United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 2008-03-28 monographic deposited born digital 48 p. GA 1.13:GAO-08-399 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-399 P0b002ee18037a0b3 f:d08399 DGPO 2010-08-12 2011-03-28 GAOREPORTS-GAO-08-399 machine generated eng fdlp REPORT GAOREPORTS-GAO-08-399 GAO-08-399 Access to health care Cost effectiveness analysis Evaluation criteria Health care cost control Health care facilities Health care planning Health care policies Health care reform Health care services Health policy Health resources utilization Interagency relations Internal controls Joint ventures Lessons learned Military health services Performance measures Program evaluation Program management Risk factors Risk management Veterans Veterans hospitals Veterans' medical care Standards (health care) Other Written Product A81438 The Department of Veterans Affairs (VA) and the Department of Defense (DOD) have a long history of partnering to achieve more cost-effective use of health care resources. Their partnerships have evolved to include joint ventures--joint efforts to construct or share medical facilities. VA has maintained eight joint ventures with DOD across the country. VA has also developed partnerships, or affiliations, with university medical schools to obtain health care services for veterans and provide training to medical residents. VA has not entered into a joint venture with an academic affiliate to date. However, several proposals for such joint ventures have surfaced in the last decade. This congressionally requested report discusses the (1) potential benefits and concerns associated with joint ventures and the extent to which they are documented and measured, (2) lessons learned from existing and proposed VA joint ventures, and (3) steps VA has taken to evaluate proposed joint ventures. To address these issues, GAO conducted site visits to and interviews with officials from all existing and proposed joint venture sites. https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-399/html/GAOREPORTS-GAO-08-399.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-GAO-08-399/pdf/GAOREPORTS-GAO-08-399.pdf GAO-08-399 https://www.govinfo.gov/app/details/GAOREPORTS-GAO-08-399 Other Written Product GAO-08-399; VA Health Care: Additional Efforts to Better Assess Joint Ventures Needed; Access to health care Cost effectiveness analysis Evaluation criteria Health care cost control Health care facilities Health care planning Health care policies Health care reform Health care services Health policy Health resources utilization Interagency relations Internal controls Joint ventures Lessons learned Military health services Performance measures Program evaluation Program management Risk factors Risk management Veterans Veterans hospitals Veterans' medical care Standards (health care) Volume 117 Page 2042 117 Stat. 2042 Volume 120 Page 3403 120 Stat. 3403 Public Law 89-785 Public Law 97-174 Public Law 104-262 Public Law 107-314 Public Law 108-136 Public Law 108-170 Public Law 109-364 Public Law 109-461