Agency Oversight Department of Veterns Affairs Hearings Before the Subcommit
Agency Oversight Department of Veterns Affairs Hearings Before the Subcommit
United States Congress House Committee On Gover
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Little thought is given to the availability of services and equipment at nearby VA facilities or in the private sector. To address this problem, VA plans to reorganize its health care facilities into geo- graphic networks known as Veterans Integrated Service Networks (VISN) to trim unnecessary management layers, consolidate redundant medical services, and use available community resources. Two important parts of the reorganization of VA fa- cilities into 22 VISNs are plans to establish performa...nce measures and hold VISN directors and medical center directors accountable for implementation of policy di- rectives. Because of the current lack of effective central office oversight of medical center operations, we view the establishment of VISNs as an important step by VA in in- creasing oversight of medical center operations, holding medical center directors ac- countable for implementation of policy directives, and taking corrective actions on problems identified. CHALLENGES THREATENING THE FUTURE VIABILITY OF VA'S HEALTH CARE SYSTEM Although actions to improve the efficiency of VA's hospitals are an important first step in addressing current operational problems, VA faces many other major chal- lenges in a rapidly changing nealth care marketplace.
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