Open Recommendations

Embassy Jakarta should bring Consulate Medan's telephone system into compliance with Department standards.

Embassy Jakarta, in coordination with the Bureau of Diplomatic Security, should secure Consulate General Surabaya's telephone switch and main distribution frame room serving controlled access areas in accordance with Department standards.

Embassy Jakarta should dispose of excess information technology assets in Consulate General Surabaya as required by Department standards.

Embassy Jakarta should maintain information technology property loans in accordance with Department standards.

Embassy Jakarta should implement a records management program that complies with Department standards.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures community care oversight councils function according to their charters and meet the required number of times per calendar year.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff enter community care patient safety events into the Joint Patient Safety Reporting system.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures patient safety managers or designees brief community care patient safety event trends, lessons learned, and corrective actions at community care oversight council meetings.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures VHA staff scan all community care documents into the patient’s electronic health record within five business days of receipt.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff attach diagnostic imaging results to the Community Care Consult Result note.

The Veterans Integrated Service Network Director, in conjunction with facility directors, requires facility community care staff to use the significant findings alert to notify the ordering provider of abnormal diagnostic imaging results.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff make two additional attempts to obtain community providers’ medical documentation within 90 days of the appointment following administrative consult closure.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff process community care providers’ requests for additional services within three business days of receipt.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff incorporate requests for additional services and supporting medical documentation in patients’ electronic health records.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff verify community care providers’ signatures on requests for additional services forms.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff send letters to community providers when they deny requests for additional services.

We recommend that the Grantee submits the outstanding SF-270 and Performance Progress reports for the periods ending August 31, 2023, and November 30, 2023, to ensure compliance with ARC agreement.

We recommend that the Grantee work with ARC to resolve the questioned costs of $44,420.

We recommend that the Grantee work with ARC to resolve the $834 of costs questioned related to the unallocable payroll costs.

We recommend the Vice President, Power Operations, Gas, Hydro, and Integration, conduct a business case analysis to determine if hiring additional employees would be less costly than paying overtime.

We recommend the Director, Safety, evaluate Tennessee Valley Authority -Safety Procedure 18.018, Fatigue Management, and Tennessee Valley Authority Standard Programs and Processes 18.001, Safety Program, to determine if fatigue is being effectively identified and mitigated at gas plants.

We recommend the Vice President, Gas, Hydro, and Integration, Power Operations, continue efforts to reach approved Hydro Operations headcount.

We recommend the Vice President, Gas, Hydro, and Integration, Power Operations, evaluate opportunities to mitigate overtime at Hydro Life Extension projects.

We recommend the Director, Safety, evaluate Tennessee Valley Authority Safety Procedure 18.018, Fatigue Management, and Tennessee Valley Authority Standard Programs and Processes 18.001, Safety Program, to determine if fatigue is being effectively identified and mitigated at hydro facilities.

The National Taxpayer Advocate should add an attestation on forms where data about taxpayers whose income exceeds the 250 percent of the poverty level limitation is reported, affirming accuracy, and acknowledging the penalty for making a false statement.