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<classification authority="sudocs">GA 1.13:HEHS-00-90</classification>
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 <subject>Veterans benefits</subject>
 <subject>Patient care services</subject>
 <subject>Statistical data</subject>
 <subject>Health services administration</subject>
 <subject>Veterans</subject>
 <subject>Data collection</subject>
 <subject>Health resources utilization</subject>
 <subject>Data integrity</subject>
 <identifier>VA Veterans Integrated Service Network</identifier>
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<titleInfo>
 <title>Veterans&apos; Health Care: VA Needs Better Data on Extent and</title>
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<abstract>Pursuant to a congressional request, GAO provided information on the
Department of Veterans Affairs&apos;(VA) efforts to reduce the waiting times
for outpatient care, focusing on VA&apos;s initiatives to: (1) improve its
waiting time; and (2) address its waiting time problems.&lt;p/&gt;GAO noted that: (1) although VA has begun to collect data systematically
on waiting times for outpatient care, it has yet to develop reliable
national waiting time data; (2) over the past 10 months, VA has
initiated two separate efforts for gathering comprehensive outpatient
waiting time data from its facilities; (3) the first effort, initiated
in June 1999, produced data that were incomplete and inaccurate, in part
because of the differences in facilities&apos; scheduling of appointments;
(4) VA&apos;s second effort, initiated in December 1999, was designed to
improve the data&apos;s reliability by measuring the average time taken to
schedule an appointment for an entire month; (5) VA officials believe
that the new method is significantly better and should provide VA with
more complete and accurate data; (6) to ensure this, however, VA will
need to overcome some problems identified during implementation, such as
inaccurate appointment codes being entered into the system; (7) in
addition to taking steps to improve its waiting time data, VA has
initiated actions to reduce the time veterans must wait for outpatient
appointments; (8) VA hired a private contractor to develop and implement
techniques to reduce waiting times at selected clinics in VA facilities
nationwide; (9) in addition, VA plans to spend $400 million in fiscal
year 2001 to make improvements in the timeliness of service, patient
access to telephone care, and timely access to clinical information;
(10) however, VA&apos;s lack of reliable national waiting time data raises
concerns about whether VA has an adequate basis upon which to design
these initiatives; (11) specifically, without accurate data on the
extent of waiting time problems and analyses of the causes of long
waits, VA cannot assess whether its proposed expenditures would reduce
waiting times or determine how best to allocate funds to reduce waiting
times; and (12) without, reliable baseline waiting time data and a
mechanism to track the funds used to improve timeliness of care, VA will
not be able to objectively measure whether these funds have actually
resulted in reduced waiting times.</abstract>
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<identifier type="preferred citation">GAO/HEHS-00-90</identifier>
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<note>Letter Report</note>
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<subject>
 <topic>Veterans benefits</topic>
 <topic>Patient care services</topic>
 <topic>Statistical data</topic>
 <topic>Health services administration</topic>
 <topic>Veterans</topic>
 <topic>Data collection</topic>
 <topic>Health resources utilization</topic>
 <topic>Data integrity</topic>
 <topic>VA Veterans Integrated Service Network</topic>
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