More than 10% of audited Department of Veterans Affairs employees say they were instructed to falsify patient wait times, according to a report delivered to the president by VA Secretary Eric Shinseki just before he resigned Friday.
The first phase of the VA's internal audit, ordered by Mr. Shinseki and conducted the week of May 12, also found that patient wait-time goals were unrealistic and the scheduling systems were too complex.
The results confirm many of the findings of the VA's independent inspector general. The IG is still reviewing VA facilities across the country and issued a preliminary report on Wednesday that documented systemic problems with patient-scheduling procedures throughout the VA.


After handing in the report, Mr. Shinseki offered President Barack Obama his resignation, and the president accepted it.
The first phase of the internal audit covered the largest VA medical facilities, auditing 216 sites and more than 2,100 scheduling staff members. Many of these sites were flagged for further review, signaling a "systemic lack of integrity within some Veterans Health Administration facilities," according to the report.
A VA spokesman couldn't immediately be reached for comment.
The initial results show VA employees are easily confused by the complicated scheduling process, according to the report. The Government Accountability Office has long criticized the VA's appointment-scheduling software, first launched in 1985, as being complex and antiquated. The GAO has also said employees aren't properly supervised when using the software, which can lead to both intentional and unintentional scheduling errors.
Of employees surveyed, 13% said they were told to enter incorrect data into scheduling software, which would make patient wait times seem shorter than they actually were. And approximately 8% of employees said they used unauthorized wait lists. In some cases, the report said, schedulers were pressured to make wait times "appear more favorable."
The inspector general, in its interim report, also identified use of unauthorized wait lists and said those might be the "secret" wait lists that have been allegedly used in places like the Phoenix VA Health Care System, the most high-profile location under review. The inspector general also noted that hitting wait-time targets contributes to performance awards and salary increases.
The report -said the VA's 14-day wait-time performance target for new appointments "was simply not attainable" and represented "an organizational leadership failure." The target was set at 30 days until 2011.
Robert Petzel, the former VA undersecretary for health who changed the goal, told a gathering of veterans groups just days before he resigned that 14-day targets were "unrealistic."
VA auditors also found that front-line staff members saw a "lack of provider slots" to be a main obstacle for patients to get timely access.
The VA's report also laid out the immediate changes the VA instituted on May 23, including cutting executive performance bonuses, removing the 14-day wait-time target and accelerating care to veterans.
The audit is scheduled to continue through early June and will survey all VA sites and use anonymous surveys to better understand problems employees see in the system.