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Nursing Workforce: Recruitment and Retention of Nurses and Nurse Aides Is a Growing Concern (open access)

Nursing Workforce: Recruitment and Retention of Nurses and Nurse Aides Is a Growing Concern

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the recruitment and the retention of nursing staff, including both nurses and nurses aides, and concerns about the future supply of these workers. The health and long-term care systems in the United States rely heavily on the services of both nurses and nurses aides, the two largest groups of health care workers. GAO found that the recruitment and the retention of both nurses and nurses aides are major concerns for health care providers. Experts and providers have reported a shortage of nurses, partly as a result of patients' increasingly complex care needs. This shortage is expected to become more serious as the population ages and the demand for nurses increases. Several factors combine to constrain the current and future supply of nurses. Like the population in general, the nurse workforce is aging; the average age of a registered nurse rose from 37 years in 1983 to 42 years in 1998. Enrollments in nursing programs have declined during the last five years, shrinking the pool of new workers available to replace those who are retiring. Many studies also report less job satisfaction among nurses, which could …
Date: May 17, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Mortgage Financing: Actuarial Soundness of the Federal Housing Administration's Mutual Mortgage Insurance Fund (open access)

Mortgage Financing: Actuarial Soundness of the Federal Housing Administration's Mutual Mortgage Insurance Fund

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the results of GAO's analysis of the financial health of the Federal Housing Administration's Mutual Mortgage Insurance Fund. GAO estimates that the Fund had an economic value of about $15.8 billion at the end of fiscal year 1999. This estimate implies a capital ratio of 3.20 percent, which is higher than the two-percent capital ratio mandated by law. Given the economic value of the Fund and the state of the economy at the end of fiscal year 1999, a two-percent capital ratio appears sufficient to withstand moderately severe economic downturns that could lead to worse-than-expected loan performance. Some more severe downturns that GAO analyzed also did not cause the estimated capital ratio to decline by as much as two percentage points. Because of the nature of such analysis, GAO urges caution in concluding that the estimated value of the Fund today implies that the Fund would necessarily withstand any particular economic scenario under all circumstances. Congress and the Secretary of Housing and Urban Development have taken and could take several steps to influence the economic value of the Fund. Actions that influence the Fund's reserve …
Date: March 19, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Immigration And Naturalization Service: Overview of Recurring Management Challenges (open access)

Immigration And Naturalization Service: Overview of Recurring Management Challenges

Testimony issued by the General Accounting Office with an abstract that begins "The Immigration and Naturalization's (INS) organizational structure has led to recurring management problems, including an inability to balance competing priorities, poor communications, and weaknesses in the development and fielding of critical information technology. Although restructuring may help, INS will still need to assemble the basic building blocks essential to any organization. These building blocks include clearly delineated roles and responsibilities, policies and procedures that effectively balance competing priorities, effective internal and external communication and coordination, and computer systems that provide accurate and timely information. Until these element are in place, it will be difficult to enforce the nation's immigration laws effectively."
Date: October 17, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Veterans' Employment and Training Service: Greater Flexibility and Accountability Needed to Better Serve Veterans (open access)

Veterans' Employment and Training Service: Greater Flexibility and Accountability Needed to Better Serve Veterans

Testimony issued by the General Accounting Office with an abstract that begins "The Department of Labor's (DOL) Disabled Veterans' Outreach Program (DVOP) and Local Veterans' Employment Representative (LVER) program allow states to hire staff members to serve veterans exclusively. The two programs are mandatory partners in the new one-stop center system created in 1998 by the Workforce Investment Act, which requires that services provided by numerous employment and training programs be made available through one-stop centers. The act also gives states the flexibility to design services tailored to local workforce needs. Although the DVOP and LVER programs must operate within the one-stop system, the act does not govern the programs--and the law that governs them does not provide the same flexibility that the act does. Because Congress sees employment service for veterans as a national responsibility, it established the Veterans' Employment and Training Service (VETS) to ensure that veterans, particularly disabled veterans and Vietnam-era veterans, receive priority employment and training opportunities. To make better use of DVOP and LVER staff services, VETS needs the legislative authority to grant each state more flexibility to design how this staff will fit into the one-stop center system. VETS also needs to be able …
Date: October 30, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Military Aircraft: Cannibalizations Adversely Affect Personnel and Maintenance (open access)

