Wed May 28, 2014 10:18pm EDT
<span id="articleText"/>(Adds details from committee hearing)
<span id="midArticle_0"/>By David Lawder, Roberta Rampton and Julia Edwards
<span id="midArticle_1"/>WASHINGTON May 28 (Reuters) - Calls for U.S. Veterans Affairs Secretary Eric Shinseki to resign grew louder on Wednesday as the agency's inspector general confirmed "systemic" and widespread VA scheduling abuses to cover up long wait times for veterans' healthcare.
<span id="midArticle_2"/>The Department of Veterans Affairs' internal watchdog is probing manipulation of appointment data at 42 VA medical centers, up from 26 last week, it said in an interim report on allegations of secret waiting lists.
<span id="midArticle_3"/>The office said it has confirmed that "inappropriate scheduling practices are systemic" throughout the Veterans Health Administration.
<span id="midArticle_4"/>The report confirmed allegations that staff at VA medical facilities in Phoenix significantly understated months-long wait times for healthcare appointments for veterans. It linked these actions to performance appraisals, bonus awards and salary increases for VA executives.
<span id="midArticle_5"/>The findings prompted some Republicans and Democrats who had withheld judgment on Shinseki to call for his immediate resignation.
<span id="midArticle_6"/>"If Secretary Shinseki does not step down voluntarily, then I call on the president of the United States to relieve him of his duties," Republican Senator John McCain of Arizona told a news conference in Phoenix.
<span id="midArticle_7"/>The scolding continued during a House Veterans Affairs Committee hearing on Wednesday night where three VA officials were asked to testify on the alleged existence and destruction of a secret wait list identified by whistleblowers in Phoenix.
<span id="midArticle_8"/>Dr. Thomas Lynch, the agency's assistant deputy under secretary for health for clinical operations, said the waiting list was in fact an "interim work product" meant to hold names of veterans whose appointments had been cancelled. Lynch said that the list was properly destroyed after the patients were rescheduled to avoid keeping unnecessary information on patients.
<span id="midArticle_9"/>His answer did not satisfy members of the committee, including Chairman Jeff Miller who has called for Shinseki's resignation and others who chastised the officials for being blind to the agency's problems.
<span id="midArticle_10"/>"How you can stand in a mirror and look at yourself...and not throw up knowing that you've got people out there?" Congressman Phil Roe asked Lynch. "They're desperate to get in."
<span id="midArticle_11"/>Shinseki, a retired four-star Army general, has headed the VA since early 2009. The inspector general said it has filed 18 reports on VA patient scheduling deficiencies since 2005.
<span id="midArticle_12"/>In Phoenix, the inspector general said it identified 1,700 veterans who were waiting for a primary care appointment but who did not appear on the agency's electronic waiting list.
<span id="midArticle_13"/>The inspector general said a sample of 226 veterans waited on average 115 days for their first primary care appointment at Phoenix-area clinics, far longer than the 26-day average reported by the Phoenix VA and the department's 14-day goal.
<span id="midArticle_14"/>But the Inspector General's Office said it needed more information to determine whether the appointment delays resulted in delayed diagnosis or treatment, or any deaths. VA doctors in Phoenix have said some 40 veterans had died while waiting for care.
<span id="midArticle_15"/><span id="midArticle_0"/>FINDINGS "TROUBLING," "REPREHENSIBLE"
<span id="midArticle_1"/>President Barack Obama "found the findings extremely troubling," White House spokeswoman Jessica Santillo said, adding that the VA must take immediate steps to contact veterans waiting for care.
<span id="midArticle_2"/>Last week Obama said Shinseki's job could be on the line depending on the investigation results.
<span id="midArticle_3"/>Shinseki, in a statement, called the findings "reprehensible" and directed the Phoenix facility to "immediately triage" the veterans to get them care.
