Operational and Planning Improvements Needed in the Veterans Administration 'Domiciliary' Program for the Needy and Disabled
HRD-77-69: Published: Sep 21, 1977. Publicly Released: Sep 21, 1977.
- Full Report:
The Veterans Administration's (VA) domiciliary program provides housing, medical treatment, food, clothing, and related services to needy, disabled veterans. During fiscal year 1976 an average of 9,090 veterans were housed daily in 18 VA domiciliary facilities which, combined, spent about $62 million.
Problems in operating the domiciliaries are caused by insufficient management by the VA central office. There are varying admission procedures and practices among the domiciliaries. Other problems involve: lack of evaluations of the quality of medical care, ineffective rehabilitation and restoration efforts, and lack of staffing criteria. In addition, VA has not planned its proposed domiciliary construction and renovation program adequately.
Recommendation for Executive Action
Comments: Please call 202/512-6100 for additional information.
Recommendation: To correct management problems and improve services in the domiciliary program, the Administrator of Veterans Affairs should: provide improved central office program management; require domiciliaries to properly apply the admission criteria; instruct domiciliaries to improve the medical care provided domiciled veterans; require domiciliaries to periodically evaluate the success and adequacy of therapeutic recreation programs; and implement a reporting system to provide information for managers to keep abreast of and evaluate program results. To improve planning for new domiciliary facilities, the Administrator, before proceeding further with the VA long-range construction plans, should require that consideration be given to the results of a study on the extent to which existing facilities can be modernized; current domiciliary demand be better defined; and an adequate projection of future demand for such care be developed.