Military Aircraft: Cannibalizations Adversely Affect Personnel and Maintenance

Testimony issued by the General Accounting Office with an abstract that begins "All the military services extensively use cannibalization--the removal of a working component from one aircraft to install it on another--as a routine aircraft maintenance strategy. However, neither the Department of Defense nor the services know the overall magnitude of this practice. Cannibalizations increase maintenance costs by increasing workloads, may affect morale and the retention of personnel, and sometimes result in the unavailability of expensive aircraft for long periods of time. Cannibalizations also can create unnecessary mechanical problems for maintenance personnel. With the exception of the Navy, the services do not consistently track the specific reasons for cannibalizations. In the broadest sense, cannibalizations are done because of pressures to meet readiness and operational needs and the shortcomings of the supply system. In addition, a Navy study found that cannibalizations are sometimes done because mechanics are not trained well enough to diagnose problems or because testing equipment is either not available or not working. Although the services have undertaken some initiatives to reduce cannibalizations, none of them have developed a specific strategy to reduce the maintenance hours associated with cannibalizations. Because they view cannibalization as a symptom of spare parts …
Date: May 22, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Major Management Challenges and Program Risks: Departments of Defense, State, and Veterans Affairs (open access)

Major Management Challenges and Program Risks: Departments of Defense, State, and Veterans Affairs

Testimony issued by the General Accounting Office with an abstract that begins "Drawing on GAO's high risk series (GAO-01-241 to GAO-01-263), this testimony discusses major government programs prone to waste, fraud, abuse, and mismanagement. This testimony focuses on (1) the range of governmentwide challenges and opportunities the 107th Congress and the new administration face to enhance performance and accountability of the federal government, (2) the major management challenges and program risks facing three key agencies--the Departments of Defense, State, and Veterans Affairs, and (3) whether these departments are meeting performance and accountability goals and measurements that are required under the Government Performance and Results Act of 1993."
Date: March 7, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Air Pollution: Air Quality and Respiratory Problems in and Near the Great Smoky Mountains (open access)

Air Pollution: Air Quality and Respiratory Problems in and Near the Great Smoky Mountains

Testimony issued by the General Accounting Office with an abstract that begins "Concerns have been growing about the air quality, visibility, and respiratory illnesses around the Great Smoky Mountains National Park, which straddles the border between North Carolina and Tennessee. This testimony analyzes recent trends in and contributing factors to (1) visibility impairments, (2) ground-level ozone, and (3) respiratory illnesses. This testimony also examines the Tennessee Valley Authority's (TVA) plans to reduce its emission of regulated pollutants. Visibility impairments and ozone are largely attributable to the following three types of emissions: sulfur dioxide, nitrogen oxides, and volatile organic compounds. The counties that border the park generally have slightly higher mortality rates from two types of respiratory illness. The three types of emissions interact in the atmosphere to form ozone gas and sulfate particles, which are linked to respiratory illnesses. In response to federal laws and other factors, TVA is making substantial environment-related investments and expects to reduce its annual emissions of sulfur dioxide by 36 percent and its "ozone-season" emissions of nitrogen oxides by 68 percent between 1999 and 2005. This testimony summarizes a May report, (GAO-01-658)."
Date: May 25, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Purchase Cards: Control Weaknesses Leave Two Navy Units Vulnerable to Fraud and Abuse (open access)

Purchase Cards: Control Weaknesses Leave Two Navy Units Vulnerable to Fraud and Abuse

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses internal controls weaknesses that left two Navy units in San Diego, California, vulnerable to purchase card fraud and abuse. GAO found a proliferation of purchase cards at the two units in San Diego--the Space and Naval Warfare Systems Command and the Navy Public Works. In the end, more than 1,700 cardholders essentially had the authority to make their own purchase decisions. A serious breakdown in internal controls over the receipt of government property and the certification of monthly statements, coupled with flawed or nonexistent policies and procedures and the failure of Navy employees to adhere to valid policies and procedures, led to (1) the loss, theft, and misuse of government property; (2) the potential abuse of purchase cards; and (3) payments of potentially fraudulent charges. Five fraud cases have already been identified, and the government remains extremely vulnerable to fraud, waste, and abuse arising from the purchase card program at the two Navy units. This testimony summarized the November report, GAO-02-32."
Date: July 30, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Homeland Security: Challenges and Strategies in Addressing Short- and Long-Term National Needs (open access)

