Health Care Workforce: Federal Investments in Training and the Availability of Data for Workforce Projections (open access)

Health Care Workforce: Federal Investments in Training and the Availability of Data for Workforce Projections

Testimony issued by the Government Accountability Office with an abstract that begins "GAO found that there is substantial federal funding for health care workforce training programs but that obtaining comprehensive information about the scope of such programs is challenging. In GAO's August 2013 report on the federal role in health care workforce training, GAO found that four federal departments—the Department of Health and Human Services (HHS), the Department of Veterans Affairs (VA), the Department of Defense (DOD), and the Department of Education (Education)—administered 91 programs that supported postsecondary training or education specifically for direct care health professionals in fiscal year 2012. All together, the four departments reported obligating about $14.2 billion for health care workforce training programs in fiscal year 2012, with HHS funding the most programs (69) and having the largest percentage of total reported funding (82 percent). The majority of funding for health care workforce training in fiscal year 2012—about $11.1 billion, or 78 percent—was invested in seven programs that supported postgraduate residency training for physicians, dentists, and certain other health professionals, called Graduate Medical Education. The remaining 84 programs administered by HHS, VA, DOD, and Education accounted for obligations of about $3.2 billion and provided varying levels …
Date: April 9, 2014
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
VA Health Care: Ongoing and Past Work Identified Access Problems That May Delay Needed Medical Care for Veterans (open access)

VA Health Care: Ongoing and Past Work Identified Access Problems That May Delay Needed Medical Care for Veterans

Testimony issued by the Government Accountability Office with an abstract that begins "GAO's ongoing work examining VHA's management of outpatient specialty care consults identified examples of delays in veterans receiving outpatient specialty care, as well as limitations in the Department of Veterans Affairs' (VA), Veterans Health Administration's (VHA) implementation of new consult business rules designed to standardize aspects of the clinical consult process. For example, for 4 of the 10 physical therapy consults GAO reviewed for one VAMC, between 108 and 152 days elapsed with no apparent actions taken to schedule an appointment for the veteran. For 1 of these consults, several months passed before the veteran was referred for care to a non-VA health care facility. VA medical center (VAMC) officials cited increased demand for services, and patient no-shows and cancelled appointments among the factors that lead to delays and hinder their ability to meet VHA's guideline of completing consults within 90 days of being requested. GAO's ongoing work also identified variation in how the five VAMCs reviewed have implemented key aspects of VHA's business rules, such as strategies for managing future care consults—requests for specialty care appointments that are not clinically needed for more than 90 days. Such …
Date: April 9, 2014
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Defense Infrastructure: In-Kind Projects Initiated during Fiscal Years 2011 and 2012 (open access)

Defense Infrastructure: In-Kind Projects Initiated during Fiscal Years 2011 and 2012

Correspondence issued by the Government Accountability Office with an abstract that begins "The Department of Defense’s (DOD) processes for selecting in-kind projects in Asia vary by country and by whether the project is intended to support force structure initiatives or enduring installations, although these efforts are not mutually exclusive; domestically, DOD’s processes for selecting in-kind projects vary by military service and statutory authority. In Asia, the selection of in-kind projects to support initiatives for relocating U.S. troops within Japan and the Republic of Korea generally results from a schedule-driven process based on resources and infrastructure made available by the host nation to fulfill initiatives agreed to in prior years with target dates for completion, and input from affected military bases. The selection of in-kind projects to support enduring installations is characterized by priority-based processes with input from installations and unit commanders. All in-kind projects to support U.S. forces in Asia result from host nation support as agreed to bilaterally, with the exception of facilities provided through the Japan Facilities Improvement Program, which is a voluntary effort on the part of Japan. All DOD facility planning and project selection at enduring locations is based on military and operational requirements, independent of …
Date: April 9, 2014
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Social Security Disability Programs: SSA Could Take Steps to Improve Its Assessment of Continued Eligibility (open access)

Social Security Disability Programs: SSA Could Take Steps to Improve Its Assessment of Continued Eligibility

Testimony issued by the Government Accountability Office with an abstract that begins "The Social Security Administration (SSA) reported in January 2014 that it is behind schedule in assessing the continued eligibility of recipients in its two disability programs, Disability Insurance (DI) and Supplemental Security Income (SSI),and has accumulated a backlog of 1.3 million continuing disability reviews (CDRs). From fiscal years 2000 to 2011, the numbers of adult and child CDRs conducted fell about 70 percent. Children make up about one fifth of all SSI recipients, and GAO reported in 2012 that many of their CDRs were overdue. For example, more than 24,000 CDRs for children with mental impairments were overdue by 6 or more years, including over 6,000 CDRs for children who were expected to medically improve within 6 to 18 months of their initial determination. GAO also identified several cases which exceeded their scheduled review date by 13 years or more. When CDRs are not conducted as scheduled, the potential for improper payments increases as some recipients receive benefits for which they are no longer eligible. In September 2011, SSA's Office of the Inspector General estimated that SSA had paid about $1.4 billion in SSI benefits to children who …
Date: April 9, 2014
Creator: United States. Government Accountability Office.
Object Type: Text
System: The UNT Digital Library
Mine Safety: Basis for Proposed Exposure Limit on Respirable Coal Mine Dust and Possible Approaches for Lowering Dust Levels (open access)

