Open Recommendations

We recommend that the DOI OCIO develop a mechanism to enforce all radio communications site requirements (OCIO Directive No. 2010-008), including the requirement for bureaus to inventory their radio infrastructure and the requirements for bureaus to complete baseline condition assessments, annual condition assessments, and corrective actions of their radio infrastructure.

We recommend that the BIA complete baseline condition assessments for all radio communication sites in accordance with the updated OCIO Directive.

We recommend that the BIA develop and implement a comprehensive plan to ensure that, in compliance with the updated OCIO Directive, annual condition assessments of all radio infrastructure are completed and corrective actions are promptly taken.

We recommend that the BIA develop and implement a plan to bring the Wolf Mountain radio site into compliance with DOI radio communication standards.

We recommend that the BIA after the issuance of the updated OCIO Directive, develop and implement a policy that includes comprehensive procedures for recording radio infrastructure inventories, conducting condition assessments of radio infrastructure, and addressing identified corrective actions to ensure bureauwide and Departmentwide consistency and compliance with OCIO Directives.

We recommend that the BIA conduct a comprehensive assessment of its radio communications program to determine whether it has the internal controls, appropriate senior responsible official(s), staffing, funding, technology, systems, and other resources necessary to effectively manage radio communications.

We recommend that the BIA develop and implement an action plan with measurable goals and milestones to address gaps identified by the radio communication program assessment.

We recommend that the BLM develop and implement a comprehensive plan to ensure that, in compliance with the updated OCIO Directive, annual condition assessments of all radio infrastructure are completed, and corrective actions are promptly taken.

We recommend that the BLM conduct a comprehensive assessment of its radio communications program to determine whether it has the internal controls, appropriate senior responsible official(s), staffing, funding, technology, systems, and other resources necessary to effectively manage radio communications.

We recommend that the BLM develop and implement an action plan with measurable goals and milestones to address gaps identified by the radio communication program assessment.

We recommend that the FWS complete baseline condition assessments for all radio communication sites, in accordance with the updated OCIO Directive.

We recommend that the FWS develop and implement a comprehensive plan to ensure that, in compliance with the updated OCIO Directive, annual condition assessments of all radio infrastructure are completed and corrective actions are promptly taken.

We recommend that the FWS develop and implement a plan to bring the Eulonia radio site into compliance with DOI radio communication standards.

We recommend that the FWS after the issuance of the updated OCIO Directive, develop and implement a policy that includes detailed procedures for recording radio infrastructure inventories, conducting condition assessments of radio infrastructure, and addressing identified corrective actions to ensure bureauwide and Departmentwide consistency and compliance with OCIO Directives.

We recommend that the FWS conduct a comprehensive assessment of its radio communications program to determine whether it has the internal controls, appropriate senior responsible official(s), staffing, funding, technology, systems, and other resources necessary to effectively manage radio communications.

We recommend that the FWS develop and implement an action plan with measurable goals and milestones to address gaps identified by the radio communication program assessment.

We recommend that the NPS complete baseline condition assessments for all radio communication sites, in accordance with the updated OCIO Directive.

We recommend that the NPS develop and implement a comprehensive plan to ensure that, in compliance with the updated OCIO Directive, annual condition assessments of all radio infrastructure are completed, and corrective actions are promptly taken.

We recommend that the NPS after the issuance of the updated OCIO Directive, develop and implement a policy that includes detailed procedures for recording radio infrastructure inventories, conducting condition assessments of radio infrastructure, and addressing identified corrective actions to ensure bureauwide and Departmentwide consistency and compliance with OCIO Directives.

We recommend that the NPS conduct a comprehensive assessment of its radio communications program to determine whether it has the internal controls, appropriate senior responsible official(s), staffing, funding, technology, systems, and other resources necessary to effectively manage radio communications.

We recommend that the NPS develop and implement an action plan with measurable goals and milestones to address gaps identified by the radio communication program assessment.

The VA Eastern Colorado Health Care System Director evaluates and ensures that telemetry medical instrument technicians and registered nurses comply with Veterans Health Administration and facility policy requirements for documentation and scanning, specifically related to telemetry oxygenation and rhythm strips and change in patient condition.

The VA Eastern Colorado Health Care System Director in conjunction with telemetry nursing leaders, ensures completion of a comprehensive review of the telemetry program and documented oversight of compliance with medical instrument technician monitoring expectations, identifies deficiencies, and takes actions as warranted

The VA Eastern Colorado Health Care System Director evaluates and ensures quality and patient safety event review processes comply with Veterans Health Administration guidance, specifically regarding rejection and follow-up of patient safety reports.

The VA Eastern Colorado Health Care System Director and facility leaders meet all Veterans Health Administration requirements for institutional disclosures for events meeting institutional disclosure criteria.