Homeland Security: Challenges and Strategies in Addressing Short- and Long-Term National Needs

Testimony issued by the General Accounting Office with an abstract that begins "The United States now confronts a range of diffuse threats that put increased destructive power into the hands of small states, groups, and individuals. These threats include terrorist attacks on critical infrastructure and computer systems, the potential use of weapons of mass destruction, and the spread of infectious diseases. Addressing these challenges will require leadership to develop and implement a homeland security strategy in coordination with all relevant partners, and to marshal and direct the necessary resources. The recent establishment of the Office of Homeland Security is a good first step, but questions remain about how this office will be structured, what authority its Director will have, and how this effort can be institutionalized and sustained over time. Although homeland security is an urgent and vital national priority, the United States still must address short-term and long-term fiscal challenges that were present before September 11."
Date: November 7, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Human Capital: Taking Steps to Meet Current and Emerging Human Capital Challenges (open access)

Human Capital: Taking Steps to Meet Current and Emerging Human Capital Challenges

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses GAO's three-stage approach for addressing the federal government's human capital challenges. First, agencies must take all administrative steps available to them under current laws and regulations to manage their people for results. While much of what agencies need to accomplish these steps is already available to them, they will need the sustained commitment from top management and the support from both the Office of Management and Budget and the Office of Personnel Management to do so. Second, the Administration and Congress should pursue selected legislative opportunities to put new tools and flexibilities in place that will help agencies attract, motivate, and retain employees--both overall and, especially, in connection with critical occupations. Third, all interested parties should work together to determine the nature and extent of more comprehensive human capital (or civil service) reforms that should be enacted over time. These reforms should include placing greater emphasis on skills, knowledge, and performance in connection with federal employment and compensation decisions, rather than the passage of time and rate of inflation, as is often the case today."
Date: July 17, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Debt Collection Improvement Act of 1996: Agencies Face Challenges Implementing Certain Key Provisions (open access)

Debt Collection Improvement Act of 1996: Agencies Face Challenges Implementing Certain Key Provisions

Testimony issued by the General Accounting Office with an abstract that begins "It is essential that the government not only make and guarantee creditworthy loans but also collect the amounts owed. The Debt Collection Improvement Act of 1996 was intended to maximize collection of billions of dollars of non-tax delinquent debt owed to the government by requiring agencies to notify the Department of Treasury of debts delinquent more than 180 days for purposes of administrative offset. The act also requires agencies to refer such debts to Treasury for centralized collection action known as cross-servicing. The act authorizes agencies to garnish the wages of delinquent debtors and bars delinquent debtors from receiving federal financial assistance in the form of loans, loan insurance, or loan guarantees until they resolve their delinquencies. This report discusses selected agencies and focuses on (1) difficulties they experienced in identifying and referring eligible debts to Treasury's Financial Management Service or a Treasury designated debt collection center, (2) obstacles to prompt referral of eligible debts, and (3) whether exclusions from referral requirements were consistent with established criteria."
Date: October 10, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Telecommuting: Overview of Challenges Facing Federal Agencies (open access)

Telecommuting: Overview of Challenges Facing Federal Agencies

Testimony issued by the General Accounting Office with an abstract that begins "Telecommuting refers to work that is done at an employee's home or at a job site other than a traditional business office. Perhaps the biggest challenge to establishing and expanding telecommuting programs in both the public and private sectors is management's concerns about the types of positions and employees suitable for telecommuting, protecting proprietary and sensitive data, and establishing cost-effective telecommuting programs. Some federal and state laws and regulations, including those governing taxes, workplace safety, workforce recordkeeping, and liability for home workplace injuries, are also potential obstacles to telecommuting. Overall, the application of state tax laws to telecommuting arrangements, as well as other laws and regulations enacted before the transition to a more technological and information based economy, is evolving and their ultimate impact remains unclear."
Date: September 6, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Debt Collection Improvement Act of 1996: Department of Agriculture Faces Challenges Implementing Certain Key Provisions (open access)

Debt Collection Improvement Act of 1996: Department of Agriculture Faces Challenges Implementing Certain Key Provisions

