Federal Reports

The EPA should conduct new RTRs for chloroprene- and ethylene oxide-emitting source categories to address elevated individual lifetime cancer risks impacting over 464,000 people, as found in a modeling tool, and to achieve environmental justice.

The OIG investigated allegations that a Bureau of Indian Education employee improperly used school funds to update classrooms. We also investigated allegations that the employee personally benefitted from the renovation projects by improperly influencing the award of a Federal contract to their spouse to perform the interior design work for the projects.We did not substantiate the allegations that the employee used their position in an improper manner or that the employee or the employee’s spouse personally benefitted from any of the classroom renovation work that was completed. We confirmed that the school did not award any Federal contracts for the renovation projects. We also found no evidence the renovation projects violated school policies or Federal regulations.

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program (CHIP) report provides a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Aleda E. Lutz VA Medical Center and multiple outpatient clinics in Michigan. The inspection covers key clinical and administrative processes that are associated with promoting quality care. This inspection focused on Leadership and Organizational Risks; COVID-19 Pandemic Readiness and Response; Quality, Safety, and Value; Medical Staff Privileging; Medication Management: Long-Term Opioid Therapy; Mental Health: Suicide Prevention Program; Care Coordination: Life-Sustaining Treatment Decisions; Women’s Health: Comprehensive Care; and High-Risk Processes: Reusable Medical Equipment.The medical center’s executive leadership team appeared stable, although two of the four positions had been filled for less than one year at the time of the OIG’s virtual review. Selected employee satisfaction survey results indicated opportunities for the Associate Director for Patient Care Services to improve workplace perceptions and for the Chief of Staff to support an environment where employees felt less moral distress. Patient experience survey scores reflected lower female satisfaction ratings than VHA averages. The inspection team reviewed accreditation agency findings, sentinel events, and disclosures of adverse patient events but did not find any substantial organizational risk factors. Executive leaders spoke in depth about actions taken during the previous 12 months to maintain or improve employee satisfaction and patient experiences. Leaders were knowledgeable about data used by Strategic Analytics for Improvement and Learning models.The OIG issued nine recommendations in five areas:(1) Quality, Safety, and Value• Improvement action implementation(2) Medical Staff Privileging• Ongoing professional practice evaluations• Provider exit review forms(3) Care Coordination• Goals of care conversations(4) Women’s Health• Women veterans health committee attendance(5) High-Risk Processes• Standard operating procedures• Staff training• Competency assessments

We selected the Olathe East Branch for review based on the number of customer inquiries the unit received. Specifically, there were 1,421 inquiries recorded in the Customer 360 (C360) system from November 2020 through January 2021. Most of the inquiries (1,276, or 89.8 percent) were related to package tracking and delivery. Our objective was to evaluate select mail delivery and customer service operations and determine whether internal controls were effective at the Olathe East Branch.

DOL-OIG Investigations Newsletter Vol. XXXIII for the period of February 1 - March 31, 2021