Open Recommendations

We recommend that BLM establish a policy for conducting reviews of helium companies to conform to ONRR practices, including establishing a risk-based strategy and independent verification of company-provided production data to assist the Federal Leased Lands team in performing efficient oversight of helium companies, which would put the team's $96,385 in estimated yearly salary expenses associated with inefficient oversight practices to better use in the future.

The Executive Director ensures staff receive education about badge holders’ responsibilities in preventing unauthorized access to VA facilities and computer systems and safeguarding electronic databases including electronic health care records.

The Executive Director ensures staff monitor patient care areas for expired, damaged, and contaminated medications and remove them as needed.

The Executive Director ensures staff store medications in pharmaceutical grade refrigerators.

The Executive Director ensures primary care staffing is sufficient for patients to receive appropriate health care.

The Executive Director reviews staffing levels for the Housing and Urban Development–Veterans Affairs Supportive Housing program and takes action as needed.

The Executive Director ensures staff receive education about badge holders responsibilities in preventing unauthorized access to VA facilities and computer systems and safeguarding electronic databases including electronic health care records.

The Executive Director ensures staff monitor patient care areas for expired, damaged, and contaminated medications and remove them as needed.

The Executive Director ensures staff store medications in pharmaceutical grade refrigerators.

The Executive Director ensures primary care staffing is sufficient for patients to receive appropriate health care.

The Executive Director reviews staffing levels for the Housing and Urban Development"Veterans Affairs Supportive Housing program and takes action as needed.

The Medical Center Director ensures staff properly store clean medical equipment.

We recommend that the FAS Commissioner resume iterations of the Competitive Pricing Initiative at the MAS Program level to identify, address, and reduce price variability.

We recommend that the FAS Commissioner strengthen policies and procedures to: address data inaccuracies within FAS pricing tools; and ensure bilateral contract modifications are submitted and approved prior to catalog changes.

We recommend that the FAS Commissioner provide additional guidance to contracting officers regarding adequate sampling techniques for large catalogs to ensure information accuracy.

We recommend that the FAS Commissioner inform federal customer agencies that they should perform separate and independent price determinations because significant price variability puts federal customer agencies at risk of overpaying for products on MAS contracts.

We recommend that the FAS Commissioner increase oversight and implement additional controls related to temporary price reductions.

(U) Rec. 1: The DoD OIG recommended that the Commander of the Naval Facilities Engineering Systems Command Southeast review the February 2023 section 3051 inspection reports and require the Navy Southeast Region privatized housing company to address systemic life, health, and safety issues, such as mold and moisture.

(U) Rec. 2: The DoD OIG recommended that the Commander of Naval Air Station Key West refer residents with health concerns identified during the Navy assessment team inspections to a medical treatment facility for assessment to determine whether association existed between the environmental safety and health issues in military housing.

(U) Rec. 3.a: The DoD OIG recommended that the DoD Chief Housing Officer and Defense Health Agency Director coordinate to define the procedures to refer patients to a medical treatment facility for a medical assessment.

(U) Rec. 3.b: The DoD OIG recommended Defense Health Agency Director update Defense Health Agency Administrative Instruction 6050.01 to incorporate referral procedures.

(U) Rec. 3.c: The DoD OIG recommended that the DoD Chief Housing Officer publish guidance, consistent with Defense Health Agency Administrative Instruction 6050.01, that establishes procedures to refer patients to a medical treatment facility for a medical assessment.

(U) Rec. 4.a: The DoD OIG recommended that the DoD Chief Housing Officer establish guidance for the Military Departments on how to interpret and implement 10 U.S.C. 2893.

(U) Rec. 4.b: The DoD OIG recommended that the Secretary of the Navy conduct a review to determine whether the Navy Southeast Region privatized housing company demonstrated a pattern of failing to remedy, or failing to remedy in a timely manner, health or environmental hazards.

(U) Rec. 4.c: The DoD OIG recommended that the Secretary of the Navy take appropriate corrective action in response to the review in Recommendation 4.b, including whether to deny unawarded performance incentive fees (that we estimated as $3.95 million), in accordance with 10 U.S.C. 2893.