Veterans affairs (1 - 10 of 158 items)
VA Disability Benefits: Additional Planning Would Enhance Efforts to Improve the Timeliness of Appeals Decisions
GAO-17-234: Published: Mar 23, 2017. Publicly Released: Mar 23, 2017.
The Department of Veterans Affairs' (VA) is taking steps to improve the timeliness of its benefit compensation appeals process, in which veterans who are dissatisfied with claims decisions by the Veterans Benefits Administration (VBA) can appeal first to VBA, and then to the Board of Veterans' Appeals (the Board). VA has taken actions related to increasing staff, reforming the process, and updatin...
Veterans Health Administration: Actions Needed to Better Recruit and Retain Clinical and Administrative Staff
GAO-17-475T: Published: Mar 22, 2017. Publicly Released: Mar 22, 2017.
The Veterans Health Administration is facing challenges recruiting and retaining clinical staff, such as physicians and registered nurses. We've found that VHA has high attrition among HR staff and weak internal control processes, which are contributing to its staffing issues. These challenges are making it more difficult for VHA to meet the health care needs of our nation's veterans. We recommen...
VA Construction: Improved Processes Needed to Monitor Contract Modifications, Develop Schedules, and Estimate Costs
GAO-17-70: Published: Mar 7, 2017. Publicly Released: Mar 7, 2017.
The Department of Veterans Affairs (VA) has taken steps to address challenges in managing projects to build medical facilities. In response to statutory requirements and additional congressional direction, VA is outsourcing management of certain such projects to the U.S. Army Corps of Engineers (USACE). As of October 2016, VA had 23 ongoing projects costing $100 million or more. VA and USACE have...
Veterans' Health Care: Preliminary Observations on Veterans' Access to Choice Program Care
GAO-17-397T: Published: Mar 7, 2017. Publicly Released: Mar 7, 2017.
The Choice Program allows veterans to obtain health care services outside the Veterans Health Administration if those services are not available or readily accessible within VHA. We found that--if VHA staff and the Choice Program contractors take the maximum amount of time allowed for appointment scheduling--veterans could potentially wait up to 81 calendar days to attend their first appointments...
Union Activities: VA Should Improve the Way It Tracks the Amount of Official Time Used by Its Employees
GAO-17-412T: Published: Feb 16, 2017. Publicly Released: Feb 16, 2017.
The Department of Veterans Affairs (VA) cannot accurately track the amount of work time employees spend on union representational activities, referred to as official time, agency-wide because it does not have a standardized way for its facilities to record and calculate official time. Specifically:Recording official time—VA uses two separate time and attendance systems that capture official time...
VA Health Care: Actions Needed to Ensure Medical Facility Controlled Substance Inspection Programs Meet Agency Requirements
GAO-17-242: Published: Feb 15, 2017. Publicly Released: Feb 15, 2017.
GAO found weaknesses in the way four selected Department of Veterans Affairs (VA) medical facilities were implementing their controlled substance inspection programs. Two of the four did not conduct monthly inspections of controlled substances as required by the Veterans Health Administration (VHA). For example, one facility missed 43 percent of monthly inspections in critical patient care areas a...
Veterans Affairs Information Technology: Management Attention Needed to Improve Critical System Modernizations, Consolidate Data Centers, and Retire Legacy Systems
GAO-17-408T: Published: Feb 7, 2017. Publicly Released: Feb 7, 2017.
GAO noted in July 2016 that the Department of Veterans Affairs (VA) had moved forward with an effort to modernize its health information system—the Veterans Health Information Systems and Technology Architecture (VistA)—but that the department is uncertain of its long-term plan for addressing its electronic health record system needs beyond fiscal year 2018. Beyond modernizing VistA, GAO repor...
Union Activities: VA Could Better Track the Amount of Official Time Used by Employees
GAO-17-105: Published: Jan 24, 2017. Publicly Released: Feb 3, 2017.
The Department of Veterans Affairs (VA) cannot accurately track the amount of work time employees spend on union representational activities, referred to as official time, agency-wide because it does not have a standardized way for its facilities to record and calculate official time. Specifically:Recording official time —VA uses two separate time and attendance systems that capture official ti...
Federal Health Care Center: VA and DOD Need to Develop Better Information to Monitor Operations and Improve Efficiency
GAO-17-197: Published: Jan 23, 2017. Publicly Released: Jan 23, 2017.
The Department of Veterans Affairs (VA) and the Department of Defense's (DOD) evaluation to determine whether the Captain James A. Lovell Federal Health Care Center (FHCC) should continue operating as an integrated facility or revert to a “joint venture” included conducting both separate and joint reviews. As an integrated facility, the FHCC has a unified governance structure, workforce, and b...
Homeless Veterans: Management Improvements Could Help VA Better Identify Supportive-Housing Projects
GAO-17-101: Published: Dec 21, 2016. Publicly Released: Dec 21, 2016.
As of September 2016, for veterans who were homeless or at risk of homelessness, the Department of Veterans Affairs (VA) had developed 35 enhanced-use leases (EUL) for supportive-housing with low cost rental housing and coordinated access to medical, rehabilitative, mental healthcare, and other services. Each supportive-housing EUL is located on a VA medical center campus. Some lessee representati...