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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
U.S. Agency for International Development
Single Audit of Winrock International Institute for Agricultural Development and Affiliates for the Year Ended December 31, 2020
Objective: To determine whether the Social Security Administration properly updated payment records to prevent improper payments when individuals changed their name because of marriage.
The comments are in response to Impact of Undetected Marriages on Social Security Administration Payments, 012317, that was submitted by The National Association for Public Health Statistics and Information Systems on May 20, 2024, pursuant to Pub. L. No. 117- 263, § 5274.
This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Jesse Brown VA Medical Center, which includes multiple outpatient clinics in Illinois and Indiana. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (suicide prevention initiatives) The OIG issued eight recommendations for improvement in three areas:1. Quality, safety, and value• Peer review committee improvement actions 2. Environment of care• Environment of care inspections• Medical equipment maintenance per manufacturers’ recommendations• Medication access by approved individuals using the pneumatic tube system• Clean and orderly patient areas• Mental health inpatient unit: • Over-the-door alarm testing • Sally port entrance 3. Mental health• Comprehensive Suicide Risk Evaluation completion
This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the G.V. (Sonny) Montgomery VA Medical Center and multiple outpatient clinics in Mississippi. 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 one recommendation for improvement in the Mental Health area of review regarding ensuring the Suicide Prevention Coordinator conducts at least five outreach activities each month.
