Federal Health Care Center: VA and DOD Need to Develop Better Information to Monitor Operations and Improve Efficiency
U.S. Government Accountability Office Washington United States
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The National Defense Authorization Act for Fiscal Year 2010 NDAA 2010 authorized VA and DOD to establish a 5-year demonstration to integrate their medical facilities in North Chicago, Ill. The NDAA 2010 also required VA and DOD to submit a report of their evaluation of the demonstration and their recommendation as to whether it should continue operating as a fully integrated facility after 5 years. In July 2016, VA and DOD submitted a report to Congress recommending that the FHCC continue operating as an integrated facility. The NDAA 2015 included a provision for GAO to assess VA and DODs evaluation to Congress. In this report, GAO assesses VA and DODs approach for evaluating the FHCC and making the determination to continue operating it as an integrated facility. To do this, GAO reviewed the report to Congress and relevant supporting documents, and interviewed officials about the evaluation. In analyzing the evaluation, GAO used as criteria its prior work on planning practices, evaluating physical infrastructure, and management consolidation initiatives, as well as the Office of Management and Budgets OMB capital programming guide.