Open Recommendations

NIH should track the effectiveness of single audit processes and single audits' use.

Establish a process to regularly validate the accuracy, completeness, and consistency of the data it uses to assess the timeliness of the hiring process.

Implement tools to centrally analyze and routinely report detailed and accurate timeline data, including phase-specific hiring goals and metrics to monitor hiring efficiency over time.

Explore and implement technology solutions that minimize reliance on manual analyses and processes in the company’s preboarding clearance systems. At a minimum, this should include coordinating with the contractor that oversees clearances to augment the data transmitted to the company automatically and engage Digital Technology to support the flow of these additional data.

Implement a process of regular checks or audits to comprehensively verify whether candidates’ clearances are accurately reflected in the preboarding clearance systems and identify the causes of any anomalies.

Update FAA advisory circulars on long-term aviation infrastructure as necessary to address resiliency and climate change effects in airport infrastructure projects.

Develop and implement a strategy to ensure that any new dialysis service contracts follow the John S. McCain III, Daniel K. Akaka, and Samuel R. Johnson VA Maintaining Internal Systems and Strengthening Integrated Outside Networks Act of 2018 payment rate requirements.

Ensure the Denver Logistics Center staff complete reports of survey for adjustments to inventory in accordance with VA logistics management policy, and communicate such information to the National Acquisition Center.

In collaboration with the Office of Information and Technology, establish information system controls for user access, segregation of duties designations, permission access, and privilege access for the inventory management systems and data.

Establish and perform routine reviews of the access levels for users with direct access to the inventory management systems and ensure that access is limited to those who have a defined business purpose.

In collaboration with the Office of Information and Technology, ensure the Denver Logistics Center meets physical access, security, and contingency planning requirements for its information management systems.

Establish a connection for Denver Logistics Center inventory data to VA’s Corporate Data Warehouse.

Ensure the Denver Logistics Center develops and maintains comprehensive documentation of the information system to support operations and train information resource management staff.

Ensure security documentation accurately supports the proper controls are implemented, tested, and representative of the system security.

Determine whether a secure enclosure in which an inmate's movement is significantly restricted due to its size is considered a restraint and, if so, update its policies to make this clear.

Amend its policies to address secure enclosures, including the appropriate use(s) of a secure enclosure, the physical dimensions of an appropriate secure enclosure, the approvals required for using secure enclosures as temporary holding cells, how inmates should be monitored and treated while confined in secure enclosures, and how long an inmate may be kept in a secure enclosure.

We recommend that CPB management require WOMR-FM to identify the corrective actions and controls it will implement to ensure future compliance with Act requirements for open financial records.

We recommend that CPB management require WOMR-FM to identify the corrective actions and controls it will implement to ensure future compliance with CPB’s General Provision requirements for transparency.

The Under Secretary for Health makes certain the Veterans Health Administration complies with requirements that all acute sexual assault victim-survivors are offered prophylaxis for sexually transmitted infection when clinically indicated and monitors compliance.

The Under Secretary for Health verifies compliance with Veterans Health Administration requirements that all acute sexual assault victim-survivors are offered prophylaxis for pregnancy when clinically indicated and monitors compliance.

The Under Secretary for Health ensures all sexual assault victim-survivors are offered mental health resources, either directly through Veterans Health Administration or through the community and monitors compliance.

The Under Secretary for Health ensures compliance with Veterans Health Administration requirements for documentation of signature informed consent for forensic examinations conducted by staff at Veterans Health Administration facilities and monitors compliance.

The Under Secretary for Health ensures that VA Police Chiefs review facility policy and guidance for police responding to sexual assaults and update to incorporate information on facility-specific resources and processes, including jurisdictional requirements, as warranted, and educates facility police officers as needed.

HRSA should create a document to record lessons learned from managingPRF and submit the document to HHS leadership.

HRSA should expedite audits of provider use of PRF payments.