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Inspector General Open Recommendations

07/08/2021 - Department of Veterans Affairs Training Deficiencies with VA’s New Electronic Health Record System at the Mann-Grandstaff VA Medical Center in Spokane, Washington [Report Details] Inspection / Evaluation - Open Recommendations

04
The Deputy Secretary ensures the user role assignment process addresses identified facility leaders and staff concerns.
05
The Deputy Secretary ensures Cerner trainers and adoption coaches have the capability to deliver end user training on Cerner and Veterans Health Administration electronic health record software workflows.
06
The Deputy Secretary evaluates the process of super user selection and takes action as indicated.
07
The Deputy Secretary reviews the Office of Electronic Health Records Modernization’s performance-based service assessments for Cerner’s execution of training to determine whether multiple, recurrent concerns are being accurately captured and addressed.
08
The Deputy Secretary oversees the revision of an Office of Electronic Health Records Modernization training evaluation plan and ensures implementation of stated objectives.
09
The Deputy Secretary reviews the Electronic Health Record Modernization governance structure and takes action as indicated to ensure the Under Secretary for Health’s role in directing and prioritizing Electronic Health Record Modernization efforts is commensurate with the Veteran Health Administration’s role in providing safe patient care.
10
The Under Secretary for Health establishes guidelines and training to capture new electronic health record-related patient complaints, including patient advocacy.
11
The Under Secretary for Health ensures an assessment of employee morale following implementation of a new electronic health record and takes action as indicated.

07/08/2021 - Department of Veterans Affairs VBA Overpaid Veterans Due to Delays in Reducing Compensation Benefits [Report Details] Review - Open Recommendations

07/08/2021 - Tennessee Valley Authority Organizational Effectiveness-Sequoyah Nuclear Plant Chemistry/Environmental [Report Details] Inspection / Evaluation - Open Recommendations

ISS.1 - 1
We recommend the Senior Manager, Sequoyah Nuclear Plant Chemistry, working with the Site Vice President, address concerns related to accountability.
ISS.2 - 1
We recommend the Senior Manager, Sequoyah Nuclear Plant Chemistry, working with the Site Vice President, address concerns related to relationship problems from both within and outside Chemistry.
ISS.3 - 1
We recommend the Senior Manager, Sequoyah Nuclear Plant Chemistry, working with the Site Vice President, address concerns related to relationship problems from both within and outside Chemistry.
ISS.4 - 1
We recommend the Senior Manager, Sequoyah Nuclear Plant Chemistry, working with the Site Vice President, develop a plan to monitor lab conditions and implement corrective actions as necessary.
ISS.5 - 1
We recommend the Senior Manager, Sequoyah Nuclear Plant Chemistry, working with the Site Vice President, examine processes and procedures, roles and responsibilities, and past missed sample events to identify gaps in Chemistry's collection of samples and monitoring of effluents and take corrective actions as necessary.
ISS.6 - 1
We recommend the Senior Manager, Sequoyah Nuclear Plant Chemistry, working with the Site Vice President, implement changes to reduce errors in Chemistry sample results and shipping data.

07/08/2021 - Tennessee Valley Authority Strategic Real Estate Plan [Report Details] Inspection / Evaluation - Open Recommendations

ISS.1 - 1
We recommend the Executive Vice President and Chief Operations Officer continue to refine the completeness and accuracy of the buildings database.
ISS.1 - 2
We recommend the Executive Vice President and Chief Operations Officer develop an accurate and comprehensive database for all Tennessee Valley Authority real estate assets, to include space management and human resource data.
ISS.2 - 1
We recommend the Executive Vice President and Chief Operations Officer communicate and reinforce the requirement for real estate decisions to flow through Strategic Real Estate and Governance through compliance with the governance framework, including standard programs and processes and real property requests.
ISS.3 - 1
We recommend the Executive Vice President and Chief Operations Officer consider centralization or restructure of the Tennessee Valley Authority’s real estate functions.

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