Strategic planning (41 - 50 of 123 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...
Electronic Health Records: DOD's and VA's Sharing of Information Could Benefit from Improved Management
GAO-09-268: Published: Jan 28, 2009. Publicly Released: Jan 28, 2009.
Under the National Defense Authorization Act for Fiscal Year 2008, the Department of Defense (DOD) and the Department of Veterans Affairs (VA) are required to accelerate the exchange of health information between the departments and to develop systems or capabilities that allow for interoperability (generally, the ability of systems to exchange data) and that are compliant with federal standards....
VA Vocational Rehabilitation and Employment: Better Incentives, Workforce Planning, and Performance Reporting Could Improve Program
GAO-09-34: Published: Jan 26, 2009. Publicly Released: Jan 26, 2009.
In 2004, the Veterans Affairs' Vocational Rehabilitation and Employment (VR&E) program was reviewed by a VR&E Task Force. It recommended numerous changes, in particular focusing on employment through a new Five-Track service delivery model and increasing program capacity. Since then, VR&E has worked to implement these recommendations. To help Congress understand whether VR&E is now better prepared...
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...
VA Health Care: Improved Staffing Methods and Greater Availability of Alternate and Flexible Work Schedules Could Enhance the Recruitment and Retention of Inpatient Nurses
GAO-09-17: Published: Oct 24, 2008. Publicly Released: Oct 24, 2008.
Registered nurses (RNs) are the largest group of health care providers employed by VA's health care system. RNs are relied on to deliver inpatient care, but VA medical centers (VAMC) face RN recruitment and retention challenges. VAMCs use a patient classification system (PCS) to determine RN staffing on inpatient units by classifying inpatients according to severity of illness to determine the amo...
Multiple Agencies Provide Assistance to Service-disabled Veterans or Entrepreneurs, but Specific Needs Are Difficult to Identify and Coordination Is Weak
GAO-09-11R: Published: Oct 15, 2008. Publicly Released: Oct 15, 2008.
As of July 2008, the Department of Defense (DOD) reported that almost 33,000 servicemembers had been wounded in action as part of Operation Enduring Freedom or Operation Iraqi Freedom. Some of these servicemembers could have injuries that keep them from easily entering or returning to the workplace upon their exit from the military. For some service-disabled veterans, starting a business may be on...
Information Technology: DOD and VA Have Increased Their Sharing of Health Information, but Further Actions Are Needed
GAO-08-1158T: Published: Sep 24, 2008. Publicly Released: Sep 24, 2008.
The National Defense Authorization Act for Fiscal Year 2008 required the Department of Defense (DOD) and the Department of Veterans Affairs (VA) to accelerate the exchange of health information between the departments and to develop systems or capabilities that allow for full interoperability (generally, the ability of systems to use data that are exchanged) and that are compliant with federal sta...
Military Disability System: Increased Supports for Servicemembers and Better Pilot Planning Could Improve the Disability Evaluation Process
GAO-08-1137: Published: Sep 24, 2008. Publicly Released: Sep 24, 2008.
In February 2007, a series of articles in The Washington Post about conditions at Walter Reed Army Medical Center highlighted problems in the military's disability evaluation system. Subsequently, the Department of the Army, Department of Defense (DOD), and Department of Veterans Affairs (VA) undertook initiatives to address concerns with the disability evaluation process. In 2007, the Army took s...
Veterans Affairs: Additional Details Are Needed in Key Planning Documents to Guide the New Financial and Logistics Initiative
GAO-08-1097: Published: Sep 22, 2008. Publicly Released: Sep 22, 2008.
Through its Financial and Logistics Integrated Technology Enterprise (FLITE) initiative, the Department of Veterans Affairs (VA) is developing a new system that is intended to fulfill the critical need for a modernized and integrated financial and asset management capability. FLITE is the successor to an earlier initiative that the department undertook--the Core Financial and Logistics System (Cor...
Veterans' Benefits: Improvements Needed in VA's Training and Performance Management Systems
GAO-08-1126T: Published: Sep 18, 2008. Publicly Released: Sep 18, 2008.
The Department of Veterans Affairs' (VA) disability claims process has long been a subject of concern because of long waits for decisions and large backlogs of claims pending decisions. To address these issues, VA has hired almost 3,000 new claims processors since January 2007. However, adequate training and performance management are essential to developing highly competent disability claims proc...