Federal Reports

Audit Report

This report is part of an ongoing audit to determine whether DHS has training strategies and capabilities in place to train the 15,000 new agents and officers the Department plans to hire. ICE plans to hire and train more than 10,000 agents and officers over the next 5 years. HSI and ERO leaders could not provide justification and their views on training conflict with the centralized training model approach. Without a thorough analysis, efforts to decentralize aspects of ICE training may prove counterproductive to benefits ICE previously identified with the centralized training model analysis. Specifically, ICE may lose any improvements in capturing expenditures and forecasting costs, projecting training requirements, and evaluating the model’s effectiveness across ICE

OIG conducted a healthcare inspection regarding clinical practice concerns and lack of security at the Fort Benning, Georgia, VA Clinic (Clinic), located at the U.S. Army Garrison and part of the Central Alabama Veterans Health Care System (system). The complainant alleged that a Primary Care Provider (PCP X) did not follow up on elevated prostate-specific antigen (PSA) results, evaluate a patient’s condition, provide timely care, or respond to patient requests for specialty care/pharmacy services. The complainant also alleged the Clinic lacked VA Police presence and panic alarms. We substantiated that PCP X did not routinely follow up on elevated PSA results, which delayed a patient’s prostate cancer diagnosis and treatment. Also, system leaders did not consistently monitor PCP X’s performance or take adequate administrative action. We notified system and VISN 7 leaders about PCP X’s performance and compromised quality of care. Although we did not substantiate that PCP X failed to evaluate a patient’s condition, documentation was regularly inconsistent with presenting conditions, diagnoses, and treatment plans. PCP X did not consistently submit appropriate consultations, follow up on consultant recommendations, or include relevant information to support consultations as required by VHA policy. We substantiated that PCP X did not provide care for an unscheduled patient (another PCP provided care), failed to provide timely care for two patients, and did not respond to a specialty care request. We did not substantiate that PCP X failed to respond to pharmacy service requests. We substantiated the Clinic lacked VA Police presence, but U.S. Army Garrison police responded to calls. We substantiated the Clinic lacked panic alarms, which were not required. Clinic staff also did not receive emergency procedures training or information. We made eight recommendations.

The Office of National Drug Control Policy’s (ONDCP) Circular, Accounting of Drug Control Funding and Performance Summary, requires National Drug Control Program agencies to submit to the ONDCP Director, not later than February 1 of each year, a detailed accounting of all funds expended for National Drug Control Program activities during the previous fiscal year (FY). The Office of Inspector General (OIG) is required to conduct a review of the report and provide a conclusion about the reliability of each assertion made in the report. Independent Accountants’ Report on the U.S. Coast Guard’s (Coast Guard) FY 2017 Drug Control Performance Summary Report. Coast Guard’s management prepared the Performance Summary Report and the related disclosures in accordance with the requirements of the ONDCP Circular, Accounting of Drug Control Funding and Performance Summary, dated January 18, 2013 (Circular).

The Office of National Drug Control Policy’s (ONDCP) Circular, Accounting of Drug Control Funding and Performance Summary, requires National Drug Control Program agencies to submit to the ONDCP Director, not later than February 1 of each year, a detailed accounting of all funds expended for National Drug Control Program activities during the previous fiscal year (FY). The Office of Inspector General (OIG) is required to conduct a review of the agency’s submission and provide a conclusion about the reliability of each assertion in the report. an Independent Accountants’ Report on U.S. Coast Guard’s (Coast Guard) Detailed Accounting Submission. Coast Guard’s management prepared the Table of FY 2017 Drug Control Obligations and related disclosures in accordance with the requirements of the ONDCP Circular, Accounting of Drug Control Funding and Performance Summary, dated January 18, 2013 (Circular).

The Office of National Drug Control Policy’s (ONDCP) Circular, Accounting of Drug Control Funding and Performance Summary, requires National Drug Control Program agencies to submit to the ONDCP Director, not later than February 1 of each year, a detailed accounting of all funds expended for National Drug Control Program activities during the previous fiscal year (FY). The Office of Inspector General (OIG) is required to conduct a review of the report and provide a conclusion about the reliability of each assertion made in the report. Independent Accountants’ Report on the U.S. Immigration and Custom Enforcement’s (ICE) FY 2017 Drug Control Performance Summary Report. ICE’s management prepared the Performance Summary Report and the related disclosures in accordance with the requirements of the ONDCP Circular, Accounting of Drug Control Funding and Performance Summary, dated January 18, 2013 (Circular).