Federal Reports

This Office of Inspector General (OIG) Care in the Community healthcare inspection program report describes the results of a focused evaluation of community care processes at eight Veterans Integrated Service Network (VISN) 10: VA Healthcare System Serving Ohio, Indiana, and Michigan medical facilities with a community care program. 

This evaluation focused on five domains:
   •    Leadership and Administration of Community Care
   •    Administratively Closed Community Care Consults
   •    Community Care Provider Requests for Additional Services
   •    Care Coordination Activities for Patients Referred for Community Care
   •    Community Urgent Care Coordination and Management

The OIG issued 16 recommendations for VA to correct identified deficiencies in the five domains:
   •    Leadership and Administration of Community Care
     o    Community oversight councils
     o    Community care clinical staffing needs
     o    Patient safety events
     o    Patient safety trends, lessons learned, and corrective actions
     o    Community care document importing
   •    Administratively Closed Community Care Consults
     o    Community care appointment confirmation
     o    Medical documents
   •    Community Care Provider Requests for Additional Services
     o    Request processing
     o    Request incorporation in the electronic health record
     o    Provider signature verification
     o    Approval letters for community providers and patients
   •    Care Coordination Activities for Patients Referred for Community Care
     o    Community Care–Care Coordination Plan note use to document care coordination activities
     o    Appointment attendance confirmation
   •    Community Urgent Care Coordination and Management
     o    Urgent care visit notification process
     o    Community Care–Urgent Care Record note creation

As required by the Federal Information Security Modernization Act (FISMA), OIG reviewed USDA’s ongoing efforts to improve its information technology security program and practices during FY 2025.

In June 2024, at our request, the Pandemic Response Accountability Committee (PRAC) found and provided us 36 matches for U.S. Consumer Product Safety Commission (CPSC) employees who were connected to federal government pandemic relief loans. Pursuant to the commitment of the Office of Inspector General (OIG) to fostering and promoting accountability and integrity in government, we undertook an investigation into the 36 matches to determine the appropriateness of these employees receiving pandemic relief loans. Specifically, we sought to detect fraud in these pandemic relief loans.

The Federal Information Security Modernization Act requires the OIG to conduct an annual evaluation of NASA’s information security program. For fiscal year 2025, we rated NASA’s information security program at a Level 3—meaning policies, procedures, and strategies were consistently implemented, but quantitative and qualitative effectiveness measures were lacking—a rating that falls short to be considered effective.