Fully funding existing IG and regulatory/watchdog programs will do good. Doing an accurate analysis of what is feasible for the location and having flexibility in rules so that reporting/performance metrics requirements aren't fudged just because a manager feels threatened reporting actual conditions beyond his or her control and will lie to save their job or clinic status because of the results of Congressional cuts and the increasing stress on what few resources are left.
A lot of this sounds like Benghazi. Republicans are great for patting themselves over "cutting waste" and "savings to the Taxpayer" and then screaming bloody murder when they find out Americans are being hurt because of bone-deep cost-cutting measures.
There are many VA clinics and hospitals that are better than most medical facilities in regions; not all of them are run by entrenched Rumsfeld-era management or cost-cutting bean counters.
Time for a staff change. Time to enforce the actual rules for job performance.
Haele