Open Recommendations

Collect data on projects' reserve for replacement accounts to support the Office of Field Operations' monitoring activities.

The Facility Director ensures the mental health executive council operates in accordance with VHA requirements.

The Chief of Mental Health identifies barriers and implements processes to provide a minimum of four hours of recovery-oriented, interdisciplinary programming on weekends on the inpatient mental health unit and monitors for compliance.

The Facility Director develops and implements processes to monitor and track compliance with involuntary commitment requirements.

The Chief of Staff ensures timely documentation of informed consent discussions between the prescriber and veteran on the risks and benefits of newly prescribed medications and monitors for compliance.

The Chief of Staff ensures discharge instructions for veterans are written in easy-to-understand language and include the purpose for each medication.

The Chief of Staff directs staff to complete or review safety plans with veterans prior to discharge and monitors for compliance.

The Chief of Staff directs staff to address ways to make the veterans environment safer from potentially lethal means in safety plans and monitors for compliance.

The Facility Director uses VHA guidelines to develop a facility-specific policy for the use of restraint chairs.

The Facility Director establishes a mental health executive council that operates in accordance with Veterans Health Administration requirements.

The Associate Chief of Staff for Behavioral Health ensures a minimum of four hours of recovery-oriented, interdisciplinary programming on weekdays and weekends on the inpatient mental health units.

The Facility Director ensures inpatient mental health units are in good repair and the environment reflects recovery-oriented principles.

The Chief of Staff ensures the completion of comprehensive inpatient mental health treatment plans and monitors for compliance.

The Chief of Staff ensures documentation of discussions between prescribers and veterans on the risks and benefits of newly prescribed medications and monitors for compliance.

The Chief of Staff ensures mental health treatment coordinators are included in care coordination.

The Chief of Staff ensures discharge instructions for veterans include appointment locations written in easy-to-understand language.

Thoroughly document and incorporate all identified UTS vulnerabilities into its final UTS mitigation plan, including those identified in the Anatomy of a Case.

Finalize its UTS Strategic Plan to include strategies for coordinating disparate UTS efforts found across the enterprise and leveraging existing resources that are already in place to address the evolving risks posed by UTS. In addition, the new Strategic Plan should ensure that FBI officials who have the authority to execute the strategy are identified and are empowered to ensure that the FBI has clear and unambiguous UTS-related policies throughout the enterprise.

Establish a clear line of authority for responding to enterprise-wide, UTS-related incidents to ensure a coordinated response.

Assess its ability to further expand the availability of its advanced UTS-related training modules and take any necessary additional steps to ensure all personnel are and remain adequately trained on both the basic and advanced skills they need to address the evolving UTS threat.

Update the Sponsored Projects Handbook in these ways: a. Implement controls related to residual funds on fixed price projects to address excessive balances; and b. Ensure that the financial review, record, and reconciliation procedures provide sufficient guidance for units to meet minimum standards of documentation.

Implement mandatory training and track attendance for unit PIs, unit Fund Managers, and others identified by OSP as involved in the sponsored project program that: a. Covers key responsibilities including but not limited to project identification and initiation, financial management (payroll and non-payroll), reporting, and closeout; and b. Provides examples of how to document financial reviews, unit expenditure records, and quarterly reconciliations in accordance with the updated Sponsored Projects Handbook.

Incorporate key internal processes in written policies and procedures concerning OSP: (1) reviewing project activities and balances; (2) monitoring sponsored projects; and (3) using checklists.

Determine and document the allowability of the questioned $157,850 for payroll costs and $74,382 for non-payroll costs charged to Project 505247 and resolve any costs determined to be disallowed with the sponsor.

Determine and document the allowability of the questioned $81,924 for payroll costs charged to Project 505223 and resolve any costs determined to be disallowed with the sponsor.