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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Department of Veterans Affairs
Comprehensive Healthcare Inspection of the Corporal Michael J. Crescenz VA Medical Center in Philadelphia, Pennsylvania
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 Corporal Michael J. Crescenz VA Medical Center and associated outpatient clinics in Pennsylvania and New Jersey. 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 nine recommendations for improvement in three areas:1. Quality, Safety, and Value• Root cause analysis for patient safety events with a safety assessment code score of 32. Medical Staff Privileging• Ongoing Professional Practice Evaluationso Service-specific criteriao Reprivileging based on datao Results reviewed and documented by Medical Executive Board when making reprivileging recommendations• Focused Professional Practice Evaluation results reported to the Medical Executive Board3. Environment of Care• Inspections at the required frequency• Clean and safe environment• Safe environment in the inpatient mental health unit• Access to medication and supply rooms
OIG assessed whether USDA agencies and staff offices had adequate processes in place to identify and mitigate security vulnerabilities on their USDA-developed mobile applications.
Our objective was to assess the safety and security aspects of the Postal Service’s surface transportation network. To accomplish our objective, we conducted reviews at eight mail processing facilities nationwide to determine whether contract drivers had current security clearances and visibly displayed identification badges while working, and that proper forms were completed for badge irregularities. We also identified safety and security concerns that pose a potential threat to employees, the public, mail, and/or assets.
Our objective was to evaluate whether corrective actions taken by the Postal Service in response to prior recommendations in the U.S. Postal Service Office of Inspector General’s Nationwide Employee Background Screening audit report (Report No. HR-AR-19-003) sufficiently addressed the issues identified and further assess the efficiency of background screening processes.
For our evaluation of the U.S. Economic Development Administration’s (EDA’s) file maintenance of grants awarded with Coronavirus Aid, Relief, and Economic Security Act funds, our objective was to determine whether EDA properly maintained grant files during the COVID-19 pandemic. We found that EDA generally maintained grant files during the pandemic. In addition, EDA generally complied with U.S. Department of Commerce policy for grant file requirements.