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Veterans Health Administration: Additional Actions Needed to Improve Oversight of Health Care System : Government Accountability Office (GAO) , November 7 , 2024

November 7, 2024

Government Accountability Office (GAO)

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From the report: “VHA operates one of the nation’s largest health care systems, offering services to over 9 million enrolled veterans. VHA has stated that effective oversight is paramount to its ability to deliver quality health care to veterans. However, our prior work found that VHA has faced challenges overseeing veterans’ health care. GAO added VA health care to its High-Risk List in 2015, due, in part, to these concerns.

GAO was asked to review how VHA manages selected oversight functions within its central office. This report examines how VHA has (1) organized its oversight offices, (2) followed leading practices for risk management, (3) established an Office of Internal Audit to help meet its oversight needs, and (4) guided select oversight functions through its Audit, Risk, and Compliance Committee.

GAO reviewed VHA documentation on its central office oversight functions, such as policies, organizational structure, and meeting minutes; and assessed VHA’s processes against relevant criteria. GAO also interviewed VHA officials from its oversight offices and from four VA medical centers and their regional networks selected for variation in geography, rurality, and type of compliance structure used.”

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