Open Recommendations

Rec. 1.c.2: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to develop and implement Component Program Manager and Agency Program Coordinator training on how to use the Declined Authorizations Report to include how to review declined transactions for open and closed Government Travel Charge Card accounts and how to resolve those declined transactions or actions to be taken.

Rec. 1.c.3: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to develop and implement Component Program Manager and Agency Program Coordinator training on how to obtain, use, and maintain the delinquency reports and notifications

Rec. 1.d: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to require the gaining organizations Agency Program Coordinator retrieve new personnel into their hierarchy within 30 days and require the losing organizations Agency Program Coordinator to change the Government Travel Charge Card account status to deactivate the account if not transferred within 30 days.

Rec. 1.e: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to revise the Government Travel Charge Card Regulations to prohibit Component Program Managers and Agency Program Coordinators from establishing holding or other hierarchies that are unable to be verified with an organizational Alpha Roster.

Rec. 1.f: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to coordinate with Component Program Managers and Agency Program Coordinators to review all hierarchies to identify and close holding or other hierarchies, and associated cardholder accounts, that do not have an associated Alpha Roster.

Rec. 1.g: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to coordinate with Citi, the Military Services, Independent Agencies, and the Defense Manpower Data Center any cardholders identified by the Defense Manpower Data Center with social security number issues and ensure appropriate actions are taken to correct or update those accounts.

Rec. 1.h.4: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to Coordinate with Citi to Obtain a data dictionary for the Declined Authorizations Report, which includes sufficient detail on the declined reason code and an understandable definition explaining why the attempted transaction was declined, and distribute the revised data dictionary to Component Program Managers and Agency Program Coordinators.

Rec. 1.i: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to identify actions to resolve each type of declined transactions, as needed, and distribute the guidance to Component Program Managers and Agency Program Coordinators.

Rec. 1.j: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to require additional elements to be added to the delinquency notifications, including the 1. Signature of the cardholders supervisor or commander; 2. Root cause of the delinquency; 3. Actions needed to correct the delinquent account, such as processing an outstanding voucher or invoice.

Rec. 1.k: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to establish a repository to retain delinquency notices for as long as the card is active or longer.

Rec. 1.l: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to require Component Program Managers and higher'level Agency Program Coordinators verify the delinquency notifications are issued and retained by Agency Program Coordinators through a monthly sample of delinquent accounts.

Rec. 1.n: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to require, on a monthly basis, Component Program Managers and higher'level Agency Program Coordinators obtain and review the Audit Trail of Activity in CitiManager Reporting to ensure that lower'level Agency Program Coordinators are obtaining the mandatory reports from the Citi Electronic Access System.

Rec. 1.o: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to conduct, in coordination with the Component Program Managers, a review of the Audit Trail of Activity in CitiManager Reporting on a quarterly basis, to ensure that Agency Program Coordinators obtained, reviewed, and took appropriate actions on the monthly mandatory reports.

Rec. 1.p: The DoD OIG recommended that the Director, Defense Support Services Center, require the Defense Travel Management Office to Conduct oversight, on a quarterly basis, to ensure Component Program Managers reported instances of an Agency Program Coordinator not generating the mandatory reports, on at least a monthly basis, to the Agency Program Coordinators appropriate chain of command to allow for any administrative or disciplinary actions to be taken as appropriate for noncompliance.

The Lexington VA Healthcare System Director ensures emergency department, mental health, and inpatient medical and nursing staff responsible for suicide risk assessment understand the need to evaluate patients for a personally owned insulin pump and remove the insulin pump prior to inpatient admission, when necessary and monitors for compliance.

The Lexington VA Healthcare System Director verifies the draft insulin pump policy is finalized, and Lexington VA Healthcare System emergency department, mental health, and inpatient medical and nursing staff are educated on the policy.

The Lexington VA Healthcare System Director ensures leaders and staff review the Lexington VA Healthcare System policy evaluation and approval procedure.

The Lexington VA Healthcare System Director verifies that patients receive discharge instructions, with a follow-up care plan when discharged from the Lexington VA Healthcare System emergency department.

The Lexington VA Healthcare System Director ensures a review of Psychiatrist 2s documentation in Patient 2s electronic health record and makes certain documentation is completed according to Veteran Health Administration policy, including that entries are accurate, succinct, without extensive copy and paste, and devoid of derogatory, critical, comments, and takes action as warranted.

The Lexington VA Healthcare System Director confirms that the patient safety managers understand and apply Veteran Health Administration guidance to accurately use safety assessment codes when scoring a patient safety event.

The Lexington VA Healthcare System Director verifies that root cause analyses are completed according to Veterans Health Administration policy including interviewing individuals knowledgeable about the event.

The Lexington VA Healthcare System Director ensures peer representation at the Peer Review Committee for psychiatry case reviews.

The Lexington VA Healthcare System Director verifies the draft insulin pump policy is finalized, and Lexington VA Healthcare System emergency department, mental health, and inpatient medical and nursing staff are educated on the policy.

The Lexington VA Healthcare System Director ensures leaders and staff review the Lexington VA Healthcare System policy evaluation and approval procedure.

The Lexington VA Healthcare System Director ensures a review of Psychiatrist 2s documentation in Patient 2s electronic health record and makes certain documentation is completed according to Veteran Health Administration policy, including that entries are accurate, succinct, without extensive copy and paste, and devoid of derogatory, critical, comments, and takes action as warranted.