Veterans Health Care: Addressing High Risk Concerns for Oversight and Accountability Are Key to Ensuring Quality of Care and Patient Safety, Statement of Sharon M. Silas, Director, Health Care, Testimony Before the Subcommittee on Health, Committee on Veterans' Affairs, House of Representatives [open pdf - 456KB]
From the Highlights: "VA [United States Department of Veterans Affairs] operates one of the nation's largest health care systems. GAO [Government Accountability Office]'s work, along with that of VA's Office of Inspector General and others, has cited longstanding issues with VA's oversight of its health care system. In 2015, GAO added VA health care to its High-Risk List, in which one broad area of concern was inadequate oversight and accountability. In its latest high-risk update in March 2021, GAO noted continued concern over VA's ability to ensure the safety and protection of patients and staff, as well as to oversee its programs. This statement describes the oversight and accountability issues GAO's work has identified related to quality care and patient safety, and the status of VA's efforts to address its high-risk designation. This statement is based on GAO's body of work in this area."
Government Accountability Office: http://www.gao.gov/