Federal Reports

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the inpatient and outpatient care provided at the St. Cloud VA Health Care System, which includes the St. Cloud VA Medical Center and multiple outpatient clinics in Minnesota. 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 two recommendations for improvement in two areas:1. Leadership and Organizational Risks• Institutional disclosures for sentinel events2. Mental Health• Suicide safety plans for patients with positive suicide risk screens

The EPA can further strengthen program controls to better ensure the integrity of the RINs market and meet goals for increased use of renewable fuels.

Our objective was to provide the status of the company’s progress toward achieving compliance with the ADA and identify any challenges that could delay progress. We found that the company continues to make progress on its ADA program. Since our September 2021 ADA report, the company implemented our recommendations around effectively planning and coordinating its ADA efforts, which has helped improve its progress. In particular, the company has increased program staff, which improved its pace bringing stations into compliance. The company continues to face challenges, however, in meeting its target completion date for bringing stations into ADA compliance. For example, bringing the remaining stations into compliance by fiscal year 2029 will require Amtrak to more than double its current pace. In addition, greatest challenge the company faces is that of coordinating with third parties such as other station owners, host railroads, and historic preservation offices.Because the company already implemented our prior recommendations, and is actively attempting to mitigate current challenges, we are not making any new recommendations in this report.

Our objective was to evaluate the progress made to reduce mail excluded from service performance measurement. We interviewed and surveyed judgmentally selected Postal Service facilities and commercial mailers with high rates of mailpiece exclusions.