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Book OMB Circular A 76  contracting out in VA Facilities

Download or read book OMB Circular A 76 contracting out in VA Facilities written by United States. Congress. House. Committee on Veterans' Affairs and published by . This book was released on 1981 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book OMB Circular A 76 contracting out in VA Facilities

Download or read book OMB Circular A 76 contracting out in VA Facilities written by and published by . This book was released on 19?? with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book OMB Circular A 76  contracting Out in VA Facilities

Download or read book OMB Circular A 76 contracting Out in VA Facilities written by United States. Congress. House. Committee on Veterans' Affairs and published by . This book was released on 1981 with total page 295 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book VA Implementation of OMB Circular A 76  Policies for Acquiring Commercial Or Industrial Products and Services

Download or read book VA Implementation of OMB Circular A 76 Policies for Acquiring Commercial Or Industrial Products and Services written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Oversight and Investigations and published by . This book was released on 1981 with total page 154 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Oversight on Issues Related to OMB Circular A 76

Download or read book Oversight on Issues Related to OMB Circular A 76 written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 1982 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Proposed Revision to OMB Circular A 76

Download or read book Proposed Revision to OMB Circular A 76 written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Oversight and Investigations and published by . This book was released on 1982 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book OMB Circular A 76  contracting out in VA Facilities

Download or read book OMB Circular A 76 contracting out in VA Facilities written by United States. Congress. House. Committee on Veterans' Affairs and published by . This book was released on 1982 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Review of OMB Circular A 76 and Contracting Out

Download or read book Review of OMB Circular A 76 and Contracting Out written by United States. Congress. House. Committee on Post Office and Civil Service. Subcommittee on Human Resources and published by . This book was released on 1984 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Contracting Out Under OMB Circular A 76 at Selected Army and Navy Activities in Virginia

Download or read book Contracting Out Under OMB Circular A 76 at Selected Army and Navy Activities in Virginia written by United States. General Accounting Office and published by . This book was released on 1984 with total page 9 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Contracting Out and OMB Circular A 76

Download or read book Contracting Out and OMB Circular A 76 written by Stephanie Smith and published by . This book was released on 1984 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Oversight on Issues Related to OMB Circular A 76

Download or read book Oversight on Issues Related to OMB Circular A 76 written by United States. Congress. Senate. Committee on Veterans' Affairs and published by . This book was released on 1982 with total page 396 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book OMB s Circular A 76 and Its Implications for Municipal Contracting

Download or read book OMB s Circular A 76 and Its Implications for Municipal Contracting written by Jonas Prager and published by . This book was released on 1995 with total page 40 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book OMB Circular A 76

Download or read book OMB Circular A 76 written by California Business Law Institute and published by . This book was released on 1983 with total page 897 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Proposed Revision to OMB Circular A 76

Download or read book Proposed Revision to OMB Circular A 76 written by United States. Congress. House. Committee on Veterans' Affairs. Subcommittee on Oversight and Investigations and published by . This book was released on 1982 with total page 88 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book VA health care

    Book Details:
  • Author : United States. General Accounting Office
  • Publisher :
  • Release : 2003
  • ISBN :
  • Pages : pages

Download or read book VA health care written by United States. General Accounting Office and published by . This book was released on 2003 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: The Department of Veterans Affairs (VA) spent about $23 billion to provide health care to over 4 million veterans in fiscal year 2002. To provide this care, VA relied primarily on its own employees, totaling about 190,000. VA also used contract employees, sometimes referred to as contract labor, to provide these services. In response to the requirements of the Federal Activities Inventory Reform Act of 1998 (the FAIR Act), VA compiled an inventory of more than 180,000 full-time equivalent (FTE) positions that it determined to be "health care commercial" in nature. This means that the work carried out in these positions is also done in the private sector and could potentially be done by contract labor. As part of its management initiatives, the Office of Management and Budget (OMB) has emphasized that competition should be used to determine the most effective and efficient way to provide commercial services. The process used to make this determination--referred to as competitive sourcing--is established in OMB Circular A-76. This process generally provides for competition between the government and the private sector on the basis of costs or costs and other factors. OMB has established competitive sourcing FTE targets for federal agencies to achieve as part of OMB's management initiatives. In response to OMB's FTE target for VA, VA established a plan to complete studies of competitive sourcing of 55,000 positions by 2008. RAND addressed limited aspects of the use of VA contract labor in a report that examined another subject. In that report, RAND found that increased use of contract labor appeared to decrease the overall costs at VA health care facilities. However, the report's finding differed from the interim finding that RAND briefed Congressional staff on earlier. In that briefing, RAND stated that contracting for labor could result in higher, rather than lower, VA health care facility costs. Because of this difference in RAND's findings and ongoing concerns about the impact of using contract labor at VA, Congress asked us to (1) determine what data RAND used in its contract labor analysis, (2) explain why RAND's final and interim findings differed regarding the effect of using contract labor on facility costs, and (3) assess whether RAND's report finding provides an adequate basis for making competitive sourcing decisions. RAND used contract labor data provided by VA from its financial accounting system. These data were for contract labor costs, such as for laundry and dry cleaning, for each VA health care facility in fiscal year 2000. According to VA officials, the costs in these accounts are predominately for contract labor costs. However, an undetermined proportion of these costs could also be for costs other than contract labor. Data refinements that RAND made explain most of the difference between RAND's report finding and interim finding on the effect of contract labor on VA facility costs, according to the study authors. In its report, RAND found that increasing contract labor was associated with decreasing VA health care facility costs. In its interim finding, RAND reported the opposite, namely that contract labor was associated with higher, not lower, VA health care facility costs. RAND study authors told us that the difference between their interim finding and their report finding resulted from certain data and analytical refinements that they made during the course of their research and data validation work after the briefing. The most important refinement was to exclude the costs of medical resident stipends and benefits from the contract labor analysis in the report. RAND excluded these costs for the report because they are not funded through the VA health care resource allocation system that RAND was examining. RAND's finding on contract labor does not provide an adequate basis for making competitive sourcing decisions. First, RAND's purpose was not to address this issue but instead to evaluate ways to improve VA's health care resource allocation system, according to the RAND study authors. For example, RAND did not examine the effect of using contract labor for each contract service even though the association with facility costs may vary by type of service. Second, VA contract labor data have limitations that may affect their usefulness for analysis of the relationship between use of contract labor and facility health care costs. One of these is that the data may include some nonlabor costs. In addition, the small proportion of VA labor costs that are for contract labor and the small variation across VA in the use of contract labor limit the usefulness of these data for examining the relationship between contract labor and facility costs, according to the RAND study authors.

Book Monthly Catalogue  United States Public Documents

Download or read book Monthly Catalogue United States Public Documents written by and published by . This book was released on 1982 with total page 1392 pages. Available in PDF, EPUB and Kindle. Book excerpt: