Open Recommendations

Ensure that the OHC conducts a comprehensive annual review of the control activities for administering the agency’s vision and dental programs to ensure that they are operating effectively.

Develop and periodically provide tailored training for employees who administer the agency’s vision and dental programs.

Coordinate with the Ohio AG to ensure that the Ohio AG properly executes financial and programmatic monitoring of its subrecipients in compliance with Ohio AG policies and forms, to include that supporting documentation of each monitoring activity is collected, reviewed, and maintained.

Ensure the Ohio AG's subaward packages include all current, required grant information.

Require the Ohio AG to bring into alignment its subrecipient risk assessment policy and the tool designed to assess subrecipient risk.

Ensure the Ohio AG revises its financial policies and procedures to help ensure adequate administration of federal award funds and that all relevant personnel are aware of these policies. In particular, the financial policies and procedures should cover, at a minimum: (1) completing appropriate Subgrant Award Report (SAR) submissions; (2) drawdown-related reconciliation procedures, which ensure that funds are spent or returned to DOJ within 10 days of being drawn down; and (3) matching cost reporting on Federal Financial Reports (FFR) to help ensure the information reported is reconciled to supporting data, reviewed by appropriate personnel, and that data supporting the…

Ensure the Ohio AG develops a mechanism to complete subrecipient monitoring timely and in accordance with its policy.

Require the Ohio AG to develop a plan to conduct a site visit and/or desk review of those subrecipients that did not receive a review in the past 24 months, as required, with priority given to those subrecipients that did not receive a site visit and/or desk review within our audit scope.

Remedy the $68,674 in unsupported subrecipient personnel expenditures.

Evaluate and consider enhanced solutions to store backup data, as described inthe report, and update the Storage Systems Backup Data Protection StandardOperating Procedures, as appropriate.

Conduct an analysis to identify viable alternatives for testing restoration of ActiveDirectory from backups, or have senior management formally accept the risk ofnot testing these backups.

(U) Rec. A.1.b: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness update and implement retained organ policy to align with current policy and practice related to retained organs and specimens.

(U) Rec. A.1.c: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness continue to honor, to the extent practicable and consistent with section 1471, title 10, United States Code and current policy, proactive and timely requests from next of kin for religious accommodations related to forensic pathology investigations and disposition of remains. This includes updating and implementing the policy that retained organs and specimens are to be treated in the same manner as remains, when honoring religious accommodation.

(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 Office of Acquisition and Assistance take the following actions: Review the approval process of administrative guidance to implementers and make appropriate changes to streamline it for use in crisis scenarios, for example, by clarifying the role of each reviewer.

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.

Direct Agency’s program offices that have operational interests in telework activities to coordinate, develop, and implement detailed standard operating procedures to expand on Directive 645.19C.

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.