Federal Reports

We evaluated the Defense Intelligence Agency’s compliance with the Payment IntegrityInformation Act (PIIA) for fiscal year (FY) 2022.

NASA is a leader in AI usage across the federal government including on experiments in low Earth orbit to conduct weather modeling and in deeper space to map hazards for landing sites. In this audit, we examine NASA’s AI governance framework, standards, and cybersecurity controls.

The VA Office of Inspector General (OIG) assessed allegations that San Diego VA Medical Center (facility) staff provided an inadequate evaluation of cognitive functioning, suicide risk, grave disability, and care coordination for a patient who died approximately six hours after leaving the facility. The OIG also evaluated a concern about mental health emergency response (code green) policy and practice inconsistencies.In early 2022, facility police officers (Officers 1 and 2) responded to a report that the patient “was loitering.” The patient denied needing assistance and planned to remain on VA property overnight. The patient made threatening statements after being told the patient’s vehicle would be towed due to a suspended vehicle registration and the patient not having a valid drivers’ license. Officer 2 escorted the patient to the Emergency Department, and a nurse called a code green.The code green team resident physician determined that the patient did not meet criteria for a psychiatric hold. Officer 2 provided the patient with transportation options. Later the Officers saw the patient, who refused to check in to the Emergency Department. The Officers walked the patient off VA property. Approximately six hours later, the patient’s death was reported to the Medical Examiner’s Office after an interstate driver reported having struck the patient.The OIG did not substantiate that facility staff failed to adequately evaluate the patient’s cognitive functioning, suicide risk, and grave disability. The OIG substantiated that staff failed to coordinate the patient’s care. The code green team leader inaccurately documented having “passed care.” The OIG concluded that staff appropriately respected the patient’s right to decline care when the patient later refused services.The OIG found inconsistencies between policy and practice in the patient’s code green event.The OIG made two recommendations to the Facility Director related to code green documentation and policy.

To see the interactive report, click here: https://oig.justice.gov/reports/federal-bureau-prisons-efforts-maintain…

What We Looked AtWe queried and downloaded 74 single audit reports prepared by non-Federal auditors and submitted to the Federal Audit Clearinghouse between January 1, 2023 and March 31, 2023, to identify significant findings related to programs directly funded by the Department of Transportation (DOT). What We FoundWe found that reports contained a range of findings that impacted DOT programs. The auditors reported 36 incidents of significant noncompliance with Federal guidelines related to 15 grantees that require prompt action from DOT’s Operating Administrations (OA). Of the 36 findings, 21 were repeat findings related to 8 grantees. The auditors also identified questioned costs totaling $14,886,138 for six grantees. Of this amount, $7,612,623 was related to the Crow Tribe of Indians, $5,472,288 was related to Pit River Tribe, and $1,146,291 was related to the COVID-19 formula grants of the Suburban Mobility Authority for Regional Transportation, Detroit, MI. Additionally, we identified nonmonetary repeat findings that caused a disclaimer of opinion for the Crow Tribe of Indians, Crow Agency, MT. RecommendationsWe recommend that DOT coordinate with the impacted OAs to develop a corrective action plan to resolve and close the findings identified in this report. We also recommend that DOT determine the allowability of the questioned transactions and recover $14,886,138, if applicable.

Evaluation of the FLRA's Preparedness Against Cyber Security Attacks