers (Family Caregiver Program). As a result, some VA medical centers (VAMCs) had difficulties managing the larger-than-expected workload, and some caregivers experienced d...
Veterans' Disability Benefits: Improvements Could Further Enhance Quality Assurance Efforts
GAO-15-50: Published: Nov 19, 2014. Publicly Released: Nov 19, 2014.
The Veterans Benefits Administration (VBA)—within the Department of Veterans Affairs—measures and reports the accuracy of its disability compensation claim decisions in two ways: (1) by claim and (2) by disabling condition, though its approach has limitations. When calculating accuracy rates for either measure through its Systematic Technical Accuracy Review (STAR), VBA does not always follow...
Information Security: VA Needs to Address Identified Vulnerabilities
GAO-15-117: Published: Nov 13, 2014. Publicly Released: Nov 17, 2014.
While the Department of Veterans Affairs (VA) has taken actions to mitigate previously identified vulnerabilities, it has not fully addressed these weaknesses. For example, VA took actions to contain and eradicate a significant incident detected in 2012 involving a network intrusion, but these actions were not fully effective:The department's Network and Security Operations Center (NSOC) analyzed...
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...
Managing for Results: Selected Agencies Need to Take Additional Efforts to Improve Customer Service
GAO-15-84: Published: Oct 24, 2014. Publicly Released: Oct 24, 2014.
GAO reviewed the customer service standards at Customs and Border Protection (CBP), Forest Service, Federal Student Aid (FSA), the National Park Service (NPS), and two services in the Veterans Benefits Administration (VBA)—disability compensation and Veterans' Group Life Insurance (VGLI). GAO found that none of the agencies' standards included all of the key elements of customer service standard...