Federal Reports

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

NASA’s Office of STEM Engagement is making progress managing and coordinating a diverse group of STEM engagement activities across the Agency and continues to operate against a backdrop of uncertainty, with its efforts challenged by a history of budget cuts and proposed elimination of the office.

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Central Virginia VA Health Care System, which includes the Richmond VA Medical Center and multiple outpatient clinics in Virginia. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (suicide prevention initiatives)The OIG issued six recommendations for improvement in three areas:1. Quality, safety, and value• Recommendations and improvement actions for Level 3 peer reviews2. Medical staff privileging• Recommendations for privileges based on professional practice evaluation results3. Environment of care• Temperature- and humidity-controlled storage of reusable medical equipment• Clean and safe storage rooms and patient areas• Medication access limited to approved staff• Availability of feminine hygiene products in restrooms at no cost

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the Kansas City VA Medical Center, which includes multiple outpatient clinics in Kansas and Missouri. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (suicide prevention initiatives)The OIG issued five recommendations for improvement in three areas:1. Leadership and organizational risks• Institutional disclosures for sentinel events2. Environment of care• Environment of care inspections• Electrical receptacles covered with metal plates in the Inpatient Mental Health Unit3. Mental health• Comprehensive Suicide Risk Evaluation completion• Suicide behaviors reported to suicide prevention team

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the quality of care delivered in the inpatient and outpatient settings of the VA Eastern Kansas Health Care System, which includes the Colmery-O’Neil VA Medical Center (Topeka), Dwight D. Eisenhower VA Medical Center (Leavenworth), and multiple outpatient clinics in Kansas and Missouri. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (suicide prevention initiatives)The OIG issued three recommendations for improvement in the Environment of Care area of review:• Walls in good repair• Panic and over-the-door alarm testing in the inpatient mental health unit

This semiannual report summarizes the GPO OIG's activities and accomplishments from October 1, 2023, through March 31, 2024.