Health services administration (1 - 10 of 70 items)
VA Mental Health: Action Needed to Improve Access Policies and Wait-Time Data
GAO-16-170T: Published: Oct 28, 2015. Publicly Released: Oct 28, 2015.
The way in which the Department of Veterans Affairs’ (VA) Veterans Health Administration (VHA) calculates veteran mental health wait times may not always reflect the overall amount of time a veteran waits for care. VHA uses a veteran’s preferred date (determined when an appointment is scheduled) to calculate the wait time for that patient’s full mental health evaluation, the primary entry po...
VA Health Care: Actions Needed to Ensure Adequate and Qualified Nurse Staffing
GAO-15-61: Published: Oct 16, 2014. Publicly Released: Nov 17, 2014.
The seven Department of Veterans Affairs medical centers (VAMC) in GAO's review implemented the Veterans Health Administration's (VHA) nurse staffing methodology, experienced problems developing and executing the related nurse staffing plans, and some reported improvements in nurse staffing. Specifically, GAO found that each of the seven VAMCs had developed a facility-wide staffing plan—which ou...
VA Health Care: Management and Oversight of Consult Process Need Improvement to Help Ensure Veterans Receive Timely Outpatient Specialty Care
GAO-14-808: Published: Sep 30, 2014. Publicly Released: Oct 30, 2014.
Based on its review of a non-generalizable sample of 150 consults requested from April 2013 through September 2013, GAO found that the Department of Veterans Affairs' (VA) Veterans Health Administration's (VHA) management of the consult process has not ensured that veterans always receive outpatient specialty care in a timely manner, if at all. Specifically, GAO found that for 122 of the 150 consu...
VA Health Care: VA Lacks Accurate Information about Outpatient Medical Appointment Wait Times, Including Specialty Care Consults
GAO-14-620T: Published: May 15, 2014. Publicly Released: May 15, 2014.
As GAO previously reported in its testimony on April 9, 2014, its preliminary work examining the Department of Veterans Affairs' (VA), Veterans Health Administration's (VHA) management of outpatient specialty care consults identified examples of delays in veterans receiving outpatient specialty care, as well as limitations in the implementation of new consult business rules designed to standardize...
VA Health Care: Actions Needed to Improve Administration of the Provider Performance Pay and Award Systems
GAO-13-536: Published: Jul 24, 2013. Publicly Released: Aug 23, 2013.
The Department of Veterans Affairs' (VA) performance pay policy has gaps in information needed to appropriately administer this type of pay. The performance pay policy gives VA's 152 medical centers and 21 networks discretion in setting the goals providers must achieve to receive this pay, but does not specify an overarching purpose the goals are to support. VA officials responsible for writing th...
Veterans' Health Care Budget: Improvements Made, but Additional Actions Needed to Address Problems Related to Estimates Supporting President's Request
GAO-13-715: Published: Aug 8, 2013. Publicly Released: Aug 8, 2013.
The Department of Veterans Affairs (VA) expanded the use of the Enrollee Health Care Projection Model (EHCPM) in developing the agencys health care budget estimate that supported the Presidents fiscal year 2014 budget request. VA expanded the use of the EHCPM by using, for the first time, the models estimate for the amount of care providedworkloadto develop estimates...
Veterans Health Care: Monitoring Is Needed to Determine the Accuracy of Veteran Copayment Charges
GAO-11-795: Published: Aug 29, 2011. Publicly Released: Sep 28, 2011.
In fiscal year 2010, the Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) billed veterans millions of medical copayment charges totaling more than $1 billon. Witnesses at a 2009 Subcommittee on Health, House Committee on Veterans' Affairs, hearing raised concerns about inappropriate copayment charges, including some associated with veterans' service-connected conditions. A...
VA Long-Term Care: The Availability of Noninstitutional Services Is Uneven
GAO-02-652T: Published: Apr 25, 2002. Publicly Released: Apr 25, 2002.
Noninstitutional long-term care services are delivered by the Department of Veterans Affairs (VA) to veterans in their own homes and other community locations. The Veterans Millennium Health Care and Benefits Act requires VA to offer long-term care services to eligible veterans, including services provided in noninstitutional settings. More than two years after the act's passage, VA has yet to off...
VA Health Care: More National Action Needed to Reduce Waiting Times, but Some Clinics Have Made Progress
GAO-01-953: Published: Aug 31, 2001. Publicly Released: Oct 1, 2001.
The Department of Veterans Affairs (VA) runs one of the nation's largest health care systems. In fiscal year 2000, roughly four million patients made 39 million outpatient visits to more than 700 VA health care facilities nationwide. However, excessive waiting times for outpatient care have been a long-standing problem. To ensure timely access to care, VA established a goal that all nonurgent prim...
VA Drug Formulary: Better Oversight Is Required, but Veterans Are Getting Needed Drugs
GAO-01-183: Published: Jan 29, 2001. Publicly Released: Jan 29, 2001.
During the last three years, the Department of Veterans Affairs (VA) has made significant progress in establishing its national drug formulary, which has generally met with the prescriber acceptance. Most veterans are receiving the drugs the need and rarely register complaints about prescription drugs. However, VA has not been sufficient to ensure that the Veterans Integrated Service Networks (V...