Testimony issued by the General Accounting Office with an abstract that begins "The testimony discusses debt collection efforts by two major components at the Department of Agriculture--the Rural Housing Service (RHS) and the Farm Service Agency (FSA). The Debt Collection Improvement Act of 1996 requires agencies to (1) notify the Department of the Treasury of debts more than 180 days delinquent for the purposes of administrative offset against any amounts that might otherwise be due and (2) refer such debts to Treasury for centralized collection. To facilitate collection, agencies can administratively garnish the wages of delinquent debtors throughout government. GAO found that agencies are excluding most reported debt more than 180 days delinquent from referral requirements. To more fully realize the benefits of debt collection, agencies need to improve their implementation of the act. The Financial Management Service is making steady progress in collecting delinquent federal non-tax debt through the Treasury Offset Program--a mandatory governmentwide debt collection program that compares delinquent debtor debt to federal payment data. Agriculture and other agencies still have not used administrative wage garnishment to collect delinquent non-tax debt even though experts have testified that it can be an extremely powerful tool for debt collection. If …
Date: December 5, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Telecommunications: Metropolitan Area Acquisition Program Implementation and Management (open access)

Telecommunications: Metropolitan Area Acquisition Program Implementation and Management

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the implementation and management of the General Services Administration's (GSA) Metropolitan Area Acquisition (MAA) program, which encourages competition for telecommunication services in large cities. GAO found that as of June 2001, GSA had awarded 37 MAA contracts for 20 metropolitan areas. Existing GSA contracts were to become MAA contracts within nine months after contractors were authorized to begin work. This goal was met in only two of the 14 metropolitan areas in which authorization was given. GSA charges customer agencies two types of fees to recover the costs of their contract management and administration activities. Although GSA does not yet allow MAA contractors to offer FTS2001 services, it is taking steps to allow crossover between the two programs."
Date: June 13, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Health Workforce: Ensuring Adequate Supply and Distribution Remains Challenging (open access)

Health Workforce: Ensuring Adequate Supply and Distribution Remains Challenging

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses (1) the shortage of healthcare workers and (2) the lessons learned by the National Health Service Corps (NHSC) in addressing these shortages. GAO found that problems in recruiting and retaining health care professionals could worsen as demand for these workers increases. High levels of job dissatisfaction among nurses and nurses aides may also play a crucial role in current and future nursing shortages. Efforts to improve the workplace environment may both reduce the likelihood of nurses and nurse aides leaving the field and encourage more young people to enter the nursing profession. Nonetheless, demographic forces will continue to widen the gap between the number of people needing care and the nursing staff available. As a result, the nation will face a caregiver shortage very different from shortages of the past. More detailed data are needed, however, to delineate the extent and nature of nurse and nurse aide shortages to assist in planning and targeting corrective efforts. Better coordination of NHSC placements, with waivers for foreign U.S.-educated physicians, could help more needy areas. In addition, addressing shortfalls in the Department of Health and Human Services (HHS) …
Date: August 1, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Long-Term Budget Issues: Moving From Balancing the Budget to Balancing Fiscal Risk (open access)

Long-Term Budget Issues: Moving From Balancing the Budget to Balancing Fiscal Risk

Testimony issued by the General Accounting Office with an abstract that begins "In this statement, the Comptroller General discusses the fiscal policy challenges facing Congress and the nation. The focus of tax administration and budgeting are shifting because of current and projected budget surpluses. The Comptroller General speaks of the need for fiscal responsibility when using surplus projections to design tax and spending policies. These projections are based on a set of assumptions that may or may not hold. They are not a precise prediction of a future and should be used as a reference point when making policy decisions. Although the projected surpluses can provide an opportunity to respond to pent-up demands for additional spending or tax cuts, Congress must balance those demands with the nation's long-term economic health."
Date: February 6, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Budget Process: Considerations for Updating the Budget Enforcement Act (open access)

