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Inspector General Open Recommendations

07/14/2021 - National Endowment for the Arts Performance Audit Report on Selected Awards to Kansas Department of Commerce [Report Details] Audit - Open Recommendations

07/13/2021 - Department of Veterans Affairs Adaptive Sports Grants Management Needs Improvement [Report Details] Review - Open Recommendations

01
Develop standard operating procedures for all processes related to managing the adaptive sports grants program.
02
Develop and train current staff and identify and hire staff specialized in grants management.
03
Establish and execute a plan to evaluate risks posed by grant applicants before awarding grants, in accordance with VA financial policy.
04
Establish procedures to ensure the timely reimbursement of grant recipient expenses.
05
Establish grant closeout procedures that include communicating timelines with the grant recipients, documentation requirements for proper grant closeout, availability of grant funds, and a process to approve modification and extension requests.
06
Act to ensure all adaptive sports grants are closed out on time.
07
Determine, in coordination with VA’s Office of Finance and Office of General Counsel, whether a Purpose Statute violation occurred, whether account adjustments need to be made, whether Antideficiency Act violations occurred, and report any Purpose Statute and Antideficiency Act violations.

07/13/2021 - Department of Veterans Affairs Comprehensive Healthcare Inspection of the VA Portland Health Care System in Oregon [Report Details] Review - Open Recommendations

01
The System Director evaluates and determines any additional reasons for noncompliance and ensures the Quality, Safety and Value Council’s recommended improvement actions are fully implemented and monitored.
02
The System Director evaluates and determines any additional reasons for noncompliance and ensures the Utilization Management Committee’s recommended improvement actions are fully implemented.
05
The System Director evaluates and determines any additional reasons for noncompliance and makes certain that provider exit review forms are completed within seven business days of licensed healthcare professionals’ departure from the healthcare system.
06
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures that providers complete an aberrant behavior risk assessment that includes a history of aberrant drug-related behaviors prior to initiating long-term opioid therapy.
07
The Chief of Staff evaluates and determines any additional reasons for noncompliance and makes certain that providers conduct urine drug testing as recommended for patients on long-term opioid therapy.
08
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures that providers obtain and document informed consent for patients prior to initiating long-term opioid therapy.
09
The Chief of Staff evaluates and determines any additional reasons for noncompliance and makes certain that providers conduct follow-up assessments that include adherence to the pain management plan of care and effectiveness of the interventions.
10
The Chief of Staff evaluates and determines the reasons for noncompliance and ensures that providers conduct four follow-up visits, either face-to-face or telephonic with documented consent, within the required time frame.
11
The System Director evaluates and determines any additional reasons for noncompliance and makes certain that employees complete annual suicide prevention refresher training.
12
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures providers complete life-sustaining treatment decisions progress notes prior to hospice referrals.
13
The System Director evaluates and determines any additional reasons for noncompliance and makes certain that required members attend Women Veterans Health Committee meetings.

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