Federal Reports

Results of the modified peer review of the FEC OIG

We conducted this review on behalf of the Federal Audit Executive Council’s Cross-Cutting Issues Subcommittee which was established to support the Council of the Inspectors General on Integrity and Efficiency (CIGIE) Audit Committee by coordinating government-wide activities that promote economy and efficiency in Federal programs and operations and address areas of weakness and vulnerability regarding fraud, waste, abuse and mismanagement. The Subcommittee also supports CIGIE by assisting in its statutory responsibility to address integrity, economy and effectiveness issues that transcend individual Government agencies. In October 2023, the Subcommittee formed a working group consisting of representatives from six OIGs to begin a collaboration effort to inform Federal agencies of best practices and aid Federal agencies with implementing cloud security in an effective manner based on findings, recommendations and conclusions identified in Federal oversight reports.

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Palo Alto Health Care System in California. 

This evaluation focused on five key content domains:
     •    Culture
     •    Environment of care
     •    Patient safety
     •    Primary care
     •    Veteran-centered safety net

The OIG issued four recommendations for VA to correct identified deficiencies in two domains:
   1.    Environment of care
     •    Staff access to shared bathrooms
     •    Keeping exterior doors closed
     •    Separate clean and dirty storage
   2.    Patient safety
     •    Service-level workflows for test result communication

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the Lovell Federal Healthcare System in North Chicago, Illinois. 

This evaluation focused on five key content domains:
     •    Culture
     •    Environment of care
     •    Patient safety
     •    Primary care
     •    Veteran-centered safety net

The OIG issued three recommendations for VA to correct identified deficiencies in two domains:
   1.    Environment of care
     •    Endoscope storage
   2.    Patient safety
     •    Service-level workflows for test result communication
     •    External Peer Review Program deficiencies

This Office of Inspector General (OIG) Healthcare Facility Inspection program report describes the results of a focused evaluation of the care provided at the VA Loma Linda Healthcare System in California. 

This evaluation focused on five key content domains:
     •    Culture
     •    Environment of care
     •    Patient safety
     •    Primary care
     •    Veteran-centered safety net

The OIG issued eight recommendations for VA to correct identified deficiencies in two domains:
   1.    Environment of care
     •    Community living center dementia unit shower room safety
     •    Emergency Department patient privacy assessment
     •    Eyewash station cleanliness and function
   2.    Patient safety
     •    Test result communication policy
     •    Service-level workflows
     •    VHA policy change processes
     •    Test result communication performance metrics
     •    Quality and Patient Safety Council meeting attendance