the department of veterans' affairs vast health network <u+2014> beset by a scandal last year over delayed care <u+2014> has been listed as a high-risk federal program by congressional auditors for the first time.









the report by the watchdog government accountability office, which is issued every two years, includes a broad indictment of the $55.5 billion va program, one of the nation's largest health care systems. usa today obtained the va section of the report, scheduled for release wednesday.









the number of aging or disabled veterans treated by the va has grown to 8.9 million from 6.8 million in 2002, and congress has increased funding by 85% during that time.









yet problems with poor health care, delayed doctor appointments and leadership accountability and oversight persist, according to the report. the gao said it keeps issuing audits identifying problems <u+2014> eight just last year <u+2014> but more than 100 areas of mismanagement remain unresolved, according to the report.









va spokesman james hutton, in a response, said the department is committed to becoming a "model agency" and example for other government programs to emulate.









"in many ways, (the va health care system) is on the cutting edge of the industry. in other areas, we realize we need to make significant improvements," hutton said.









federal agencies or programs are chosen for the high-risk list by the gao based on such factors as health or safety, delivery of services and incidents of injury or loss of life.









"these risks to the timeliness, cost-effectiveness, quality and safety of veterans' health care, along with persistent weaknesses we have identified in recent years, raises serious concerns about va's management and oversight of its health care system," the report said. "va health care is a high-risk area."









the va became enveloped in scandal last year over allegations that veterans had died waiting for care at a hospital in phoenix.









the agency's inspector general office, which launched a probe into the allegations, found that delays contributed to the deaths of va patients. however, inspectors concluded that delays may have contributed to the deaths of some veterans and that the falsifying of appointment records by va staffers to hide delays is a systemic problem within the va health care system.









eric shinseki, a retired general appointed by president obama to lead the agency in 2009, resigned after claiming he had been misled about the extent of the va problems.









his replacement, bob mcdonald, has vowed to move aggressively to revamp the va. he launched the myva initiative in september devoted to improving customer service for veterans. yet mcdonald has come under criticism for not firing those responsible for the scandal despite new rules passed by congress making it easier to dismiss employees.









the gao report cites the falsified appointment records, and complains about a shoddy evaluation process for doctors who make mistakes, the reliance on data submitted by hospitals under review, handing out undeserved bonuses, chronically inadequate computer systems and poor training of staff.









the report said major improvements for the va could flow from new legislation signed by obama last summer that improves access to care and pays for more staff.but the agency has to follow through on recommendations expected from an independent review group and a bipartisan commission created by the legislation.
congressional auditors: va health care is high-risk
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