Federal Reports

This Office of Inspector General Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the VA Long Beach Healthcare System, which includes the Tibor Rubin VA Medical Center and multiple outpatient clinics in California. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (emergency department and urgent care center suicide prevention initiatives)The OIG issued three recommendations for improvement in two areas:1. Medical staff privileging• Focused professional practice evaluation criteria defined in advance• Medical Executive Council review and evaluation of licensed independent practitioners’ reprivileging request and documentation of review in meeting minutes2. Environment of care• Furniture and equipment kept safe and in good repair

This report presents the results of our evaluation of the U.S. Small Business Administration’s (SBA) handling of cash contributions and gifts. The objective of the evaluation was to determine the adequacy of SBA controls over the solicitation, acceptance, holding, and use of cash contributions and gifts.To meet our objective, we reviewed various management and financial records, applicable laws, regulations, policies, and SBA documents such as financial management system reports and accounting records.We found SBA complied with the Consolidated Appropriations Acts, 2023 and 2022, and SBA regulations and policies regarding soliciting and accepting cash contributions for National Small Business Week 2023 (Business Week). SBA’s Office of Communications & Public Liaison obtained proper approval from the Office of General Counsel for the Business Week cosponsored activity. SBA certified the 10 entities that cosponsored Business Week were vetted through the program offices to ensure no business relationship existed that would cause a conflict of interest.