Recommendations Database

GAO’s recommendations database contains report recommendations that still need to be addressed. GAO’s priority recommendations are those that we believe warrant priority attention. We sent letters to the heads of key departments and agencies, urging them to continue focusing on these issues. Below you can search only priority recommendations, or search all recommendations.

Our recommendations help congressional and agency leaders prepare for appropriations and oversight activities, as well as help improve government operations. Moreover, when implemented, some of our priority recommendations can save large amounts of money, help Congress make decisions on major issues, and substantially improve or transform major government programs or agencies, among other benefits.

As of December 2, 2021, there are 4653 open recommendations, of which 482 are priority recommendations. Recommendations remain open until they are designated as Closed-implemented or Closed-not implemented.

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1 - 3 of 3 Recommendations
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Veterans Health Administration: Regional Networks Need Improved Oversight and Clearly Defined Roles and Responsibilities

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1 Open Recommendations
1 Priority
Agency Recommendation Status
Office of the Under Secretary for Health
Priority Rec.
This is a priority recommendation.
The Under Secretary for Health should establish a comprehensive policy that clearly defines VISN roles and responsibilities for managing and overseeing medical centers. (Recommendation 2)
Open

VHA concurred in principle with our recommendation. In December 2019, VHA told us they were working to streamline reporting structures at all levels, focusing on governance and workflow, including defining consistent levels of authority. In February 2020, VHA told us they were realigning Central Office in addition to making changes to the governance structure to support clarity of roles and responsibilities. In August 2020, VHA established new leadership positions that included the Assistant Under Secretary for Health for Operations to oversee the VISNs. VHA reported that redesign work would

Veterans Choice Program: Improvements Needed to Address Access-Related Challenges as VA Plans Consolidation of its Community Care Programs

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2 Open Recommendations
2 Priority
Agency Recommendation Status
Office of the Under Secretary for Health
Priority Rec.
This is a priority recommendation.
The Under Secretary for Health should establish an achievable wait-time goal for the consolidated community care program that VA plans to implement that will permit VHA to monitor whether veterans are receiving VA community care within time frames that are comparable to the amount of time they would otherwise wait to receive care at VHA medical facilities. (Recommendation 1)
Open

In July 2021, VA officials stated that they restarted plans to establish an overall wait-time performance measure for the Veterans Community Care Program. VA's Office of Community Care is collaborating with other offices within VA to develop an accurate and appropriate measure for the Veterans Community Care Program, and a potential database to track that measure. VA undertook testing of a potential measure and database in July 2021.

Office of the Under Secretary for Health
Priority Rec.
This is a priority recommendation.
The Under Secretary for Health should design an appointment scheduling process for the consolidated community care program that VA plans to implement that sets forth time frames within which (1) veterans' referrals must be processed, (2) veterans' appointments must be scheduled, and (3) veterans' appointments must occur, which are consistent with the wait-time goal VHA has established for the program. (Recommendation 2)
Open

In July 2021, VA officials stated that they restarted plans to establish an overall wait-time performance measure for the Veterans Community Care Program. VA's Office of Community Care is collaborating with other offices within VA to develop an accurate and appropriate measure for the Veterans Community Care Program, and a potential database to track that measure. VA undertook testing of a potential measure and database in July 2021. In addition, VA officials stated that the agency has developed time frames for (1) when a veteran's referral must be processed, and (2) when a veteran's

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For questions about a specific recommendation, contact the person or office listed with the recommendation. For general information about recommendations, contact GAO's Audit Policy and Quality Assurance office at (202) 512-6100 or apqa@gao.gov.