GAO recommended requiring networks to provide rationales for all adjustments made to allocations proposed by VA’s resource allocation model, and to develop written policies to document practices for monitoring resources.
VA should also require networks to ensure that internal control activities are performed and that the resources networks allocate to medical centers are monitored consistently and reliably, said the report.
It also called on the VA to develop written policies, consistent with federal internal control standards, to formalize existing practices for monitoring resources networks have allocated to medical centers. VA concurred with these recommendations.