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Veterans Health Administration: Past Performance System Recommendations Have Not Been Implemented

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Report Type Reports and Testimonies
Report Date April 30, 2019
Release Date April 30, 2019
Report No. GAO-19-350
Summary:

The Veterans Health Administration ranks medical centers on overall quality from 1 star to 5 stars. We found that these rankings are based on a performance measurement system that may not effectively measure quality of care.

Two previous reviews of VHA's system—one internal VHA review and one review from a private consulting organization—recommended that VHA make significant changes to it, but it has neither assessed those recommendations nor implemented them. In this report, we recommended that VHA use those previous reviews to improve their system.

VA health care has been on our High Risk List since 2015.

Number of VA Medical Centers at Each Star Rating, Fiscal Year 2018

Pictograph of VA medical centers' star ratings in FY2018. 1 star=9; 2 stars=35; 3 stars=56; 4 stars=28; 5 stars=18.

Pictograph of VA medical centers' star ratings in FY2018. 1 star=9; 2 stars=35; 3 stars=56; 4 stars=28; 5 stars=18.

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