VA Health Care
Inadequate Controls Over Scarce Medical Specialist Contracts Gao ID: T-HRD-92-50 August 5, 1992GAO discussed the status of the Department of Veterans Affairs' (VA) efforts to strengthen its management controls over contracts for medical specialists. GAO noted that: (1) VA still lacks management controls to ensure that medical centers are avoiding contracting problems; (2) VA needs to provide better staffing guidelines for medical centers and utilize reviewers to develop and evaluate contract proposals; (3) few VA centers provide adequate support and data required for the use of contract specialists and contract review; and (4) VA fails to provide follow-up procedures to ensure that required contract modifications are completed.