Federal Reports

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report provides a focused evaluation of the leadership performance and oversight by Veterans Integrated Service Network (VISN) 8: VA Sunshine Healthcare Network in St. Petersburg, Florida, covering leadership and organizational risks and key processes associated with promoting quality care. This inspection also focused on COVID-19 Pandemic Readiness and Response; Quality, Safety, and Value; Medical Staff Credentialing; Environment of Care; Mental Health: Suicide Prevention; Care Coordination: Inter-facility Transfers; and Women’s Health: Comprehensive Care.The VISN’s executive leadership team had worked together since May 2019. The Chief Financial Officer, who was assigned in 2008, was the most tenured leader. Employee satisfaction survey scores indicated that VISN leaders were engaged and promoted a culture where employees felt safe bringing forward issues and concerns. VISN patient experience survey results were better than the VHA averages for inpatient care and on par with VHA averages for outpatient care. The OIG’s review of access metrics and clinical vacancies identified potential organizational risks. The executive leaders seemed to support efforts to improve and maintain patient safety, quality care, and other positive outcomes. They were also knowledgeable within their scope of responsibilities about selected Strategic Analytics for Improvement and Learning metrics and should continue to take actions to sustain and improve performance.The OIG issued two recommendations for improvement:(1) Medical Staff Credentialing• Physician credential review process(2) Women’s Health• Annual site visit completion

The objective of this review was to determine whether DHS effectively supported operable and interoperable emergency communications for Federal, state, local, tribal, and territorial government officials and critical infrastructure operators during the Coronavirus disease-19 (COVID-19) pandemic.

Our objective was to review the Next Generation Delivery Vehicle (NGDV) contract to determine if there are opportunities to better protect the U.S. Postal Service from fraud, waste, and abuse.

We substantiated allegations that a USGS employee fraudulently received donated leave, valued at $4,710, through the Voluntary Leave Transfer Program.

What We Looked AtThe Federal Aviation Administration’s (FAA) modernization of its National Airspace System (NAS) includes a plan to update the Agency’s aging voice switches with a voice-over internet protocol (VoIP) system. In August 2012, FAA awarded a contract to the Harris Corporation (Harris) to provide the NAS Voice System (NVS), but in December 2018, FAA and Harris agreed to terminate the contract, and FAA still depends on outdated voice communication. In response to a request from the Ranking Members of the U.S. House Committee on Transportation and Infrastructure and its Subcommittee on Aviation, we initiated this audit to assess (1) FAA’s reasons for terminating the NVS contract with Harris and NVS costs and expected benefits and (2) the information on NVS development that the Program Office provided to FAA management and Congress.What We FoundChanges in requirements and schedule delays led to the contract’s termination, and expenditures achieved few benefits. FAA lacked confidence that Harris’s demonstration systems would support VoIP communication in a substantial portion of the NAS. However, the issues with Harris’s systems stemmed in part from changes in FAA’s requirements. Since the termination, FAA has identified reasons for the contract’s failure and lessons learned from the NVS program. FAA spent $160 million on NVS and will spend $274 million to sustain its legacy switches. These expenditures have achieved few benefits. FAA’s Contracting and Program Offices raised performance concerns but delayed taking action. According to FAA, Harris was trying to stabilize its demonstration system. Because FAA would incur little cost from these efforts, allowing Harris to continue made more sense than ending the contract. Finally, FAA did not inform Congress until after contract termination because program costs and schedule variances did not exceed the thresholds required for such notification. RecommendationsFAA concurred with our recommendation to improve the Agency’s future modernization efforts and provided appropriate actions and completion dates. We consider the recommendation resolved but open pending completion of planned actions.