Federal Reports

BackgroundThis report presents the results of our self-initiated audit of Efficiency of Operations at the Atlanta Processing and Distribution Center (P&DC) in Atlanta, GA. We conducted this audit to provide U.S. Postal Service management with timely information on operational risks at this P&DC. We judgmentally selected the Atlanta P&DC based on a review of clearance times; workhours, mail volume, and productivity; overall scanning performance; late, extra, and canceled trips; overtime and penalty overtime; and trailer utilization. The Atlanta P&DC is in the Southeast Division and processes letters, flats, and parcels. The Atlanta P&DC services multiple 3-digit ZIP Codes in urban and rural communities.

This interim report presents the results of our self-initiated audit of mail delivery, customer service, and property conditions at the McDonough Main Post Office (MPO), McDonough, GA. The McDonough MPO is in the Georgia District of the Southern Area and services ZIP Codes 30252 and 30253. These ZIP Codes serve about 91,063 people in a predominantly urban area. We judgmentally selected the McDonough MPO based on the number of Stop-the-Clock scans occurring at the delivery unit, rather than at the customer’s point of delivery, and indicators for undelivered mail.

This interim report presents the results of our self-initiated audit of mail delivery, customer service, and property conditions at the Old National Station in Atlanta, GA. The Old National Station is in the Georgia District of the Southern Area and services ZIP Codes 30337 and 30349. These ZIP Codes serve about 78,238 people in a predominantly urban area. We judgmentally selected the Old National Station based on the number of Stop-the-Clock scans occurring at the delivery unit, rather than at the customer’s point of delivery, and indicators for undelivered mail.

This interim report presents the results of our self-initiated audit of mail delivery, customer service, and property conditions at the Stockbridge Main Post Office (MPO) in Stockbridge, GA. The Stockbridge MPO is in the Georgia District of the Southern Area and services ZIP Codes 30273 and 30281. These ZIP Codes serve about 80,403 people in a predominantly urban area. We judgmentally selected the Stockbridge MPO based on the number of Stop-the-Clock scans occurring at the delivery unit, rather than at the customer’s point of delivery, and indicators for undelivered mail.

The Office of Inspector General (OIG) Care in the Community healthcare inspection program examines clinical and administrative processes associated with providing quality outpatient healthcare to veterans. This report provides a focused evaluation of Veterans Integrated Service Network (VISN) 15 and its oversight of the quality of care delivered in community-based outpatient clinics (CBOCs) and through its community care referrals to non-VA providers. Although it is difficult to measure the value of well-delivered and coordinated care between VA and non-VA providers, the findings in this report may help VISN leaders identify vulnerable areas of community care that, if properly addressed, should improve healthcare quality for veterans.The OIG reviewed care coordination: congestive heart failure management; primary care and mental health (diagnostic evaluations following positive screenings for depression or alcohol misuse); quality of care (home dialysis care); and women’s health (mammography care and communication of results). The OIG issued three recommendations for improvement in one area, quality of care:• Ensuring an end-stage renal disease provider sees patients in the home dialysis program at least monthly, as evidenced by a progress note in the medical record by the responsible independent renal practitioner• Performing initial and annual home visits for patients accepted into the VISN 15 home dialysis program• Monitoring the quality of home dialysis contracted clinical services for patients receiving non-VA home dialysis services