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Audit of Triage and Support Services for Sexual Assault Victims at DoD Medical Treatment Facilities

Submitting OIG: 
Department of Defense OIG
Date Issued: 
Thursday, September 7, 2023
Agency Reviewed / Investigated: 
Department of Defense
Submitting OIG-Specific Report Number: 
DODIG-2023-120
Component, if applicable: 
Defense Health Agency (DHA)
Location(s): 
Agency-Wide
Type of Report: 
Audit
Questioned Costs: 
$0
Funds for Better Use: 
$0
Number of Recommendations: 
2
Report updated under NDAA 5274: 
No
View Document: 
AttachmentSize
PDF icon DODIG-2023-120.pdf3.45 MB

Related Open Recommendations

Recommendation Number Recommendation Status Significant Recommendation Additional Details
D-2023-0120-D000AW-0001-0001.A1a Open No
Rec. A.1.a: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) conduct a study concerning triage levels for sexual assault victims, including a review of industry standards and revise DoD guidance to prescribe a specific triage level for sexual assault victims or a minimum level that meets the requirements for priority and uniformity.
D-2023-0120-D000AW-0001-0001.A1b Open No
Rec. A.1.b: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) develop a process to review and ensure that emergency department providers implement and consistently apply the new guidance for assigning a triage level for sexual assault victims.
D-2023-0120-D000AW-0002-0001.B1a Open No
Rec. B.1.a: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) revise guidance to require emergency department providers to document in the sexual assault victim?s medical record: (1) the triage level of care assigned; (2) whether providers offered and documented a Sexual Assault Forensic Examination to the victim; and (3) whether the Sexual Assault Response Coordinator, Sexual Assault Prevention and Response Victim Advocate, or Family Advocacy Program clinical provider was notified, and the details of the notification including who was notified and when they were notified.
D-2023-0120-D000AW-0002-0001.B1b Open No
Rec. B.1.b: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) develop a process to review and ensure that emergency department providers implement and consistently apply the new guidance on documentation requirements for sexual assault victims.
D-2023-0120-D000AW-0002-0001.B1c Open No
Rec. B.1.c: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) update Military Health System GENESIS to add an automated control requiring emergency department providers to enter: (1) triage level of care assigned; (2) whether providers offered a Sexual Assault Forensic Examination; and (3) whether providers notified the Sexual Assault Response Coordinator, Sexual Assault Prevention and Response Victim Advocate, or Family Advocacy Program clinical provider for care provided at medical treatment facility emergency departments for sexual assault victims, and the details of the notification, including who was notified and when they were notified.
Displaying 5 of 5 Recommendations