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HEHS-95-273R 1 (1995-09-19)

handle is hein.gao/gaobackyi0001 and id is 1 raw text is: GAO United States GAD General Accounting Office Washington, D.C. 20548 Health, Education and Human Services Division B-266172 September 19, 1995 The Honorable Christopher S. Bond Chairman, Subcommittee on VA, HUD, and Independent Agencies Committee on Appropriations United States Senate Dear Mr. Chairman: Last February, the Department of Veterans Affairs (VA) encouraged its medical centers to employ all means at their disposal to improve the geographic accessibility of VA medical care for veterans. Subsequently, VA notified you that nine medical centers planned to establish several new access points--primary care clinics located apart from existing facilities. As requested by your office and the Chairman of the House Committee on Veterans' Affairs, we are currently examining VA policies and procedures, including legal authority on the establishment of such clinics and medical centers' implementation of them. To date, we have visited medical centers in Big Spring and Amarillo, Texas, to obtain information on four newly established clinics. This letter responds to a request from your office for preliminary information on one aspect of our ongoing work: namely, how the two medical centers financed the new clinics. During our visits to these medical centers, we interviewed VA officials and reviewed records, including clinic budgets and utilization data. We discussed the information we collected with your staff on August 23, 1995. In summary, the Big Spring and Amarillo Medical Centers are financing their four new clinics using funds made available through local management initiatives that allow the centers to operate more efficiently. In addition, VA officials anticipate opening another ten clinics over the next several years that will also be financed from other cost- saving initiatives. GAO/HEHS-95-273R VA Clinic Funding

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