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GAO-23-106465 1 (2023-05-23)

handle is hein.gao/gaoosb0001 and id is 1 raw text is: U.S. GOVERNMENT ACCOUNTABILITY OFFICE 441 G St. N.W. Comptroller General Washington, DC 20548 of the United States May 23, 2023 The Honorable Denis McDonough Secretary U.S. Department of Veterans Affairs 810 Vermont Avenue NW Washington, D.C. 20420 Priority Open Recommendations: Department of Veterans Affairs Dear Mr. Secretary: The purpose of this letter is to provide an update on the overall status of the Department of Veterans Affairs' (VA) implementation of GAO's recommendations and to call your continued personal attention to areas where open recommendations should be given high priority.1 In November 2022, we reported that, on a government-wide basis, 77 percent of our recommendations made 4 years ago were implemented.2 VA's recommendation implementation rate was 80 percent. As of May 2023, VA had 224 open recommendations. Implementing these open recommendations could significantly improve agency operations. Since our June 2022 letter, VA has implemented six of our 22 priority recommendations. VA completed the development of an electronic dashboard tool in 2023 that can monitor women veterans' access to care for key services under the community care program, as we recommended in December 2016.3 VA issued guidance to VA medical centers that clarified what information should be collected from veterans and stakeholders to improve its ability to plan for and align its medical facilities to meet veterans' needs, as we recommended in June 2019.4 'Priority recommendations are those that GAO believes warrant priority attention from heads of key departments or agencies. They are highlighted because, upon implementation, they may significantly improve government operations, for example, by realizing large dollar savings; eliminating mismanagement, fraud, and abuse; or making progress toward addressing a high-risk or duplication issue. 2GAO, Performance and Accountability Report: Fiscal Year 2022, GAO-23-900398 (Washington, D.C.: Nov. 15, 2022). 3GAO, VA Health Care: Improved Monitoring Needed for Effective Oversight of Care for Women Veterans, GAO-17- 52 (Washington, D.C.: Dec. 2, 2016). 4GAO, VA Real Property: Improvements in Facility Planning Needed to Ensure VA Meets Changes in Veterans' Needs and Expectations, GAO-19-440 (Washington, D.C.: June 13, 2019). GAO-23-106465 VA Priority Recommendations Page 1

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