![]() GAO reviewed relevant federal laws and Board documents. This testimony examines (1) how the Board assures and measures the quality of its adjudicative decisions, and (2) the extent to which the Board builds and uses evidence to assess its QA process. GAO was asked to review the Board's QA process. ![]() However, researchers and Congress have raised questions about how the Board ensures the quality of its adjudications. Why GAO Did This StudyĮach year, the Board adjudicates thousands of cases in which a veteran was dissatisfied with the Department of Veterans Affairs' (VA) initial decision on their claim for benefits. Absent such a process and a plan to guide it, the Board is not positioned to fully understand and address underlying causes of the most common errors and remands or understand consistency-evidence which is needed to target and implement effective interventions and foster continuous improvement of its QA efforts. These practices involve building and assessing evidence and using it to foster a culture of continuous improvement. GAO's prior work has identified key practices for evidence-based decision-making. The Board does not assess VLJ decisions for consistency, such as whether common misunderstandings of policy or law exist in decisions. ![]()
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