Federal Reports

The U.S. Postal Service’s mission is to provide timely, reliable, secure, and affordable mail and package delivery to more than 160 million residential and business addresses across the country. The U.S. Postal Service Office of Inspector General (OIG) reviews delivery operations at facilities across the country and provides management with timely feedback in furtherance of this mission. 

The VA Office of Inspector General (OIG) issued this preliminary result advisory memorandum to communicate a serious patient safety risk related to acute ischemic stroke (AIS) management at the Wm. Jennings Bryan Dorn VA Medical Center (facility) in Columbia, South Carolina. During a healthcare inspection, the OIG found that the facility’s AIS practices did not align with Veterans Health Administration (VHA) or facility policy, resulting in delays in diagnosis, evaluation, treatment, and disposition of patients with stroke symptoms. These concerns were shared with Veterans Integrated Service Network and facility leaders during a site visit on August 28, 2025, prompting immediate interim corrective actions.

To promote proactive risk mitigation across the enterprise, the OIG is broadly sharing this preliminary finding with other VHA facilities.

VHA Directive 1155(1) requires VA medical centers to maintain a protocol for emergent stroke management. The OIG found that the facility’s actual practices contradicted its own policy, which outlined a code stroke protocol, stroke team responsibilities, emergency department evaluation for all suspected AIS cases, and use of the VA National Telestroke Program. In practice, inpatient units lacked a stroke team or code stroke protocol, and patients were not transferred to the emergency department or evaluated by telestroke neurologists unless already in the emergency department.

The OIG observed a case in which intensive care unit staff failed to promptly respond to a suspected stroke, resulting in delayed imaging, neurology evaluation, and transfer to a community stroke center. The absence of a clear transfer protocol further hindered timely care.

During the site visit, the OIG advised facility leaders to take corrective actions by September 5, 2025. The facility has since developed a new standard operating procedure, initiated staff training, and plans to revise its policy. The OIG will continue monitoring progress and include full findings in the final report.

Management and performance challenges facing the Commission and briefly assesses management's progress

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Eastern Oklahoma VA Health Care System in Muskogee. This evaluation focused on five key content domains:
•    Culture
•    Environment of care
•    Patient safety
•    Primary care
•    Veteran-centered safety net

The OIG issued three recommendations for VA to correct identified deficiencies in two domains:
1.    Environment of care
•    Clean and safe environment
2.    Patient safety
•    Service-level workflows for test result communication
•    Effectiveness of the patient notification process

What Was Reviewed
The U.S. International Development Finance Corporation Office of Inspector General contracted with the independent public accounting firm RMA Associates, LLC (RMA) to conduct the Federal Information Security Modernization Act of 2014 (FISMA) Performance Audit of the United States International Development Finance Corporation (DFC) for Fiscal Year (FY) 2025 to evaluate the effectiveness of the DFC’s information security program and practices, and determine what maturity level DFC achieved for each of the core metrics and supplemental metrics outlined in the FY 2025 Inspectors General (IG) FISMA Reporting Metrics v2.0 (April 2025).

Our objective was to evaluate the effectiveness of the DFC’s information security program and practices and determine the maturity level DFC achieved for each of the core metrics and supplemental metrics outlined in the FY 2025 IG FISMA Reporting Metrics v2.0 (April 2025).

What Was Found
In this Performance Audit of DFC, RMA determined that DFC’s information security program and practices were effective for FY 2025, as DFC’s information security program met the criteria required to be assessed at a maturity level of Managed and Measurable (Effective). RMA’s tests of the information security program identified two findings that fell within the data protection and privacy and information security continuous monitoring domains.

VHA’s VA Health Connect modernization initiative of 2020 was to transform medical facilities’ call centers into regionally managed units called clinical contact centers. The centers were expected to integrate operations and provide veterans 24-hour access to four core services by December 31, 2021: primary care scheduling, pharmacy support, clinical triage, and virtual provider care. Center staff were to answer at least 95 percent of calls promptly, answer at least 80 percent of primary care scheduling and pharmacy calls within 30 seconds, and answer at least 80 percent of clinical triage calls within 120 seconds.

The OIG team conducted its review from October 2024 through July 2025, with a focus on operations during FY 2024, and found that only clinical triage met both standards; it exceeded the call timeliness standard, with 82 percent of calls answered within 120 seconds. Most centers had not fully integrated operations by September 2022, and some did not provide 24-hour pharmacy or scheduling services in FY 2024. Additionally, some medical facilities did not route all incoming calls to their regional contact center.

The review team found that centers did not always adequately oversee schedulers, monitor the time schedulers spent on individual calls or on follow-up, or monitor the percentage of time schedulers were unavailable—all of which affect call abandonment rates and timeliness.

In December 2024, centers were allowed to request a temporary exemption from VA Health Connect requirements, but the waiver policy did not specify what information to include with the request or require VHA’s chief operating officer to review waivers.
To address the problems identified, the OIG made nine recommendations. VHA concurred with eight and concurred in principle with one.

Over the last two decades, historical events, legislative enactments, and operational performance have shaped the U.S. Postal Service’s financial results. Throughout the 1990s, the Postal Service’s profitability fluctuated, and the early 2000s saw more net losses than net incomes. Fiscal year (FY) 2006 was the last year the Postal Service recorded a profit, as First-Class Mail, its most profitable product, declined with the emergence and normalization of email and electronic bill payment options.