Inspection of the Bureau of Medical Services

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Date Issued

Thursday, December 21, 2023

Submitting OIG

Department of State OIG

Other Participating OIGs

Department of State OIG

Agencies Reviewed/Investigated

Department of State

Components

Office of Medical Services

Report Number

ISP-I-24-08

Report Type

Inspection / Evaluation

Number of Recommendations

Questioned Costs

Funds for Better Use

Open Recommendations

This report has 11 open recommendations.

Recommendation Number	Significant Recommendation	Recommended Questioned Costs	Recommended Funds for Better Use
1	No	$0	$0
The Bureau of Medical Services should implement a system to identify and mitigate, on a continuous basis, the internal control risks to its programs and processes, in accordance with Department guidance.
2	No	$0	$0
The Bureau of Medical Services should develop and submit a bureau evaluation plan and conduct annual evaluations of the bureau’s programs, projects, and processes in accordance with Department guidelines.
3	No	$0	$0
The Bureau of Medical Services should establish and implement a bureau organizational structure that aligns with operational needs in accordance with Department guidelines.
4	No	$0	$0
The Bureau of Medical Services should implement procedures that define and document its decision-making process for policy and operational changes.
5	No	$0	$0
The Bureau of Medical Services should implement an information technology project management process for reviewing and prioritizing defined requirements for the electronic health record system.
6	No	$0	$0
The Bureau of Medical Services should implement the earned value management methodology to track electronic health records system project costs, including communicating project status updates to bureau leadership, in accordance with Department standards.
7	No	$0	$0
The Bureau of Medical Services should conduct annual reviews of medical provider clinical performance in accordance with health care industry standards.
9	No	$0	$0
The Bureau of Medical Services should implement written service standards for the services and support provided by the bureau's Executive Office and hold the Executive Office accountable for meeting the service standards.
10	No	$0	$0
The Bureau of Medical Services should bring the contracting officer's representative program into compliance with Department standards.
11	No	$0	$0
The Bureau of Medical Services, in coordination with the Bureau of Administration, should bring its contract and contracting officer's representative files into compliance with Department and federal guidance.
16	No	$0	$0
The Bureau of Medical Services should bring its records management program into compliance with Department standards.