Major Management Challenges and Program Risks:

Department of Veterans Affairs

OCG-99-15: Published: Jan 1, 1999. Publicly Released: Jan 1, 1999.

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Stephen P. Backhus
(202) 512-7111
contact@gao.gov

 

Office of Public Affairs
(202) 512-4800
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As part of its Performance and Accountability Series, GAO provided information on the major management challenges and program risks facing the Department of Veterans Affairs (VA).

GAO noted that: (1) many VA facilities are deteriorating, inappropriately configured, or no longer needed because of their age and VA's shift in emphasis from providing specialized inpatient services to providing primary care in an outpatient setting; (2) despite eliminating about one-half of VA's hospital beds, excess capacity remains; (3) VA lacks accurate, reliable, and consistent information for measuring the extent to which: (a) veterans are receiving equitable access to health care across the country; (b) all veterans enrolled in VA's health care system are receiving the care they need; and (c) VA is maintaining its capacity to care for special populations; (4) VA does not know how its rapid move toward managed care is affecting the health status of veterans because measures of the effects of its service delivery changes on patient outcomes have not been established; (5) other public and private health care providers have recognized the necessity--and the difficulty--of creating such criteria and instruments; (6) in managing non-health care benefits programs, VA needs to overcome a variety of difficulties; (7) VA cannot ensure that its veterans' disability compensation benefits are appropriately and equitably distributed because its disability rating schedule does not accurately reflect veterans' economic losses resulting from their disabilities; (8) also, VA is compensating veterans for diseases that are neither caused nor aggravated by military service; (9) VA has made progress in addressing year 2000 challenges, but still has a number of associated issues to address; (10) VA lacks adequate control and oversight of access to its computer systems and has not yet institutionalized a disciplined process for selecting, controlling, and evaluating information technology investments as required by the Clinger-Cohen Act; (11) VA developed strategic goals covering all its major programs and included objectives, strategies, and performance goals to support its strategic goals; and (12) VA has made progress in developing a framework for managing and evaluating changes in service delivery.

Below are the reports in this series:

High-Risk Series: An Update HR-99-1, Jan 1, 1999

Performance and Accountability Series:

Major Management Challenges and Risks: An Executive Summary OCG-99-ES, Feb 1, 1999

Major Management Challenges and Risks: A Governmentwide Perspective OCG-99-1, Jan 1, 1999

Major Management Challenges and Risks: Department of Agriculture OCG-99-2, Jan 1, 1999

Major Management Challenges and Risks: Department of Commerce OCG-99-3, Jan 1, 1999

Major Management Challenges and Risks: Department of Defense OCG-99-4, Jan 1, 1999

Major Management Challenges and Risks: Department of Education OCG-99-5, Jan 1, 1999

Major Management Challenges and Risks: Department of Energy OCG-99-6, Jan 1, 1999

Major Management Challenges and Risks: Department of Health and Human Services OCG-99-7, Jan 1, 1999

Major Management Challenges and Risks: Department of Housing and Urban Development OCG-99-8, Jan 1, 1999

Major Management Challenges and Risks: Department of the Interior OCG-99-9, Jan 1, 1999

Major Management Challenges and Risks: Department of Justice OCG-99-10, Jan 1, 1999

Major Management Challenges and Risks: Department of Labor OCG-99-11, Jan 1, 1999

Major Management Challenges and Risks: Department of State OCG-99-12, Jan 1, 1999

Major Management Challenges and Risks: Department of Transportation OCG-99-13, Jan 1, 1999

Major Management Challenges and Risks: Department of the Treasury OCG-99-14, Jan 1, 1999

Major Management Challenges and Risks: Department of Veterans Affairs OCG-99-15, Jan 1, 1999

Major Management Challenges and Risks: Agency for International Development OCG-99-16, Jan 1, 1999

Major Management Challenges and Risks: Environmental Protection Agency OCG-99-17, Jan 1, 1999

Major Management Challenges and Risks: National Aeronautics and Space Administration OCG-99-18, Jan 1, 1999

Major Management Challenges and Risks: Nuclear Regulatory Commission OCG-99-19, Jan 1, 1999

Major Management Challenges and Risks: Social Security Administration OCG-99-20, Jan 1, 1999

Major Management Challenges and Program Risks: U.S. Postal Service OCG-99-21, Jan 1, 1999

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