**GAO-09-686T**                      Published: Jun 09, 2009. Publicly Released: Jun 09, 2009.                  

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## Highlights

Through its Veterans Health Administration (VHA), the Department of Veterans Affairs (VA) operates one of the largest integrated health care systems in the country. In 1999, GAO reported that better management of VA's large inventory of aged capital assets could result in savings that could be used to enhance health care services for veterans. In response, VA initiated a process known as Capital Asset Realignment for Enhanced Services (CARES). Through CARES, VA sought to determine the future resources needed to provide health care to our nation's veterans. This testimony describes (1) how CARES contributes to VHA's capital planning process, (2) the extent to which VA has implemented CARES decisions, and (3) the types of legal authorities that VA has to manage its real property and the extent to which VA has used these authorities. The testimony is based on GAO's body of work on VA's management of its capital assets, including GAO's 2007 report on VA's implementation of CARES (GAO-07-408).

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## Topics

Veterans

AssetsCapitalFacility constructionFederal propertyHealth care facilitiesHealth care planningHealth care servicesPerformance measuresProgram evaluationPropertyProperty and supply managementReal estate leasesReal propertyStrategic planningVeterans benefitsVeterans hospitalsVeterans' medical careCapital investment planningProgram implementation