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HRD-83-58 1 (1983-05-20)

handle is hein.gao/gaobabmzh0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE 102 ILI~2 WASHINGTON, D.C. 20548 HUMAN May 20, 1983 c[ViIION B-211565 The Honorable Jake Garn Chairman, Subcommittee on HUD-Independent Agencies Committee on Appropriations 121478 United States Senate Dear Mr. Chairman: Subject: VA Is Making Efforts to Improve Its Nursing Home Construction Planning Process ,(GAO/HRD-83-58) You asked us to analyze the Veterans Administration's (VA's) justification for each nursing home construction project included in its fiscal year 1984 budget request to determine whether it had fully considered local conditions and less costly alterna- tives as we recommended in our September 1982 report.1 The processes VA used to plan, justify, and rank in priority order the seven nursing home projects proposed for fiscal year 1984 funding were essentially the same as described in our previous report. VA planned and justified the seven nursing home projects using national need projections without obtaining much input about actual local needs and resources and without thoroughly considering potentially less costly alternatives, such as conver- sion or renovation of existing VA facilities or greater use of community nursing homes. Although the Administrator has agreed to implement the recommendations in our September report, VA officials are relying on Medical District Initiated Program Planning (MEDIPP), a new decentralized planning process which will become operational dur- ing the fiscal year 1985 budget cycle, to implement the changes. During our review, VA officials were preparing additional MEDIPP nursing home planning instructions to require each medical dis- trict to gather specific data on State and community nursing homes which will enable VA to consider less costly alternatives before proposing new VA nursing home care unit construction. We believe that, as part of the budget justification submitted to the Congress for each proposed nursing home construction project, VA should present a description of local needs and conditions and its consideration of less costly alternatives. 1VA Should Consider Less Costly Alternatives Before Construct- ing New Nursing Homes (GAO/HRD-82-114, Sept. 30, 1982). (401938)

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