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VA Health Care: Problems in Implementing Locality Pay for Nurses Not Fully Addressed

HRD-93-54 Published: May 21, 1993. Publicly Released: Jun 01, 1993.
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Highlights

Pursuant to a congressional request, GAO reviewed the Department of Veterans Affairs' (VA) implementation of a locality pay system (LPS) for nurses, focusing on the adequacy of VA medical centers' surveys in setting nurse salary rates.

Recommendations

Recommendations for Executive Action

Agency Affected Recommendation Status
Department of Veterans Affairs The Secretary of Veterans Affairs should report VA administration of the locality pay system to the Office of Management and Budget as a material internal control weakness under the Federal Managers' Financial Integrity Act.
Closed – Not Implemented
On the basis of the results of VA's Office of Human Resources Management's risk assessment and VHA input, a decision was made not to report the nurse LPS administration as a material weakness. VA implementation of planned improvements to LPS will be monitored by the Senior Management Review Council.
Department of Veterans Affairs The Secretary of Veterans Affairs should develop a plan and a timetable for correcting the internal control weaknesses in the system.
Closed – Implemented
VHA is taking steps to implement a plan to improve the effectiveness and validity of the nurse LPS. Funding for training data collectors and training to VHA's four regions was approved and training provided in May 1995.

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Sarah Kaczmarek
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Topics

CompensationData collectionEmployee trainingHealth care personnelInternal controlsJob classificationReporting requirementsVeterans hospitalsWage surveysPay ratesNurses