Federal Reports

This semiannual report summarizes the work we completed from April 1, 2023, through September 30, 2023.

GAO OIG Semiannual Report to Congress for the period of April 1, 2023, through September 30, 2023

This statutory report presents the activities and accomplishments of the OIG from April 1, 2023, through September 30, 2023. The audits, investigations, and related work highlighted in the report are products of our mission to identify and stop fraud, waste, and abuse; and promote accountability, efficiency, and effectiveness through our oversight of the Department’s programs and operations.

EAC OIG, through the independent public accounting firm of McBride, Lock & Associates, LLC, audited $1.8 million in funds received by the territory of American Samoa under the Help America Vote Act. The objectives of the audit were to determine whether the Territorial Election Office of American Samoa: 1) used funds for authorized purposes in accordance with Section 101 and Section 251 of HAVA and other applicable requirements; 2) properly accounted for and controlled property purchased with HAVA payments; and 3) used the funds in a manner consistent with the informational plans provided to EAC. The audit also determined if proper closeout procedures were followed for the CARES Act funds.

The purpose of the Office of Inspector General (OIG) Care in the Community (CITC) healthcare inspection program is to evaluate various aspects of care delivered in Veterans Health Administration (VHA) community-based outpatient clinics (CBOCs) and through non-VA healthcare providers. In fiscal year 2022, the OIG reviewed eight Veterans Integrated Service Networks (VISNs), VISNs 1, 2, 5, 6, 8, 12, 19, and 20, which are responsible for oversight of care provided by their associated medical facilities, CBOCs, and non-VA providers.To examine VISN oversight and the care provided in CBOCs and by non-VA providers, the OIG reviewed VHA requirements and Joint Commission standards and evaluated core processes in the following six areas of administrative and clinical operations:1. Leadership: oversight and management of care in the community2. Environment of care: emergency management of CBOCs3. Care coordination: congestive heart failure management4. Primary and mental health care: diagnostic evaluations for depression and alcohol use disorder5. Quality of care: home dialysis care6. Women’s health: mammography services by community providersWomen’s health was a congressionally mandated review, and the OIG will report the results of the evaluation of mammography services by community providers in a separate publication to provide stakeholders with a more comprehensive picture of regional VHA challenges and ongoing efforts in this area of women’s healthcare services.The OIG issued seven recommendations for improvement in two areas:1. Care coordination• Care coordination needs documented in the Community Care Coordination Plan note• Consults acted on no later than two business days after receipt• Appointments scheduled in a timely manner• Three attempts made to retrieve medical documentation from non-VA providers2. Quality of care• Initial and annual dialysis program home visits• Processes to monitor delivery of non-VA home dialysis• VISN dialysis council