The Department of Veterans Affairs (VA) and the Indian Health
Service (IHS) have developed mechanisms to implement and monitor
their memorandum of understanding (MOU); however, the performance
metrics developed to assess its implementation do not adequately
measure progress made toward its goals. VA and IHS have defined
common goals for implementing the MOU and developed strategies to
achieve them. Native Americans who have served in the military may
be eligible for health care services from both VA and IHS. This
book examines the extent to which the agencies have established
mechanisms through which the MOU can be implemented and monitored;
and key challenges the agencies face in implementing the MOU and
the progress made in overcoming them.
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