Federal Reports

An Amtrak car inspector based in New York, New York, violated company policies by engaging in outside employment as a bus operator; providing security services at night clubs, lounges, and bars; and working as a bouncer while on a medical leave of absence. The employee was on a medical leave of absence from the company since November 8, 2015, and had not returned to work. On March 6, 2024, after his corporate trial and in accordance with his union agreement, the employee forfeited his seniority and is considered out of service.

The objective of the audit is to express an opinion on whether the Commission’s financial statements are presented fairly, in all material respects, in accordance with U.S. generally accepted accounting principles.

This report was revised on October 17, 2024, to correct a sentence on page 12, which provided information that contained a minor, factual error. The error was not significant to the findings and audit conclusion.

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the outpatient settings of the Manchester VA Medical Center, which includes multiple outpatient clinics in New Hampshire. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (suicide prevention initiatives)The OIG issued six recommendations for improvement in three areas:1. Medical staff privileging• Medical Executive Council reviews of professional practice evaluations• Equivalent specialized training and similar privileges• Veterans Integrated Service Network oversight2. Environment of care• Inspections• Clean and safe patient areas3. Mental health• Comprehensive Suicide Risk Evaluation completion