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Veterans Health Care: Improvements Needed in Operationalizing Strategic Goals and Objectives

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Technical Report

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U.S. Government Accountability Office Washington United States

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Veterans health care needs may change due to changes in veteran demographics and other factors. Strategic planning, including identifying mission, vision, goals, and objectives, and operationalizing strategies to achieve those goals and objectives are essential for VHA to establish its strategic direction to respond to these changing demands and provide care in a dynamic environment. GAO was asked to review VHAs strategic planning. This report examines 1 VHAs strategic planning process and 2 the extent to which VHA operationalizes its strategic goals and objectives. GAO reviewed VHA strategic planning documents and interviewed officials from VA and VHA central office, three VISNs selected to provide variation in geographic location, and nine VAMCs within these VISNs selected to provide variation in factors such as geographic location and facility complexity. GAO evaluated VHAs actions against federal standards for internal control and leading practices for strategic planning.

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