Federal Reports

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the Mann-Grandstaff VA Medical Center in Spokane, Washington. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (focusing on suicide prevention initiatives)The OIG issued six recommendations for improvement in three areas:1. Quality, safety, and value• Peer Review Committee summary analysis data• Executive-level medical committee review2. Environment of care• Safe work practices• Clean and sterile storeroom access3. Mental health• Suicide-related event reporting• Completion of Comprehensive Suicide Risk Evaluations

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the leadership performance and oversight by Veterans Integrated Service Network 21: VA Sierra Pacific Network in Pleasant Hill, California. This evaluation focused on five key areas of clinical and administrative operations:• Leadership and organizational risks• Quality, safety, and value• Medical staff credentialing and privileging• Environment of care• Mental health (focusing on suicide prevention)The OIG did not issue recommendations for improvement related to the areas reviewed for this report.

In this year’s report, we identified seven key challenges for NASA—including two that pose significant cost and schedule risks to the Artemis campaign, the Agency’s most ambitious and expensive human space exploration effort since Apollo.

During our ongoing audit to determine the extent to which U.S. Immigration and Customs Enforcement (ICE) manages and secures its mobile devices, we identified thousands of mobile applications installed by ICE employees, contractors, and other DHS agency 1 employees on ICEmanaged mobile devices. These included applications from companies banned from U.S. Government information systems, applications associated with and , third-party file sharing applications, third-party virtual private networks (VPN), and outdated messaging applications.

The objective of our audit was to assess ITA’s progress and actions to prevent, reduce, and remove foreign trade barriers. To address this objective, we assessed ITA’s process for (1) identifying and resolving trade barriers; (2) receiving, recording, and monitoring foreign trade barriers reported by U.S. companies; and (3) selecting trade barrier cases for reporting to stakeholders. We found that ITA did not effectively prevent, reduce, and remove foreign trade barriers to increase exports of U.S. goods and services and to ensure American businesses and workers have an equal opportunity to compete within foreign markets. Specifically, we found that ITA does not strategically manage trade barrier cases to ensure resources are effectively used to meet the needs of U.S. businesses; ITA did not ensure the completeness and accuracy of data reported in Salesforce; and ITA performance measures do not accurately report its efforts to assist U.S. companies in resolving trade barriers.

OIG reviewed Rural Utilities Service 's administration of grants for the Water and Waste Disposal Loan and Grant program.

The Office of Inspector General (OIG) is initiating an audit of the AbilityOne Commission’s ERM Process. Our overall objective is to determine if the Commission's ERM process is effective and used to make risk-based decisions.