From the Document: "The purpose of this letter is to provide an update on the overall status of the U.S. Department of Veterans Affairs' (VA) implementation of GAO's [Government Accountability Office] recommendations and to call your personal attention to areas where open recommendations should be given high priority. In November 2019, we reported that on a government-wide basis, 77 percent of our recommendations made 4 years before were implemented. As of April 2020, VA's implementation rate for these recommendations was 88 percent. As of April 2020, VA had 227 open recommendations. Fully implementing all open recommendations could significantly improve VA's operations."
Government Accountability Office: https://www.gao.gov/