Federal Reports

The VA Office of Inspector General (OIG) conducted a healthcare inspection at the Beckley VA Medical Center (Beckley), West Virginia, regarding a complainant’s allegations that delays in urological care, including kidney surgery, and an increase in a kidney lesion’s size occurred that resulted in an adverse clinical impact to a patient’s urological health. The OIG further evaluated if other Beckley patients experienced delays in urological care that resulted in adverse clinical impacts, and if Beckley lacked funding for its non-VA care programs. The OIG substantiated that the patient experienced delays in urological care, including kidney surgery, and that a kidney lesion increased in size; however, the lesion size was not within the range that necessitated immediate surgery or intervention. OIG staff found that the patient’s care was monitored by providers who discussed the patient’s symptoms with the patient and other providers. The OIG did not find that delays caused an adverse clinical impact to the patient’s urological health. The OIG also identified delays in scheduling urology consults for the Beckley Outpatient Urology Clinic and non-VA care programs. OIG staff determined that none of the reviewed patients experienced an adverse clinical impact to their urological health due to a delay in the consult process. Although a Beckley non-VA care staff member informed the patient that Beckley lacked funding for referral to non-VA care, the staff member made this statement in error, and Beckley leaders addressed and corrected the error. Beckley had sufficient funding, and providers routinely referred patients to other VA and non-VA facilities. The OIG made one recommendation related to reviewing consult management practices and ensuring consult timeliness.

This report presents the results of our audit of the Local Travel Reimbursement – Santa Ana, CA, Processing & Distribution Center (P&DC) Window. The Santa Ana P&DC retail facility is in the Santa Ana District of the Pacific Area. This audit was designed to provide U.S. Postal Service management with timely information on potential financial control risks at Postal Service locations.

Quarterly Summary Memorandum for the Lead Inspector General, Department of Defense

RRB-OIG's audit determined that the RRB’s Enterprise Risk Managemetn process was not fully effective. RRB had not complied with all of the internal control requirements in OMB’s revision of OMB Circular A-123, Management’s Responsibility for Enterprise Risk Management and Internal Control, and did not implement the ERM process agencywide.

The OIG investigated allegations that a National Park Service (NPS) superintendent abused his authority by using Federal funds to replace the driveway and perform grounds cleanup at his Government-leased quarters, and that he violated safety regulations and the National Historic Preservation Act of 1966 regarding renovations made to his office.We did not substantiate the allegations against the superintendent. We found the superintendent acted within his authority when he directed the use of Federal funds to replace the driveway and perform maintenance at his Government-leased quarters. We also found that replacing the driveway and contracting for the grounds cleanup was appropriately justified and approved by the superintendent’s supervisor. Finally, we found no evidence the superintendent violated safety regulations or the National Historic Preservation Act of 1966 during the renovation of his office.

New Hampshire implemented most of the new criminal background check requirements established under the Child Care and Development Block Grant Act. However, certain criminal background check requirements for childcare providers remained unimplemented as of March 1, 2018, and significant challenges may delay full implementation until 2019 or 2020. Specifically, these challenges include unavailable finances and staff to process the background checks, data system limitations, and required changes to State laws or policies and procedures. New Hampshire currently has until September 30, 2018, to implement the new criminal background check requirements. The outstanding challenges may mean that New Hampshire will not fully implement all of the requirements before the deadline and, therefore, New Hampshire may request an additional 1-year waiver from the Administration for Children and Families to address the challenges and comply with the new requirements.