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HRD-85-70 1 (1985-05-17)

handle is hein.gao/gaobabnrj0001 and id is 1 raw text is: HUMAN DI 121003 UNITED STATES GENERAL ACCOUNTING OFFICE WASHINGTON, D.C. 20548 RESOURCES VISON May 17, 1985 B-218854 The Honorable Frank H. Murkowski II II III l Chairman, Committee on Veterans' Affairs 127003 United States Senate Dear Mr. Chairman: Subject: VA's Methodology for Setting Priorities for Nursing Home Care Construction Projects for Fiscal Year 1986 (GAO/HRD-85-70) On November 7, 1984, the Committee's former Chairman asked us to review the justifications for the seven nursing home con- struction projects that were proposed within the Veterans Admin- istration (VA) for construction during fiscal year 1986. At your request, we have prepared this interim report on VA's method for deciding which of the seven projects to include in its fiscal year 1986 budget request. A later report will con- tain our findings on whether VA planners adequately considered local needs and resources and less costly alternatives to new construction for the two nursing home projects--Amarillo, Texas, and Tucson, Arizona--which VA proposed in its fiscal year 1986 budget. As part of the planning process, each of VA's 28 medical districts projected its nursing home care needs for 1990, the portion of those needs VA would have to meet in its own facili- ties, and the number of beds the district would have available to meet those needs. The five VA districts in which the seven projects planned for fiscal year 1986 were located were ranked by their percentage of unmet need; the individual projects from the districts with the largest percentage of unmet need received the highest priority. We believe VA's methodology was reasonable. However, we have two concerns with the way VA applied it. First, planners inconsistently calculated unmet need among the districts. Second, VA planned two projects for each of two medical dis- tricts and, for each of the projects in the two districts, ap- plied the same percentage of unmet need. However, if the Con- gress were to fund one of the projects from either of the two districts, that district's percentage of unmet need would drop, and the priority of the remaining project in that district would change. (401953)

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