Budget Process: Considerations for Updating the Budget Enforcement Act

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the budget process established by the Budget Enforcement Act, which will expire in fiscal year 2002. Because the goal of achieving zero deficits has been achieved, the focus of the budget process has shifted to to the allocation of surpluses among debt reduction, spending increases, and tax cuts. The budget process should be designed to avoid what has been described as the year-end "train wreck." A year-end "train wreck" results from a failure to reach agreement--or at least a compromise acceptable to all parties--earlier in the year. Although it is possible that early agreement on some broad parameters could facilitate a smoother process, it is not clear that such an agreement will always prevent gridlock--it may just come earlier. Two ideas that have been proposed to avert the year-end disruption caused by an inability to reach agreement on funding the government include joint budget resolutions and biennial budgeting. In discussing alternatives for improving the budget process, there is a broad consensus among observers and budget analysts that the spending constraints established by the act are necessary even with the advent of actual and projected surpluses. …
Date: July 19, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
VA Health Care: Continuing Oversight Needed to Achieve Formulary Goals (open access)

VA Health Care: Continuing Oversight Needed to Achieve Formulary Goals

Testimony issued by the General Accounting Office with an abstract that begins "Although the Department of Veterans Affairs (VA) has made significant progress establishing a national formulary that has generally met with acceptance by prescribers and patients, VA oversight has not fully ensured standardization of its drug benefit nationwide. The three medical centers GAO visited did not comply with the national formulary. Specifically, two of the three medical centers omitted more than 140 required national formulary drugs, and all three facilities inappropriately modified the national formulary list of required drugs for certain drug classes by adding or omitting some drugs. In addition, as VA policy allows, Veterans Integrated Service Networks (VISN) added drugs to supplement the national formulary ranging from five drugs at one VISN to 63 drugs at another. However, VA lacked criteria for determining the appropriateness of the actions networks took to add these drugs. In addition to problems standardizing the national formulary, GAO identified weaknesses in the nonformulary approval process. Although the national formulary directive requires certain criteria for approving nonformulary drugs, it does not prescribe a specific nonformulary approval process. As a result, the processes health care providers must follow to obtain nonformulary drugs differ among …
Date: July 24, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Medicare: Successful Reform Requires Meeting Key Management Challenges (open access)

Medicare: Successful Reform Requires Meeting Key Management Challenges

Testimony issued by the General Accounting Office with an abstract that begins "Management of Medicare has come under increasing scrutiny. The Health Care Financing Administration (HCFA) has had mixed success running the program. The agency has developed payment methods that have contained cost growth, and HCFA has paid fee-for-service claims quickly and at low administrative cost. However, HCFA has had difficulty ensuring that it paid claims appropriately. In addition, Medicare claims administration contractors have done a poor job of communicating with Medicare providers. HCFA has taken important steps to address some of these shortcomings, including strengthening payment safeguards, but several factors have hampered its efforts. Despite its growing responsibilities, HCFA suffers from staffing shortages. The agency also continues to rely on archaic computer systems. At the same time, HCFA has faltered in its attempts to adopt a results-based approach to agency management. Constraints on the agency's contracting authority have limited its use of full and open competition to select claims administration contractors and assign administrative tasks. Rising expectations among Medicare beneficiaries and providers are putting pressure on the Centers for Medicare and Medicaid Services to modernize and improve agency operations. Such improvements will require HCFA to begin a performance-based management …
Date: July 25, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Nuclear Regulation: Challenges Confronting NRC In a Changing Regulatory Environment (open access)

Nuclear Regulation: Challenges Confronting NRC In a Changing Regulatory Environment

Testimony issued by the General Accounting Office with an abstract that begins "This testimony discusses the challenges facing the Nuclear Regulatory Commission (NRC) as it moves from its traditional regulatory approach to a risk-informed, performance-based approach. GAO found that NRC's implementation of a risk-informed approach for commercial nuclear power plants is a complex, multiyear undertaking that requires basic changes to the regulations and processes NRC uses to ensure the safe operation of these plants. NRC needs to overcome several inherent difficulties as it seeks to apply a risk-informed regulatory approach to the nuclear material licensees, particularly in light of the large number of licensees and the diversity of activities they conduct. NRC will have to demonstrate that it is meeting its mandate (under the Government Performance and Results Act) of increasing public confidence in NRC as an effective regulator. NRC also faces challenges in human capital management, such as replacing a large percentage of its technical staff and senior managers who are eligible to retire. NRC has developed a five-year plan to identify and maintain the core competencies it needs and has identified legislative options to help resolve its aging staff problem."
Date: May 8, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
GAO's Work at the FBI: Access to Data, Documents, and Personnel (open access)

