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Inspector General Open Recommendations

08/28/2024 - Department of Veterans Affairs Incorrect Use of the Baker Act at the North Florida/South Georgia Veterans Health System in Gainesville, Florida [Report Details] Inspection / Evaluation - Open Recommendations

04
The VA North Florida/South Georgia Health System Director confirms that mental health staff document offering evidence-based therapies during treatment planning with patients diagnosed with posttraumatic stress disorder, as required by Veterans Health Administration policy, and monitors compliance.
03
The VA North Florida/South Georgia Health System Director verifies that a process is in place to provide patients who are admitted for an involuntary examination under the Baker Act with written information on their rights and monitors compliance.
02
The VA North Florida/South Georgia Health System Director ensures that providers document their rationales for initiating involuntary examinations under the Baker Act within a patient’s electronic health record and monitors compliance.
01
The VA North Florida/South Georgia Health System Director consults with the Office of General Counsel to ensure system and service line policies and practices related to voluntary and involuntary admissions under the Baker Act provide clear guidance and are consistent with Florida state law as allowed by federal law and Veterans Health Administration regulations.

08/28/2024 - U.S. Agency for International Development Financial Audit of USAID Resources Managed by Centre for Infectious Disease Research in Zambia Under Multiple Awards, October 1, 2022, to September 30, 2023 [Report Details] Other - Open Recommendations

08/28/2024 - Department of Transportation Summary Report on Significant Single Audit Findings Impacting DOT Programs for the 3-Month Period Ending June 30, 2024 [Report Details] Audit - Open Recommendations

08/27/2024 - Export-Import Bank Evaluation of EXIM’s Environmentally Beneficial Goods and Services Mandate [Report Details] Inspection / Evaluation - Open Recommendations

08/27/2024 - National Aeronautics and Space Administration NASA’s Management of the Mobile Launcher 2 Project [Report Details] Audit - Open Recommendations

08/27/2024 - Department of Veterans Affairs Inspection of Continental District 4 Vet Center Operations [Report Details] Inspection / Evaluation - Open Recommendations

03
The District Director determines reasons staff did not document providing safety plans to clients, ensures that a safety plan was provided to all active clients assessed at intermediate or high suicide risk levels, and monitors compliance across all zone vet centers.
02
The District Director determines reasons vet center counselors did not complete safety plan components for clients assessed at intermediate or high suicide risk level in either acute, chronic, or both categories; ensures completion of safety plans for all active clients assesses at intermediate or high suicide risk levels; and monitors compliance across all zone vet centers.
01
The District Director monitors compliance with leaders’ completion of morbidity and mortality reviews for client deaths by suicide, including timeliness, as required.

08/27/2024 - Department of Veterans Affairs Inspection of Select Vet Centers in Continental District 4 Zone 1 [Report Details] Inspection / Evaluation - Open Recommendations

07
District leaders and the Abilene and Cheyenne Vet Center Directors determine reasons for noncompliance with having an annual risk and vulnerability assessment completed by VA police or local law enforcement, ensure completion, and monitor compliance.
05
District leaders and the Fort Collins, Kalispell, Tulsa, Abilene, Salt Lake City, and Cheyenne Vet Center Directors determine reasons for noncompliance with completion of an outreach plan with all required strategic components, ensure completion, and monitor compliance.
03
District leaders and the Fort Collins, Abilene, and Salt Lake City Vet Centers Directors determine reasons for noncompliance with Vet Center Directors review of 10 percent of active client records monthly for each counselor’s caseload, ensure completion, and monitor compliance.
02
District leaders and the Fort Collins, Tulsa, Abilene, Salt Lake City, and Cheyenne Vet Center Directors determine reasons for noncompliance with completing four hours of external clinical consultation for clinically complex cases per month, ensure a process is implemented, and monitor compliance.

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