<span id="midArticle_4"/>Shinseki is conducting his own review of scheduling practices at VA health care facilities nationwide, and was expected to deliver preliminary results from that effort to Obama this week. (Additional reporting by Susan Heavey, Susan Cornwell and Patricia Zengerle in Washington, and David Schwartz in Phoenix; Editing by Matthew Lewis, Richard Chang and Ken Wills)
<span id="midArticle_5"/>
<span id="articleText"/>(Adds details from committee hearing)
<span id="midArticle_0"/>By David Lawder, Roberta Rampton and Julia Edwards
<span id="midArticle_1"/>WASHINGTON May 28 (Reuters) - Calls for U.S. Veterans Affairs Secretary Eric Shinseki to resign grew louder on Wednesday as the agency's inspector general confirmed "systemic" and widespread VA scheduling abuses to cover up long wait times for veterans' healthcare.
<span id="midArticle_2"/>The Department of Veterans Affairs' internal watchdog is probing manipulation of appointment data at 42 VA medical centers, up from 26 last week, it said in an interim report on allegations of secret waiting lists.
<span id="midArticle_3"/>The office said it has confirmed that "inappropriate scheduling practices are systemic" throughout the Veterans Health Administration.
<span id="midArticle_4"/>The report confirmed allegations that staff at VA medical facilities in Phoenix significantly understated months-long wait times for healthcare appointments for veterans. It linked these actions to performance appraisals, bonus awards and salary increases for VA executives.
<span id="midArticle_5"/>The findings prompted some Republicans and Democrats who had withheld judgment on Shinseki to call for his immediate resignation.
<span id="midArticle_6"/>"If Secretary Shinseki does not step down voluntarily, then I call on the president of the United States to relieve him of his duties," Republican Senator John McCain of Arizona told a news conference in Phoenix.
<span id="midArticle_7"/>The scolding continued during a House Veterans Affairs Committee hearing on Wednesday night where three VA officials were asked to testify on the alleged existence and destruction of a secret wait list identified by whistleblowers in Phoenix.
<span id="midArticle_8"/>Dr. Thomas Lynch, the agency's assistant deputy under secretary for health for clinical operations, said the waiting list was in fact an "interim work product" meant to hold names of veterans whose appointments had been cancelled. Lynch said that the list was properly destroyed after the patients were rescheduled to avoid keeping unnecessary information on patients.
<span id="midArticle_9"/>His answer did not satisfy members of the committee, including Chairman Jeff Miller who has called for Shinseki's resignation and others who chastised the officials for being blind to the agency's problems.
<span id="midArticle_10"/>"How you can stand in a mirror and look at yourself...and not throw up knowing that you've got people out there?" Congressman Phil Roe asked Lynch. "They're desperate to get in."
<span id="midArticle_11"/>Shinseki, a retired four-star Army general, has headed the VA since early 2009. The inspector general said it has filed 18 reports on VA patient scheduling deficiencies since 2005.
<span id="midArticle_12"/>In Phoenix, the inspector general said it identified 1,700 veterans who were waiting for a primary care appointment but who did not appear on the agency's electronic waiting list.
<span id="midArticle_13"/>The inspector general said a sample of 226 veterans waited on average 115 days for their first primary care appointment at Phoenix-area clinics, far longer than the 26-day average reported by the Phoenix VA and the department's 14-day goal.
<span id="midArticle_14"/>But the Inspector General's Office said it needed more information to determine whether the appointment delays resulted in delayed diagnosis or treatment, or any deaths. VA doctors in Phoenix have said some 40 veterans had died while waiting for care.
<span id="midArticle_15"/><span id="midArticle_0"/>FINDINGS "TROUBLING," "REPREHENSIBLE"
<span id="midArticle_1"/>President Barack Obama "found the findings extremely troubling," White House spokeswoman Jessica Santillo said, adding that the VA must take immediate steps to contact veterans waiting for care.
<span id="midArticle_2"/>Last week Obama said Shinseki's job could be on the line depending on the investigation results.
<span id="midArticle_3"/>Shinseki, in a statement, called the findings "reprehensible" and directed the Phoenix facility to "immediately triage" the veterans to get them care.
<span id="midArticle_4"/>Shinseki is conducting his own review of scheduling practices at VA health care facilities nationwide, and was expected to deliver preliminary results from that effort to Obama this week. (Additional reporting by Susan Heavey, Susan Cornwell and Patricia Zengerle in Washington, and David Schwartz in Phoenix; Editing by Matthew Lewis, Richard Chang and Ken Wills)
<span id="midArticle_5"/>
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