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VA Health Care: Processes to Evaluate, Implement, and Monitor Organizational Structure Changes Needed

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Technical Report

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U.S. Government Accountability Office Washington United States

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concerns about VHAs management of its health care system. In response, VA initiated a new regional framework to improve internal coordination and customer service, and VHA initiated an effort to realign its VISNs. GAO was asked to review VHAs organizational structurethe operating units, processes, and other components used to achieve agency objectives. This report examines the extent to which 1 VHA has a process for evaluating recommended organizational structure changes to determine actions needed and implementing them as appropriate and 2 VHA monitored and provided guidance for implementing the VISN realignment. GAO reviewed VHA documents, reviewed internal and external assessments of VHA, and interviewed officials from VHA central office and all VISNs. GAO evaluated VHAs actions against relevant federal standards for internal control. What GAO Recommends GAO recommends that VHA 1 develop a process to ensure that organizational structure recommendations are evaluated for implementation and 2 evaluate the implementation of the VISN realignment to determine and correct deficiencies, and apply lessons learned to future organizational structure changes, such as possible changes to VISN staffing models. VA concurred with GAOs recommendations.

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