Mine Safety: Basis for Proposed Exposure Limit on Respirable Coal Mine Dust and Possible Approaches for Lowering Dust Levels

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Labor's Mine Safety and Health Administration (MSHA) appropriately did not use recent trend data on coal workers' pneumoconiosis (CWP) as a basis for its proposal to lower the permissible exposure limit for respirable coal mine dust. These recent data from the Department of Health and Human Services' National Institute for Occupational Safety and Health (NIOSH) are inappropriate for this purpose because they do not include the types of detailed information about individual miners needed to estimate the likelihood that miners would develop CWP at different exposure levels, such as historical dust exposures. MSHA primarily based its proposed new limit on two reports and six epidemiologic studies, which each concluded that lowering the limit on exposure to coal mine dust would reduce miners' risk of developing disease. MSHA's proposed coal mine dust limit was supported by these reports and studies because, unlike recent CWP trend data, they included information needed to conduct a reliable epidemiological analysis of disease risks associated with different levels of exposure to coal mine dust."
Date: April 9, 2014
Creator: United States. Government Accountability Office.
Object Type: Report
System: The UNT Digital Library
U.S. Implementation of the Basel Capital Regulatory Framework (open access)

U.S. Implementation of the Basel Capital Regulatory Framework

This report summarizes the higher capital requirements for U.S. banks regulated for safety and soundness.
Date: April 9, 2014
Creator: Getter, Darryl E.
Object Type: Report
System: The UNT Digital Library
Coast Guard Cutter Procurement: Background and Issues for Congress (open access)

Coast Guard Cutter Procurement: Background and Issues for Congress

This report provides background information and potential oversight issues for Congress on the Coast Guard's programs for procuring 8 National Security Cutters (NSCs), 25 Offshore Patrol Cutters (OPCs), and 58 Fast Response Cutters (FRCs).
Date: April 9, 2014
Creator: O'Rourke, Ronald
Object Type: Report
System: The UNT Digital Library
Bee Health: Background and Issues for Congress (open access)

Bee Health: Background and Issues for Congress

This report provides an overview of selected bee species, and discusses importance of bee pollination, changes in bee populations, factors affecting bee health, and identifies future needs.
Date: April 9, 2014
Creator: Johnson, Renée & Corn, M. L.
Object Type: Report
System: The UNT Digital Library
Nuclear Cooperation with Other Countries: A Primer (open access)

Nuclear Cooperation with Other Countries: A Primer

This report discusses section 123 of the Atomic Energy Act (AEA), the specific requirements of which must be met in order for the United States to engage in civilian nuclear cooperation with other states. The AEA also provides for exemptions to these requirements, export control licensing procedures, and criteria for terminating cooperation.
Date: April 9, 2014
Creator: Kerr, Paul K. & Nikitin, Mary Beth
Object Type: Report
System: The UNT Digital Library
Section 179 and Bonus Depreciation Expensing Allowances: Current Law, Legislative Proposals in the 113th Congress, and Economic Effects (open access)

Section 179 and Bonus Depreciation Expensing Allowances: Current Law, Legislative Proposals in the 113th Congress, and Economic Effects

This report examines the current status, legislative history, and main economic effects (including their efficacy as an economic stimulus tool) of the Section 179 and bonus depreciation allowances. It also identifies legislative initiatives in the 113th Congress to modify either allowance.
Date: April 9, 2014
Creator: Guenther, Gary
Object Type: Report
System: The UNT Digital Library
Social Security: Calculation and History of Taxing Benefits (open access)

Social Security: Calculation and History of Taxing Benefits

This report discusses the Social Security system that provides monthly benefits to qualified retirees, disabled workers, and their spouses and dependents.
Date: April 9, 2014
Creator: Meyerson, Noah P.
Object Type: Report
System: The UNT Digital Library
Former Presidents: Pensions, Office Allowances, and Other Federal Benefits (open access)

Former Presidents: Pensions, Office Allowances, and Other Federal Benefits

This report provides a legislative and cultural history of the Former Presidents Act. It details the pension and benefits provided to former U.S. presidents and their costs; Congress has the authority to reduce, increase, or maintain these benefits.
Date: April 9, 2014
Creator: Ginsberg, Wendy
Object Type: Report
System: The UNT Digital Library