Open Recommendations

We recommend that the U.S. Department of Health and Human Services maintain an inventory of all geospatial data assets, per section 759(b) of the GDA.

Develop a unified Strategy Implementation Plan or “Roadmap” that defines detailed action items, milestones, and responsibilities for geospatial data management in support of missions across NASA.

We recommend that the Deputy Secretary of Commerce and the Senior Agency Official for Geospatial Information develop Department-wide procedures to ensure operating units consistently implement the Department’s Policy on Planned Geospatial Acquisitions.

Disallow and recover $603,476 ($231,806 in Federal and $374,861 in match costs) from Sauk-Rapids Rice due to the lack of support for employee's time worked on the grant and $3,192 for other Federal costs claimed because of insufficient match contributions.

Disallow and recover $673,178 ($336,062 in Federal and $337,116 in match) from Guadalupe Alternative Programs due to being unable to verify the accuracy of employees' time worked on the grant because of the lack of time being segregated by project/program codes.

Disallow and recover $11,681 ($5,681 in Federal from Amherst H. Wilder, and $6,000 in match from Sauk-Rapids Rice) due to unsupported costs in its financial management systems

Ensure that its Correctional Services Manual includes policy on the required number of perimeter patrol vehicles at all types of institutions and implement a policy on the circumstances necessitating changes to the required number of perimeter patrol vehicles.

Establish a policy on the required assignment and use of Roving Alarm Notification System (RANS) hand-held radios.

Consider developing a national policy requiring institutional assessments of U.S. Penitentiaries (USP) on a prescribed, regular basis.

Improve the institutional assessment process by ensuring the Institutional Assessment Guidelines are comprehensive and include all necessary perimeter security aspects, ensuring the assessment reports are consistent in form and content, and requiring reviewed facilities to respond to any recommendations in the assessment reports.

Update existing policies and procedures to include additional controls addressing mobile device inventory, provisioning, applications, sanitization, and operating system updates. Specifically, OIT should update existing policies and procedures to: a. Require a periodic reconciliation between [REDACTED] and the mobile device management system, and clearly define which mobile devices should be enrolled in the mobile device management system. b. Clearly define the roles, responsibilities, and processes for provisioning devices based on business need. c. Include processes for [REDACTED] d. Include processes to periodically monitor mobile devices for [REDACTED] e. Define the roles, responsibilities, and processes (including the timeline) [REDACTED] f. Include…

1. We recommend that Alta Bates Summit Medical Center refund to the Medicare contractor $16,346,371 ($16,395,489 less $49,118 that the Hospital has already repaid) in estimated overpayments for the audit period for claims that it incorrectly billed.

2. We recommend that Alta Bates Summit Medical Center based on the results of this audit, exercise reasonable diligence to identify, report, and return any overpayments in accordance with the 60-day rule, and identify any of those returned overpayments as having been made in accordance with this recommendation.

3. We recommend that Alta Bates Summit Medical Center strengthen controls to ensure that: (1) all IRF beneficiaries meet Medicare criteria for acute inpatient rehabilitation and all required documentation is included in the medical records, (2) procedure and diagnosis codes are supported in the medical records and staff are properly trained, (3) all inpatient beneficiaries meet Medicare requirements for inpatient hospital services, (4) the use of bypass modifiers is supported in the medical records, and (5) staff are properly trained.

We recommend that the Assistant Secretary for Elementary and Secondary Education ensure that OESE strengthens its policy for creating and retaining records so those records demonstrate adequate and proper documentation of OESE’s functions, policies, decisions, procedures, and essential transactions relevant to the review and approval of the McKinney-Vento Act section of State plans.

We recommend that the Assistant Secretary for Elementary and Secondary Education ensure that OESE makes publicly available all submissions and resubmissions of States’ plans, including individual and consolidated plans, to promote full transparency.

We recommend that the Assistant Secretary for Elementary and Secondary Education ensure that OESE adheres to its policy and considers all conflict of interest information collected from peer reviewers before assigning them State plans to review.

Rec. 1.a: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness, in conjunction with the Assistant Secretary of Defense for Health Affairs and Secretaries of the Military Departments, establish a working group within 30 days of this report's publication, to address the personnel, supplies, testing capabilities, information technology, communication, and lines of authority challenges that we identified during the Coronavirus Disease-2019 pandemic that exist between the Services and the Defense Health Agency. The working group should establish milestones to develop guidance for coordinating the staffing of multi-Service military treatment facilities during a pandemic.

Rec. 1.d: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness, in conjunction with the Assistant Secretary of Defense for Health Affairs and Secretaries of the Military Departments, establish a working group within 30 days of this report's publication, to address the personnel, supplies, testing capabilities, information technology, communication, and lines of authority challenges that we identified during the Coronavirus Disease-2019 pandemic that exist between the Services and the Defense Health Agency. The working group should establish milestones to issue clarifying guidance for defining essential personnel for civilian healthcare workers.

Rec. 1.e: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness, in conjunction with the Assistant Secretary of Defense for Health Affairs and Secretaries of the Military Departments, establish a working group within 30 days of this report's publication, to address the personnel, supplies, testing capabilities, information technology, communication, and lines of authority challenges that we identified during the Coronavirus Disease-2019 pandemic that exist between the Services and the Defense Health Agency. The working group should establish milestones to update contracts to allow for more flexibility regarding the use of contracted personnel during extenuating circumstances…

The Bureau of European and Eurasian Affairs should review and de-obligate any of the unliquidated obligations totaling $3.3 million without activity for over 1 year and put de-obligated funds to better use.

Ensure that all case file documents are accurately timestamped to the date they are actually completed and that all staff are trained on how to properly maintain accurate and up-to-date case files

Strengthen existing procedures to ensure that family reunification packets are sent within required timeframes

Develop policies and procedures for promptly notifying DHS of the imminent release of a child to a sponsor and document and maintain all correspondence

Ensure that all employees follow policies and procedures requiring Federal and State background investigations to be completed before staff begin working with children, provide relevant training to appropriate staff, and document and maintain documentation of all results.