Federal Reports

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the leadership performance and oversight by Veterans Integrated Service Network (VISN) 2: New York/New Jersey VA Health Care Network in Bronx, New York, covering leadership and organizational risks and key processes associated with promoting quality care. This inspection also focused on COVID-19: Pandemic Readiness and Response; Quality, Safety, and Value; Medical Staff Credentialing; Environment of Care; Mental Health: Suicide Prevention; Care Coordination: Inter-facility Transfers; and Women’s Health: Comprehensive Care.The VISN had a stable leadership team, with the Quality Management Officer and Chief, Human Resources Officer permanently assigned prior to the integration of VISNs 2 and 3 in 2015. Selected employee satisfaction survey scores indicated that some VISN leaders had opportunities to improve employee perceptions of servant leadership, respect, discrimination, and psychological safety. Inpatient experience survey scores were lower than VHA national averages but outpatient ratings were higher. The OIG’s review of access metrics and clinical vacancies identified potential organizational risks, with wait times over 20 days at one medical center and clinical vacancies in certain specialties. Opportunities existed to improve executive leadership oversight of facility-level oversight of quality, safety, and value; care coordination; and high-risk processes.The OIG issued four recommendations for improvement in three areas:(1) Medical Staff Credentialing• Physician credentials review process(2) Environment of Care• Annual reviews(3) Women’s Health• Lead women veterans program manager appointment• Annual site visits

This interim report presents the results of our self-initiatedaudit of the efficiency of selected processes at the WyliePost Office in Wylie, TX (Project Number 22-066). This auditwas designed to provide U.S. Postal Service managementwith timely information on potential financial control risksat Postal Service locations. The Wylie Post Office is in theTexas 1 District of the Southern Area. We judgmentallyselected the Wylie Post Office for our audit.Our objective was to review cash and stamp inventories,daily reporting activities, clock ring errors, and employeeseparations processing at the Wylie, TX Post Office.To accomplish our objective, we reviewed data regardinginventories, daily reporting activities, clock ring errors,and employee separations to identify at risk transactions.1We conducted physical counts of all cash, stamp, andmoney order inventories, reviewed stamp transfers, andevaluated selected internal controls. We also observeddaily closing procedures, traced selected transactions tosource documentation, and interviewed unit personnel. Wedetermined the cause of clock ring errors and the stepstaken to resolve them. We also reviewed compliance withprocedures for separated employees, including timelysuspending system access and collecting and protectingaccountable property. We discussed our observations andconclusions with management on May 9, 2022, and includedtheir comments where appropriate.1

An Amtrak operation supervisor based in Miami resigned from the company on May 31, 2022, after he failed to respond to company letters advising him to report as available for duty. Prior to his resignation, we conducted an investigation and found that he violated company policies by engaging in self-employment as an independent realtor while on a medical leave of absence and while receiving short-term disability benefits. The company issued the employee a Notice of Investigation following the issuance of our investigative report and he failed to report to work.

This interim report presents the results of our self-initiatedaudit of the efficiency of selected processes at the MesquitePost Office in Mesquite, TX (Project Number 22-067).This audit was designed to provide U.S. Postal Servicemanagement with timely information on potential financialcontrol risks at Postal Service locations. The Mesquite PostOffice is in the Texas 1 District of the Southern Area. Wejudgmentally selected the Mesquite Post Office for our audit.

The Pandemic Response Accountability Committee’s (PRAC) Semiannual Report to Congress, covering the period from October 1, 2021 through March 31, 2022.

The U.S. General Services Administration Office of Inspector General's Semiannual Report to the Congress covering the period from October 2021 through March 2022.