Section 201 of the Veterans Access, Choice, and Accountability Act (VACAA) - Chief Strategy Office
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Section 201 of the Veterans Access, Choice, and Accountability Act (VACAA)

Section 201 of the Veterans Access, Choice, and Accountability Act (VACAA) of 2014 required that VA contract for Independent Assessments of VA hospital care, medical services, and other health care furnished in medical facilities of the Department of Veterans Affairs (VA). In total, twelve assessments were required and conducted.  In addition to requiring these assessments, VACAA required that an independent “integrator” oversee the assessments and provide an integrated report. 

VA contracted with the CMS Alliance to Modernize Healthcare (CAMH), the Health and Human Services Center of MITRE, a Federally Funded Research and Development Center (FFRDC). CAMH subsequently subcontracted to specialists who could cover the wide scope required in the assessment, namely RAND, Grant Thornton, and McKinsey & Company.  These groups conducted over 80 site visits, pulled data from over 500 sources, interviewed 20 plus industry leaders, and reviewed over 100 previous reports focused on VA health care.  The resulting integrated report and reports of the twelve assessments can be found in the links below.  These reports formed the foundational source of the independent Commission on Care and have been a continued reference as VA has moved forward in the priority areas of Greater Choice, Modernizing Systems, Efficiency, Improved Timeliness, and Suicide Prevention.


Integrated Report

Assessment A: Veteran Demographics

Assessment B: Health Care Capabilities (Volume I)

Assessment B: Health Care Capabilities (Volume II)

Assessment C: Care Authorities

Assessment D: Access Standards

Assessment E: Workflow – Scheduling

Assessment F: Workflow – Clinical

Assessment G: Staffing and Productivity

Assessment H: Health Information Technology

Assessment I: Business Processes

Assessment J: Supplies

Assessment K: Facilities

Assessment L: Leadership