Federal Health Care Center: VA and DOD Need to Address Ongoing Difficulties and Better Prepare for Future Integrations
U.S. Government Accountability Office Washington United States
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Why GAO Did This Study.The National Defense Authorization Act for Fiscal Year 2010 NDAA 2010 authorized VA and DOD to establish a 5-year demonstration to integrate VA and Navy medical facilities into a first-of-its-kind FHCC in North Chicago, Illinois to provide health care to both VA and DOD beneficiaries. Requirements for the FHCC are outlined in an Executive Agreement.The NDAA 2010, as amended, included a provision for GAO to review the FHCC demonstration, resulting in prior reports in 2011 and 2012. This third report assesses 1 the extent to which the FHCC governance structure and leadership processes facilitated collaboration, 2 difficulties, if any, that the FHCC faced in integrating the workforce, and 3 difficulties, if any, that the FHCC faced in integrating operations.To conduct its work, GAO reviewed VA, DOD, and FHCC documents such as the Executive Agreement, federal standards for internal control, and other sources of related best practices, and interviewed VA, DOD, Navy, and FHCC officials, including former and current leadership and over 100 staff. What GAO Recommends.GAO is making 8 recommendations, including that VA and DOD collaborate to establish selection criteria for FHCC leadership and that prior to future integration efforts, VA and DOD conduct data-driven strategic workforce planning and resolve differences in IT network security standards to the extent possible. VA and DOD concurred with all of GAOs recommendations.