Streamlining Government: Opportunities Exist to Strengthen OMB's Approach to Improving Efficiency Page: 41 of 73
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National Quality Program criteria. The state governmentwide review
efforts share these beneficial features: serving as an effective method of
cost-saving analysis, helping with prioritizing services to citizens, and
providing a targeted goal for the administration of state governments that
may contribute to improved government efficiency and effectiveness.
and Operations Can
U.S. Department of Veterans
Affairs (VA) Health Care
Solving the daunting fiscal challenges facing the nation will require
rethinking the base of existing federal spending and tax programs,
policies, and activities by reviewing their results and testing their
continued relevance and relative priority for a changing society. Such a
reexamination offers the prospect of addressing emerging needs by
weeding out programs and policies that are outdated or ineffective. Those
programs and policies that remain relevant could be updated and
modernized by improving their targeting and efficiency through such
actions as redesigning allocation and cost-sharing provisions,
consolidating facilities and programs, and streamlining and reengineering
operations and processes.65 While significant efficiency gains can be
achieved by restructuring outmoded government organizations and
operations to better meet current needs, we have reported that such
restructurings can be immensely complex and politically charged." All key
players must be involved in the process-Congress, the President, affected
executive branch agencies, their employees and unions, and other
interested parties, including the public. The fundamental restructuring of
the health care system for veterans in the mid-1990s and the Department
of Defense (DOD) Base Realignment and Closure (BRAC) process
demonstrate the significant efficiencies that can result from reexamining
the base of federal programs.
In the mid-1990s, the U.S. Department of Veterans Affairs (VA),
recognizing that its health care system was inefficient and in need of
reform, followed the lead of private sector health care providers and
began reorganizing its system to improve efficiency and access. 7 In 1995,
VA introduced substantial operational and structural changes in its health
care system to improve the quality, efficiency of, and access to care by
65GAO, 21st Century Challenges: Reexamining the Base of the Federal Government,
GAO-05-325SP (Washington, D.C.: Feb.1, 2005).
67GAO, VA Health Care: Status of Efforts to Improve Efficiency and Access,
GAO/HEHS-98-48 (Washington, D.C.: Feb. 6, 1998).
GAO-10-394 Streamlining Government
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United States. Government Accountability Office. Streamlining Government: Opportunities Exist to Strengthen OMB's Approach to Improving Efficiency, report, May 7, 2010; Washington D.C.. (https://digital.library.unt.edu/ark:/67531/metadc302236/m1/41/: accessed May 20, 2019), University of North Texas Libraries, Digital Library, https://digital.library.unt.edu; crediting UNT Libraries Government Documents Department.