Federal Reports

Objectives; To determine (1) whether the Social Security Administration accurately and timely paid beneficiaries subject to the earnings test and (2) the administrative costs to enforce the earnings test.

We audited costs claimed by the Nebraska Game and Parks Commission under WSFR grants awarded by the FWS.

The audit objectives were to determine whether program funds were managed in accordance with the ARC and Federal grant requirements.

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Robert J. Dole VA Medical Center and multiple outpatient clinics in Kansas. 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 did not issue recommendations for improvement related to the areas reviewed for this report.

The VA Office of Inspector General (OIG) conducted a healthcare inspection to review an allegation that the Behavioral Health Service program manager denied 32 patients behavioral health community care services at the Oklahoma City VA Medical Center in Oklahoma (facility).During the review, the OIG substantiated that the program manager did not follow the consult management process and discontinued behavioral health community care consults for 29 patients. The OIG did not substantiate that the behavioral health patients were denied care but determined that the discontinued consults resulted in a delay of care for seven patients. The OIG determined that when the discontinued consults were identified, facility leaders initiated reviews and took timely action to ensure patients received the requested care.The OIG found that the program manager reviewed each community care consult and used an availability tool to identify open internal appointments, then incorrectly commented to schedule patients in specific internal openings and discontinued the consults. Despite completing required trainings, the program manager reported not recognizing that comments to schedule a patient into a specific opening could be considered a prohibited practice called blind scheduling, and incorrectly identified that the discontinue consult status allows further action to be taken. The OIG concluded that the program manager had poor knowledge of the consult management scheduling processes and failed to follow requirements for behavioral health community care consults that led to delayed care for seven patients. The Behavioral Health Service leaders and the patient safety manager reported concerns to facility leaders after identifying that the program manager was discontinuing consults. Facility leaders took actions, including investigating the reports and conducting quality reviews that showed no adverse events from the delays.The OIG made one recommendation to the Facility Director related to community care consult management and appointment scheduling processes.