But this latest report confirms that schedulers at the VA have used a series of administrative tricks for years to hide treatment delays, something Shinseki thought was confined just to VA facilities in Phoenix.
"I think he is deeply disappointed in the fact that bad news did not get to him," President Obama told reporters, as he announced Shinseki's departure.
Among the findings of this latest audit:
+ 13% of scheduling staff interviewed indicated they had been instructed to enter different dates in the VA computer system to make any treatment delays look smaller to top executives
+ 64% of major VA facilities were found to have schedulers who indicated they had been pressured to change such dates
+ 62% of major VA facilities had schedulers who used alternative external waiting lists, which would also reduce apparent treatment delays
The report also said that the effort to tie bonuses to wait times, that had a negative effect on appointments.
"However, when tied to rewards, measurement of system performance runs the risk of engendering a culture where the appearance of success becomes the driving force," the report stated.