Internal controls (1 - 10 of 26 items)
Veterans Health Care: Improvements Needed in Operationalizing Strategic Goals and Objectives
GAO-17-50: Published: Oct 21, 2016. Publicly Released: Nov 21, 2016.
The Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) uses a multi-step strategic planning process to develop its strategic goals and objectives, which includes two key steps—(1) identifying and assessing factors that may affect health care delivery, which is referred to as environmental scanning, and (2) holding the annual National Leadership Council (NLC) Strategic Plan...
VA Health Care: Improvements Needed for Management and Oversight of Sole-Source Affiliate Contract Development
GAO-16-721T: Published: Jun 7, 2016. Publicly Released: Jun 7, 2016.
GAO found it took nearly 3 years on average to develop and award 11 selected high- value, long-term sole-source affiliate contracts (SSAC) from three of the five Department of Veterans Affairs (VA) medical centers (VAMC) GAO visited. The two remaining VAMCs GAO visited did not use high-value, long-term SSACs. High-value, long-term SSACs generally require the most oversight of all SSACs by the Vete...
VA Benefits: Outcome Measures and More Outreach Would Enhance the Post-9/11 On-the-Job Training and Apprenticeship Programs
GAO-16-215T: Published: Nov 18, 2015. Publicly Released: Nov 18, 2015.
In 2011, Post-9/11 GI Bill benefits—initially available only for higher education—were expanded to cover on-the-job training (OJT) and apprenticeship programs. Veterans surveyed and interviewed by GAO for its November 2015 report said the Post-9/11 OJT and apprenticeship programs helped them transition to civilian life. In addition, employers and apprenticeship sponsors who responded to GAO’...
VA Benefits: Increasing Outreach and Measuring Outcomes Would Improve the Post-9/11 GI Bill On-the-Job Training and Apprenticeship Programs
GAO-16-51: Published: Nov 12, 2015. Publicly Released: Nov 12, 2015.
Veterans surveyed and interviewed by GAO said the on-the-job training (OJT) and apprenticeship programs offered under the Post-9/11 GI Bill—the largest education benefit program overseen by the Department of Veterans Affairs (VA)—have helped them transition to civilian life, though program data show relatively few veterans have participated. Post-9/11 GI Bill benefits were initially available...
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...
VA Surgical Implants: Shortcomings in Implant Purchasing and Tracking
GAO-14-271T: Published: Jan 15, 2014. Publicly Released: Jan 15, 2014.
GAO's work at four VAMCs found that these VAMCs did not always follow VHA requirements for documenting open-market purchases of surgical implants. Specifically:None of the four VAMCs fully complied with VHA requirements for obtaining waivers required for open-market purchases of surgical implants because they were focusing on other priorities or lacked awareness of the requirements, among other fa...
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...
VA and IHS: Further Action Needed to Collaborate on Providing Health Care to Native American Veterans
GAO-13-354: Published: Apr 26, 2013. Publicly Released: Apr 26, 2013.
The Department of Veterans Affairs (VA) and the Indian Health Service (IHS) have developed mechanisms to implement and monitor their memorandum of understanding (MOU); however, the performance metrics developed to assess its implementation do not adequately measure progress made toward its goals. VA and IHS have defined common goals for implementing the MOU and developed strategies to achieve them...
Veterans' Disability Benefits: VA Has Improved Its Programs for Measuring Accuracy and Consistency, but Challenges Remain
GAO-10-530T: Published: Mar 24, 2010. Publicly Released: Mar 24, 2010.
For years, in addition to experiencing challenges in making disability claims decisions more quickly and reducing its claims backlog, the Department of Veterans Affairs (VA) has faced challenges in improving the accuracy and consistency of its decisions. GAO was asked to discuss issues surrounding VA's Systematic Technical Accuracy Review (STAR) program, a disability compensation and pension quali...
VA Health Care: Improved Oversight and Compliance Needed for Physician Credentialing and Privileging Processes
GAO-10-26: Published: Jan 6, 2010. Publicly Released: Jan 6, 2010.
VA has policies to ensure that physicians have appropriate qualifications and clinical abilities through the processes of credentialing, privileging, and continuous monitoring of performance. Results of a VA investigatory report in 2008 cited deficiencies in the Marion, Illinois, VA medical center's (VAMC) credentialing and privileging processes and oversight of its surgical program. This report e...