Federal Reports

This Office of Inspector General (OIG) Comprehensive Healthcare Inspection Program report describes the results of a focused evaluation of the care provided at the William S. Middleton Memorial Veterans Hospital in Madison, Wisconsin. This evaluation focused on five key operational areas:• Leadership and organizational risks• Quality, safety, and value• Medical staff privileging• Environment of care• Mental health (focusing on suicide prevention initiatives)The OIG issued one recommendation for improvement in the Mental Health area of review regarding ensuring providers complete the Comprehensive Suicide Risk Evaluation on the same calendar day as a patient’s positive suicide risk screen in all ambulatory care settings.

This report summarizes the results of the fiscal year 2023 Federal Information Security Modernization Act (FISMA) of 2014 evaluation and assessment of the Denali Commission's information security systems policies, procedures, and practices. The objectives were to determine whether the Denali Commission complied with FISMA and assess the maturity of controls used to address risks. During this review period the Commission completed corrective actions recommended in the FY 2021 review.

We performed a self-initiated audit at the Los Angeles Processing and Distribution Center (P&DC) and three delivery units serviced by the P&DC during the week of November 13, 2023. The delivery units included the Dockweiler Station, Downtown Long Beach Station, and Inglewood Carrier Annex.We issued individual reports for the three delivery units and the P&DC we visited. We will issue another report summarizing the results of our audits at all three delivery units with specific recommendations for management to address.