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Inspector General Open Recommendations
03/12/2024
-
Department of Veterans Affairs
Deficiencies in Quality of Care at VA Maine Healthcare System in Augusta
[Report Details]
Inspection / Evaluation
-
Open Recommendations
04
The VA Maine Healthcare System Director assesses staff knowledge of when to notify the VA Maine Healthcare System suicide prevention staff about a patient who has made a threat of self-directed violence during a phone call with VA staff, and takes action as warranted.
03
The VA Maine Healthcare System Director verifies that patients identified as having suicidal ideations or behaviors have personalized safety plans documented in the electronic health record, and monitors compliance.
02
The VA Maine Healthcare System Director oversees a review to determine whether a VA Maine Healthcare System policy in which clinical staff will be expected to develop safety plans with patients is needed; and if so, ensures one is created.
01
The VA Maine Healthcare System Director confirms that staff complete the Columbia-Suicide Severity Rating Scale and document on the Veterans Health Administration template when patients are unwilling to participate in completion of the screening.
03/12/2024
-
Tennessee Valley Authority
Early Payment Discounts on Vendor Invoices Follow-Up
[Report Details]
Audit
-
Open Recommendations
3
We recommend the Vice President, Supply Chain, consider using early payment discount data as an evaluation tool for FIA performance and training needs.
2
We recommend the Vice President, Supply Chain, require contractors to submit invoices within a defined number of days of the expected date of material receipt.
1
We recommend the Vice President, Supply Chain, include detailed information related to the management of early payment discounts in both TVA-SPP-04.004 and in the required FIA training.
03/07/2024
-
Small Business Administration
Fiscal Year 2023 Federal Information Security Modernization Act
[Report Details]
Inspection / Evaluation
-
Open Recommendations
11
Provide training to individuals with contingency planning roles and responsibilities.
10
Update existing procedures that identify the roles of individuals with significant IT responsibilities who require role-based training and ensure such training is provided and tracked.
9
Ensure implementation procedures for data loss prevention are updated at least on a biannual basis to reflect new processes and new requirements.
8
Implement a process to track and enforce compliance with PIV implementation and multi-factor requirements.
7
Properly update and remediate vulnerabilities and configuration weaknesses throughout the SBA environment.
6
Define timeframe and remediation requirements for baseline and configuration weaknesses.
5
Develop a strategy to ensure that products, system components, systems, and services of external providers are consistent with the organization’s cybersecurity and supply chain requirements.
4
Review the Enterprise Risk Management Framework Guide annually and update if needed.
3
Update existing policy and procedures to ensure plans of action and milestones are closed only after the planned corrective actions and milestones have been implemented.
2
Define a required frequency for updating the system inventory and implement a quality control process to validate that system inventories are updated in a timely manner.
1
Complete the implementation of an automated solution to help ensure a complete and accurate inventory of software assets.
03/07/2024
-
Department of Veterans Affairs
Comprehensive Healthcare Inspection of the Charles George VA Medical Center in Asheville, North Carolina
[Report Details]
Inspection / Evaluation
-
Open Recommendations
05
The Director ensures designated staff complete the Comprehensive Suicide Risk Evaluation the same calendar day, when logistically feasible and clinically appropriate, for all ambulatory care patients with a positive suicide risk screen.
03
The Director ensures executive leaders consolidate all credentialing and privileging activities into one credentialing and privileging office under the Chief of Staff.
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