Veterans (51 - 60 of 282 items)
VA Health Care: Challenges in Budget Formulation and Execution
GAO-09-459T: Published: Mar 12, 2009. Publicly Released: Mar 12, 2009.
The Department of Veterans Affairs (VA) estimates it will provide health care to 5.8 million patients with appropriations of $41.2 billion in fiscal year 2009. The President has proposed an increase in VA's health care budget for fiscal year 2010 to expand services for veterans. VA's patient population includes aging veterans who need services such as long-term care-- including nursing home and no...
VA Health Care: Long-Term Care Strategic Planning and Budgeting Need Improvement
GAO-09-145: Published: Jan 23, 2009. Publicly Released: Jan 23, 2009.
In fiscal year 2007, the Department of Veterans Affairs (VA) spent about $4.1 billion on long-term care for veterans. VA provides--through VA or other providers--institutional care in nursing homes and noninstitutional care in veterans' homes or the community. In response to a statute, VA published in 2007 a long-term care strategic plan through fiscal year 2013. VA includes long-term care spendin...
Veterans Health Administration: Improvements Needed in Design of Controls over Miscellaneous Obligations
GAO-08-1056T: Published: Jul 31, 2008. Publicly Released: Jul 31, 2008.
The Veterans Health Administration (VHA) has been using miscellaneous obligations for over 60 years to record estimates of obligations to be incurred at a later time. The large percentage of procurements recorded as miscellaneous obligations in fiscal year 2007 raised questions about whether proper controls were in place over the authorization and use of billions of dollars. GAO's testimony provid...
VA Health Care: Facilities Have Taken Action to Provide Language Access Services and Culturally Appropriate Care to a Diverse Veteran Population
GAO-08-535: Published: May 28, 2008. Publicly Released: May 28, 2008.
The Department of Veterans Affairs (VA) faces challenges in bridging language and cultural barriers as it seeks to provide quality health care services to an increasingly diverse veteran population in terms of race, ethnicity, sex, and age. To meet the needs of veterans with limited English proficiency (LEP), VA issued an LEP Directive that provides guidance for medical centers in assessing langua...
VA Health Care: Recruitment and Retention Challenges and Efforts to Make Salaries Competitive for Nurse Anesthetists
GAO-08-647T: Published: Apr 9, 2008. Publicly Released: Apr 9, 2008.
Certified registered nurse anesthetists (CRNA), registered nurses who have completed a master's degree program in nurse anesthesia, provide the majority of anesthesia care in the Department of Veterans Affairs (VA) medical facilities. There are approximately 500 VA-employed CRNAs (VA CRNA) who provide care to veterans in VA medical facilities. While the demand for CRNAs has increased, many employe...
VA Health Care: Additional Efforts to Better Assess Joint Ventures Needed
GAO-08-399: Published: Mar 28, 2008. Publicly Released: Mar 28, 2008.
The Department of Veterans Affairs (VA) and the Department of Defense (DOD) have a long history of partnering to achieve more cost-effective use of health care resources. Their partnerships have evolved to include joint ventures--joint efforts to construct or share medical facilities. VA has maintained eight joint ventures with DOD across the country. VA has also developed partnerships, or affilia...
VA Health Care: Many Medical Facilities Have Challenges in Recruiting and Retaining Nurse Anesthetists
GAO-08-56: Published: Dec 13, 2007. Publicly Released: Dec 13, 2007.
Certified registered nurse anesthetists (CRNA), registered nurses who have completed a master's degree program in nurse anesthesia, provide the majority of anesthesia care veterans receive in VA medical facilities. While the demand for CRNAs is anticipated to increase, many CRNAs employed by VA--VA CRNAs--are nearing retirement eligibility age. Concerns have been raised about the challenges VA may...
VA Health Care: Status of Inspector General Recommendations for Health Care Services Contracting
GAO-08-61R: Published: Oct 31, 2007. Publicly Released: Oct 31, 2007.
The Department of Veterans Affairs (VA) operates one of the largest health care systems in the nation. For fiscal year 2007, VA estimates that it will provide health care to more than 5 million veterans, either in its own facilities or through other health care providers. During the past decade, the numbers of VA patients and the costs for treating them have increased rapidly, due in part to an ex...
Veterans Affairs: Inadequate Controls over IT Equipment at Selected VA Locations Pose Continuing Risk of Theft, Loss, and Misappropriation
GAO-07-505: Published: Jul 16, 2007. Publicly Released: Jul 24, 2007.
In July 2004, GAO reported that the six Department of Veterans Affairs (VA) medical centers it audited lacked a reliable property control database and had problems with implementation of VA inventory policies and procedures. Fewer than half the items GAO selected for testing could be located. Most of the missing items were information technology (IT ) equipment. Given recent thefts of laptops and...
VA Health Care: VA Should Better Monitor Implementation and Impact of Capital Asset Alignment Decisions
GAO-07-408: Published: Mar 21, 2007. Publicly Released: Mar 21, 2007.
Through its Veterans Health Administration (VHA), the Department of Veterans Affairs (VA) operates one of the largest health care systems in the country. In 1999, GAO reported that better management of VA's large inventory of aged capital assets could result in savings that could be used to enhance health care services for veterans. In response, VA initiated a process known as Capital Asset Realig...