Nearly a year after it was discovered that dozens of veterans died while awaiting healthcare, the Department of Veterans Affairs has yet to complete more than 100 recommendations for overcoming its troubling problems, a new report finds.

The VA, which serves about 9 million veterans, is still struggling to make sure patients get the medical appointments they need at the locations where they could best be served, according to a report by the Government Accountability Office released Wednesday. And the agency’s IT system hasn’t been updated in decades, the report said.