Evaluation of the Disability Determination Process for Traumatic Brain Injury in Veterans (2019) / Chapter Skim
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Appendix N: Summary Table of U.S. Government Accountability Office Reports Relevant to Adjudication of Veterans' Disability Claims
Appendix N: Summary Table of U.S. Government Accountability Office Reports Relevant to Adjudication of Veterans' Disability Claims
Pages 187-198
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From page 187... ...
Government Accountability Office Reports Relevant to Adjudication of Veterans' Disability Claims Title (Year) Purpose of Report Findings Recommendations Opportunities The Veterans Appeals Improvement The VA's plan for implementing a new disability GAO recommends that the Exist to Better and Modernization Act of 2017 appeals process while attending to appeals in the VA: Ensure Successful makes changes to the VA's current current process addresses most, but not all, • Fully address all legally Appeals Reform (legacy)
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From page 188... ...
The VA's updated plan states that the agency will develop goals and measures for all appeals options after fully implementing appeals reform. Contrary to sound planning practices, it does not articulate these performance goals and measures now, which would provide a vision for what successful implementation would look like.
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From page 189... ...
Until all key activities are accounted for and the master schedule reflects sound practices, the VA cannot provide reasonable assurance that it has the essential information needed to manage its appeals reform implementation. • Address risk fully.
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From page 190... ...
Better Data and This report addresses (1) VHA data GAO identified the following issues: GAO makes five Evaluation Could on how many mission-critical • Incomplete information on the number of recommendations, including Help Improve physicians provide care, (2)
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From page 191... ...
Additional This report examines the VA's The VA has taken actions related to increasing GAO made five Planning Would approaches to address the staff, reforming the process, and updating IT, recommendations to the VA: Enhance Efforts to challenges it identified as which are consistent with relevant sound planning • Apply sensitivity analyses Improve the contributing to lengthy appeals practices. However, gaps in planning exist, thereby when projecting staff Timeliness of processing times and the extent to reducing the agency's ability to ensure that these needs, Appeals Decisions which those approaches are actions will improve the timeliness of disability • Develop a more timely (2017)
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From page 192... ...
and other key stakeholders in developing the proposal and continued to update VSOs about the development of its implementation plans. Improvements Recently, questions have been The VA's ability to accurately process GWI claims GAO recommends that VHA: Needed for VA to raised about whether the VA is is hampered by inadequate training, and its • Require medical Better Understand, processing GWI (Gulf War illness)
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From page 193... ...
reported in August 2015 that the VA and DoD had develop goals and metrics for Retire Legacy This statement summarizes results not identified outcome-oriented goals and metrics determining the extent to Systems (2017) from key GAO reports related to to clearly define what they aim to achieve from which its modernized increasing electronic health record their efforts to increase electronic health record electronic health record interoperability between the VA and interoperability (i.e., the electronic exchange and system is achieving DoD; system challenges that have use of health records)
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From page 194... ...
To the extent that the intensity and amount of providers' clinical workload are inaccurately recorded, some of the VA's efficiency models examining VAMC use and expenditures may also be inaccurate. Ongoing Efforts This statement summarizes GAO's As GAO reported in September 2015, VBA has Three areas could benefit Can Be Improved; September 2015 report (GAO-15- made progress in developing and implementing the from increased management Goals Are Needed 582)
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From page 195... ...
Goals Are Needed extent users report satisfaction with disability claims are electronic and reside in the to Promote the system. To do so, GAO system, additional capabilities have not yet been Increased User reviewed relevant program completed, such as automation of the steps Satisfaction documentation, administered a associated with a veteran's request for an increase (2015)
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From page 196... ...
Finally, redistributed claims and those headquarters and four VBA regional VBA's reporting of its two accuracy metrics lacks moved between regional offices (selected to achieve variety sufficient transparency to help members of offices are not in geography, workload, and Congress and other stakeholders fully understand underrepresented in the accuracy rates) as well as veteran the differences and limitations of each and thus STAR sample.
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From page 197... ...
Actions Needed to Concerns exist that the VA's rating The VA initiated a comprehensive effort in 2009 to Conduct focused studies on Address Hurdles schedule -- the criteria used to revise its disability rating schedule with both various approaches to Facing Program assign degree of work disability -- is updated medical and earnings information, but it modernize disability benefits Modernization not consistent with changes in faces hurdles with several key aspects. The current and, if necessary, propose (2012)
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From page 198... ...
conduct systematic studies of consistency for specific impairments for which RBA 2000 data reveal indications of inconsistencies among decisions made by the regional offices. Problems and Focus on four key areas related to VBA's problems with large backlogs and long VBA may need to collect and Challenges Facing compensation claims processing: (1)
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