Open Recommendations

(U) Rec. A.2: The DoD OIG recommended that the Director, Defense Health Agency, after the Under Secretary of Defense for Personnel and Readiness updates and implements policy, develop and implement Armed Forces Medical Examiner System policy, processes, and procedures related to retained organs or specimens.

(U) Rec. B.1.b: The DoD OIG recommended that the Director, Defense Health Agency consider the impact of separate disposition for organs because different specialty consultations were needed, versus disposition of decedent's retained organs together, and develop and implement policy and procedures accordingly.

(U) Rec. B.1.d: The DoD OIG recommended that the Director, Defense Health Agency update and implement system capabilities to allow Armed Forces Medical Examiner System officials to effectively and efficiently track the progression of retained organ (specimens) from collection through disposition.

We recommend that the Bureau for Asia, in coordination for the Office of the Chief Financial Officer, take the following actions: Document and disseminate to staff with enterprise risk management (ERM) equities, the bureau's ERM governance structure, the roles and responsibilities of each member within the structure, and the bureau's review and assessment process for its assessable units.

The Office of Health Services and the Country Director either identify a local backup medical provider or renew the post’s agreement with the State Department.

The Office of Health Services details what the Medical Action Plan review process at the post level should include.

The Office of Health Services collaborates with the posts to implement a uniform tracking system to ensure referral facility and consultant assessments comply with Technical Guideline 204.

The Office of Health Services ensures that the posts develop schedules to assess referral consultants and facilities in compliance with Technical Guideline 204.

Embassy Dar es Salaam should process family-based immigrant visa petitions in accordance with Department standards.

Embassy Dar es Salaam should return immigrant visa documents in accordance with Department standards.

Embassy Dar es Salaam should implement standard operating procedures for management of federal assistance awards to comply with Department standards.

Embassy Dar es Salaam should implement a training program for staff responsible for managing federal assistance awards.

The Bureau of International Narcotics and Law Enforcement Affairs, in coordination with Embassy Dar es Salaam, should conduct joint evaluation reviews with the government of Tanzania in accordance with the letter of agreement and memorandum of understanding.

Embassy Dar es Salaam should bring its fire protection program into compliance with Department standards.

Embassy Dar es Salaam should comply with applicable Department overseas motor vehicle safety requirements for chauffeurs and incidental drivers under chief of mission authority.

Embassy Dar es Salaam should comply with Department standards for anti-nepotism reviews.

Embassy Dar es Salaam should enable port security on its Sensitive But Unclassified access switches in accordance with Department standards.

Implement an automated process, which notifies all relevant IT system owners of pending separations and reassignments.

Determine whether individuals who departed NARA since April 27, 2020 still have access to related IT systems. Ensure IT system access for these individuals has been terminated.

Evaluate the process and/or definition for reassignments as defined in NARA 215 to ensure it meets the business needs of National Personnel Records Center’s Core environment.

Revise NARA 215 requirements for outstanding debt obligations for separating individuals.

Update and implement NARA 215 requirements to establish clear reporting lines among those units with off-boarding and property management duties.

Ensure communication of revised NARA 215 with NARA Clearance Officials.

WCF officials should amend the current DR to include instructions on the IAA process that explain the necessity and timing of having a binding agreement in place before the transfer of funds and provision of services. The amendment should also include instructions to elevate any non-compliance issues.

Work with SCPs' and WCF activity centers' officials to implement a records management process that will require records be maintained in such a manner that information and documents are complete and readily retrievable.