VA Health Care: Improvements Needed in Data and Monitoring of Clinical Productivity and Efficiency
Abstract
VA has faced challenges managing its budget and ensuring veterans' access to health care, generating congressional interest in asking GAO to examine VA's use of its productivity and efficiency metrics. This report assesses (1) whether VA's clinical productivity metrics and efficiency models provide complete and accurate information on provider productivity and VAMC efficiency, and (2) VA's efforts to monitor and improve clinical productivity and efficiency. GAO reviewed VA documentation, such as policies and guidance, and 2015 data on clinical productivity and efficiency, the most recent data available. GAO also interviewed VA Central Office officials about VA's metrics and models and monitoring efforts. GAO visited six VAMCs and their corresponding Veterans Integrated Service Networks, selected based on geographic diversity, variation of facility complexity, and differences in productivity and efficiency levels. GAO examined VA's efforts to monitor and improve clinical productivity and efficiency in the context of federal standards for internal control related to information and monitoring.
Document Details
- Document Type
- Technical Report
- Publication Date
- May 01, 2017
- Accession Number
- AD1153191
Entities
People
- Amanda Pusey
- Hannah Grow
- Jacquelyn Hamilton
- Krister Friday
- Michael Zose
- Randall B. Williamson
- Rashmi Agarwal
Organizations
- United States Government Accountability Office