Federal Reports

The audit objectives were to determine whether program funds were managed in accordance with the ARC and Federal grant requirements.

The audit objectives were to determine whether program funds were managed in accordance with the ARC and Federal grant requirements.

Evaluation of the Federal Labor Relations Authority’s Compliance with the Federal Information Security Modernization Act of 2014, Fiscal Year 2025

FISMA

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.