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Inspector General Open Recommendations

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

07/13/2021 - U.S. Agency for International Development Financial Audit of USAID Resources Managed by Baylor College of Medicine Children’s Foundation Lesotho Under Multiple Awards, July 1, 2019, to June 30, 2020 [Report Details] Other - Open Recommendations

07/12/2021 - Department of Homeland Security FEMA Has Not Prioritized Compliance with the Disaster Mitigation Act of 2000, Hindering Its Ability to Reduce Repetitive Damages to Roads and Bridges [Report Details] Audit - Open Recommendations

1
We recommend the Federal Emergency Management Agency Administrator address unresolved implementation issues, publish proposed regulations for notice and comment within 1 year, and issue final regulations within 3 years of issuance of this report for implementation of the Disaster Mitigation Act of 2000, 42 U.S.C. § 5172(b)(2).
2
We recommend the Federal Emergency Management Agency Administrator establish a process to standardize data entry in FEMA’s database systems to promote consistency and accuracy to better identify repetitive damages.
3
We recommend the Federal Emergency Management Agency Administrator work with states to develop a plan to properly train applicants on the use of FEMA’s disaster-related data systems.
4
We recommend the Federal Emergency Management Agency Administrator review and resolve hazard mitigation challenges, such as: 1. ensuring education and training of states and applicants on mitigation programs and availability of funding at the state and applicant levels; 2. revising criteria and instructions for completing benefit-cost analyses to clarify and streamline the process and assist applicants with meeting the required benefit-cost threshold; 3. streamlining the processes from application submission to approval to decrease applicants’ wait time for mitigation; and 4. considering existing flexibilities to adjust the cost share for applicants experiencing financial hardships.

07/12/2021 - Open Recommendations

01
The Medical Center Director evaluates and determines any additional reasons for noncompliance and makes certain a licensed healthcare professional’s first- or second-line supervisor completes provider exit review forms within seven business days of professionals’ departure from the medical center.
02
The Chief of Staff evaluates and determines any additional reasons for noncompliance and makes certain that the Pain Management Committee monitors the quality of pain assessment and effectiveness of pain management interventions.
03
The Chief of Staff evaluates and determines any additional reasons for noncompliance and makes certain that the Suicide Prevention Coordinator conducts at least five suicide prevention outreach activities per month.
04
The Medical Center Director evaluates and determines any additional reasons for noncompliance and makes certain that all staff complete annual suicide prevention refresher training. 
05
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures practitioners complete life-sustaining treatment decision progress notes.
06
The Chief of Staff evaluates and determines any additional reasons for noncompliance and ensures that processes and procedures are in place for 24 hours a day, 7 days per week Emergency Department and medical center call coverage for gynecologic care.
07
The Medical Center Director evaluates and determines any additional reasons for noncompliance and ensures that each community-based outpatient clinic has at least two designated women’s health primary care providers or arrangements for leave coverage when there is only one designated provider.
08
The Medical Center Director evaluates and determines any additional reasons for noncompliance and makes certain that required members consistently attend Women Veterans Health Committee meetings.
10
The Nurse Executive evaluates and determines any additional reasons for noncompliance and ensures that Sterile Processing Services staff complete competency assessments that align with medical center standard operating procedures prior to reprocessing reusable medical equipment.

07/12/2021 - Department of Veterans Affairs Comprehensive Healthcare Inspection of the Boise VA Medical Center in Idaho [Report Details] Review - Open Recommendations

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