GAO's Work at the FBI: Access to Data, Documents, and Personnel

Testimony issued by the General Accounting Office with an abstract that begins "GAO has issued about 50 products during the last five years that include information on the Federal Bureau of Investigation's (FBI) operations and activities. When GAO initiates work with federal agencies, it formally notifies key officials about the planned review and meets with them to discuss objectives. In the course of its work, GAO routinely receives large amounts of information, some of it highly sensitive, and has an excellent record when it comes to safeguarding sensitive and classified information. This testimony discusses (1) GAO's statutory access authority to federal records and (2) access problems with the FBI. GAO has broad statutory right of access to agency records in order to conduct audits and evaluations. If agencies do not make information available in a reasonable time, GAO has the authority to demand access by sending the head of the agency a letter stating GAO's authority and its reasons for needing the information. The agency has 20 days to respond, after which the Comptroller General may file a report with the President, the Director of the Office of Management and Budget (OMB), the head of the agency, and Congress. If …
Date: June 20, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Food Stamp Program: Program Integrity and Participation Challenges (open access)

Food Stamp Program: Program Integrity and Participation Challenges

Testimony issued by the General Accounting Office with an abstract that begins "The Food and Nutrition Service (FNS) and the states have taken steps to reduce fraud, waste, and abuse in the Food Stamp Program. GAO's past work has found that FNS and the states need to make better use of electronic data to track individuals and storeowners who may be trafficking in food stamps. GAO also found that financial sanctions and enhanced funding have been at least partially successful in focusing states' attention on minimizing payment errors. However this "carrot and stick" approach can accomplish only so much. Food stamp regulations for determining eligibility and benefits are extremely complex and their application is inherently error-prone and costly to administer. Furthermore, this approach, carried to extremes, can create incentives for states to take actions that may inhibit achievement of one of the agency's basic missions--providing food assistance to needy persons. For example, requiring recipients to report income changes more frequently could decrease errors, but it could also have the unintended effect of discouraging participation by the eligible working poor. This would run counter not only to FNS' basic mission but also to an overall objective of welfare reform--helping people move …
Date: June 27, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
VA Health Care: VA Has Not Sufficiently Explored Alternatives for Optimizing Third-Party Collections (open access)

VA Health Care: VA Has Not Sufficiently Explored Alternatives for Optimizing Third-Party Collections

Testimony issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) has reversed the general decline in its third-party collections for the first time since fiscal year 1995. The fiscal year 2001 increase appears to be largely the result of VA's implementation of a new system, known as the reasonable charges billing system, which allowed VA to move from a flat-rate billing system to one that itemizes charges. However, long-standing problems in VA's revenue operations persist, and VA's collections performance is poor when compared to that of the private sector. VA's attempts at consolidation using either in-house or contractor staff have provided little basis for selecting the best alternative to VA's collections problems. Also, VA's recent 2001 Revenue Cycle Improvement Plan does not call for a comprehensive comparison of alternatives, nor does it focus on net revenues--collections minus operations costs. To collect the most funds for veterans' medical care at the lowest cost, VA needs to develop a business plan and detailed implementation approach that will provide useful data for optimizing net revenues from third-party payments."
Date: September 20, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library
Critical Infrastructure Protection: Significant Challenges in Protecting Federal Systems and Developing Analysis and Warning Capabilities (open access)

Critical Infrastructure Protection: Significant Challenges in Protecting Federal Systems and Developing Analysis and Warning Capabilities

Testimony issued by the General Accounting Office with an abstract that begins "Federal computer systems are riddled with weaknesses that continue to put critical operations and assets at risk. New information security provisions introduced by Congress will be a major catalyst for federal agencies to improve their security program management. To help maintain the momentum that the new information security reform provisions have generated, federal agencies must act quickly to implement strong security program management. A key element of the strategy outlined in Presidential Decision Directive (PDD) 63 was establishing the National Infrastructure Protection Center as "a national focal point" for gathering information on threats and facilitating the federal government's response to computer-based incidents. The center has begun critical infrastructure protection efforts to establish a foundation for future governmentwide efforts. However, the analytical and information-sharing capabilities that PDD 63 asserts are needed to protect the nation's critical infrastructures have not yet been achieved."
Date: September 12, 2001
Creator: United States. General Accounting Office.
Object Type: Text
System: The UNT Digital Library