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Report File
Date Issued
Submitting OIG
Department of Justice OIG
Agencies Reviewed/Investigated
Department of Justice
Components
Federal Bureau of Prisons
Report Number
25-057
Report Type
Inspection / Evaluation
Agency Wide
Yes
Number of Recommendations
13
Questioned Costs
$0
Funds for Better Use
$0
Report updated under NDAA 5274
No

Open Recommendations

This report has 13 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
1 No $0 $0 Status as of May 31, 2025

Evaluate the colorectal cancer screening practices of the 40 facilities that are meeting the sustained, demonstrated, or developed colorectal cancer screening performance levels and use that assessment to identify any best practices that may be effective BOP-wide.

10 No $0 $0 Status as of May 31, 2025

Develop and distribute guidance on how to consistently input International Classification of Diseases-10 codes for colorectal cancer increased-risk factors within the Bureau Electronic Medical Records System so they can more completely and accurately identify inmates at increased risk for colorectal cancer.

11 No $0 $0 Status as of May 31, 2025

Following completion of Recommendation 10, ensure that increased-risk inmates are properly categorized in the increased-risk roster within the Colorectal Cancer Screening Dashboard based on their specific risk factor(s) (e.g., family history).

12 No $0 $0 Status as of May 31, 2025

Institute or append to the current peer review process for Clinical Directors and other BOP physicians who directly supervise clinical employees, as appropriate, an evaluation of the management of inmates at increased risk for colorectal cancer.

13 No $0 $0 Status as of May 31, 2025

Standardize the process for ordering, or otherwise documenting within the Bureau Electronic Medical Records System, when a future screening is required for inmates at increased risk for colorectal cancer.

2 No $0 $0 Status as of May 31, 2025

Require each BOP facility to develop a written plan for consistent colorectal cancer screening that details: how the facility will identify the average-risk population; the screening process, to include timeframes; assigned employee responsibilities; and plans for providing colorectal cancer screening education to inmates. Each facility's evaluation should take into account staffing challenges and the other factors identified in this report that contribute to the BOP's failure to consistently offer colorectal cancer screening, as well as any best practices identified during the BOP's evaluation of the 40 facilities referenced in the report.

3 No $0 $0 Status as of May 31, 2025

Establish a process for the Central or Regional Offices to periodically review the facilities' written colorectal cancer screening and education plans and to work with the facilities to make changes to the plans that address new and ongoing factors that affect the ability to consistently provide screening.

4 No $0 $0 Status as of May 31, 2025

Transition to using the fecal immunochemical test as the primary stool-based screening method for colorectal cancer.

5 No $0 $0 Status as of May 31, 2025

Update the Preventive Health Care Screening Clinical Guidance and National Performance Measures to match the age range described in the U.S. Preventive Services Task Force and American Cancer Society recommendations on preventive colorectal cancer screening.

6 No $0 $0 Status as of May 31, 2025

Require facilities to review positive fecal immunochemical test and guaiac fecal occult blood test results from the past 12 months to determine whether appropriate follow-up on positive test results occurred in all cases, and develop an after-action plan to correct deficiencies, which could include developing standardized guidance and training to ensure that appropriate follow-up occurs and is properly documented, as needed.

7 No $0 $0 Status as of May 31, 2025

Consider strategies and practices to eliminate the need for off-site pre-colonoscopy evaluations at each facility.

8 No $0 $0 Status as of May 31, 2025

Develop and distribute best practices for facilities to establish relationships with external medical providers in the community.

9 No $0 $0 Status as of May 31, 2025

Implement a reliable, consistent process throughout all BOP facilities to monitor and analyze wait times for outside inmate appointments and the causes for canceled or rescheduled appointments in order to ensure that inmates receive timely medical care.

Department of Justice OIG

United States