The VA Office of Inspector General (OIG) conducted this inspection to assess the VA Milwaukee Healthcare System’s oversight and stewardship of funds and to identify potential cost efficiencies. The review assessed the following financial activities and administrative processes to determine whether the healthcare system had appropriate oversight and controls in place: use of managerial cost accounting information, accrued expense oversight, purchase card use, and inventory and supply management.The OIG found that the healthcare system could improve the following:• Use of management cost accounting information. The healthcare system did not always use that information to enhance efficiency, help reduce costs, or inform business decisions.• Accrued expense oversight. The number of invalid open obligations grew from 23 in fiscal year 2021 to 43 in fiscal year 2022. Because Veterans Integrated Service Network (VISN) 12 and the local contracting office have not worked together, the list of invalid obligations remaining open has continued to grow, leaving about $1.9 million in funds attached to orders that could be used for other purposes.• Purchase card use. Cardholders and approving officials did not always work together to ensure compliance with VA policy. The team also determined that contracts could have been considered for an estimated 6,300 transactions totaling at least $6.7 million.• Inventory and supply management. Information in the Supply Chain Common Operating Picture were not being used to monitor stock levels or meet the required accuracy rate for inventory as required by VHA policy. The healthcare system could improve effectiveness and efficiency by ensuring inventory values are correctly recorded in the Generic Inventory Package.OIG made eight recommendations to the healthcare system director and one to the VISN 12 director. The recommendations address issues that, if left unattended, may eventually interfere with effective financial efficiency practices and the strong stewardship of VA resources.
| Report Date | Agency Reviewed / Investigated | Report Title | Type | Location | |
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| Department of Veterans Affairs | Financial Efficiency Inspection of the VA Milwaukee Healthcare System | Inspection / Evaluation |
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| Department of Health & Human Services | Widespread Pandemic Disruption Spurred Innovation to State Paternity Establishment Practices | Inspection / Evaluation | Agency-Wide | View Report | |
| Internal Revenue Service | Known Exploited Vulnerabilities That Remain Unremediated Could Put the IRS Network at Risk | Audit | Agency-Wide | View Report | |
| Department of Homeland Security | Cybersecurity System Review of the Transportation Security Administration’s Selected High Value Asset | Audit | Agency-Wide | View Report | |
| U.S. Agency for International Development | Audit of the Schedule of Expenditures of the Rene Moawad Foundation Under Multiple Awards in Lebanon, January 1 to December 31, 2020 | Other |
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| U.S. Agency for International Development | Financial Audit of USAID Resources Managed by the Department of Health Services and Karnali Provincial Ministry of Social Development in Nepal Under Assistance Agreement 367-013(3670183.00), IL No. 150, July 16, 2021, to July 16, 2022 | Other |
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| U.S. Agency for International Development | Performance Audit of Jefferson Consulting Group for Fiscal Year 2018 and 2019 | Other |
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| Election Assistance Commission | Audit of the Help America Vote Act Grants Awarded to the State of Missouri | Audit |
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| U.S. Agency for International Development | Financial Audit of USAID Resources Managed by Stichting ZOA in Multiple Countries Under Multiple Awards, January 1 to December 31, 2019 | Other |
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| U.S. Agency for International Development | Financial Audit of KNCV Tuberculosis Foundation Under Multiple, USAID Awards for the Fiscal Year Ended September 30, 2019 | Other |
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