Open Recommendations

Embassy Vienna, in coordination with the Bureaus of Overseas Buildings Operations and Consular Affairs, should provide a wheelchair accessible interview window for consular applicants, in accordance with Department standards.

Embassy Vienna, in coordination with the U.S. Mission to International Organizations in Vienna and the U.S. Mission to the Organization for Security and Cooperation in Europe, should bring tri-mission motor pool operations into compliance with Department standards.

Embassy Vienna, in coordination with the Bureau of Overseas Buildings Operations, should comply with Department standards for its non-high-rise residential properties.

Embassy Vienna should retire records in accordance with Department records management standards.

Embassy Vienna should install server room emergency power-off switches in accordance with Department standards.

CMS should educate enrollees and providers about options for access to overdose-reversal medications, as Narcan and its generic equivalents will no longer be covered by Part D.

Based on the results of the risk assessment, develop and implement a plan to better control, monitor, and block identified data and user activities for its systems.

Establish a policy that clearly defines departmental roles and responsibilities for insider threat activities, including responding to insider threats.

Establish a process to track and enforce access management requirements for the company’s non-financial systems, including ensuring system owners are aware of and complete required access reviews.

Prioritize and develop a strategy for DT to implement available access management tools across company systems while minimizing disruption to company operations.

We recommend that the Washington State Department of Social and Health Services educate nursing home management that life safety and emergency preparedness training resources are available to nursing home staff.

We recommend that the Washington State Department of Social and Health Services follow up with the 20 nursing homes reviewed in this audit to ensure that these nursing homes have taken corrective actions to address the life safety, emergency preparedness, and infection control deficiencies identified.

We recommend that the Washington State Department of Social and Health Services provide training to State surveyors to ensure that deficiencies related to life safety, emergency preparedness, and infection control are consistently identified.

Rec. 2.b: The DoD OIG recommended that the Director of the Defense Health Agency increase the number of required Prescription Monitoring Program candidate reviews for the Managed Care Support Contractors, while also implementing standard Prescription Monitoring Program processes and review requirements for all DoD medical treatment facilities to include the number of candidates to review.

Rec. 2.c: The DoD OIG recommended that the Director of the Defense Health Agency implement procedures to review DoD medical treatment facility and Managed Care Support Contractor compliance with the Prescription Monitoring Program requirements in Defense Health Agency Instructions and the TRICARE Operations Manual.

Rec. 3.c: The DoD OIG recommended that the Director of the Defense Health Agency develop and implement a process to obtain medical documentation for DoD beneficiaries from DoD medical treatment facilities and other agencies or health insurance providers to support routine monitoring and medical reviews of at-risk beneficiaries.

We recommend that the Connecticut Department of Social Services continue to coordinate with the Department of Developmental Services to provide training for staff of DDS and private group homes on how to monitor and report reasonable suspicions of abuse and neglect, especially in light of the significant staff hiring and retention problems in Connecticut group homes.

We recommend that the Connecticut Department of Social Services continue to coordinate with the Department of Developmental Services to use the new analytical procedures to identify potential cases of abuse or neglect involving Medicaid enrollees with developmental disabilities that incurred injuries and are treated in hospital emergency room settings.

Explore the feasibility of increasing personnel pay in Colorado mountain towns based on locality, including tracking all expenses for personnel detailed to these locations and other hiring costs.

We recommend that the National Park Service comply with DOI-PGM-POL Reference No. 0003, which requires the National Park Service to maintain a record, such as a list, of Land and Water Conservation Fund Federal interest properties. At a minimum, the record must include the Federal award identifier number and information sufficient to document interest, authorized purpose, legal description, location, and size of the land parcel.

We recommend that the National Park Service determine the number of Land and Water Conservation Fund sites that are overdue for post-completion inspection reporting and require that States conduct inspections to ensure Land and Water Conservation Fund sites are operated and maintained for public outdoor recreation as required by the Land and Water Conservation Fund Act section 6(f)(3).

We recommend that the National Park Service develop and implement a process to ensure and verify that States submit mandatory post-completion inspection reports to ensure Land and Water Conservation Fund sites are operated and maintained for public outdoor recreation as required by the Land and Water Conservation Fund Act section 6(f)(3).

We recommend that the National Park Service conduct the required program review for all States in accordance with the National Park Service Land and Water Conservation Fund Manual and complete and distribute the required report to the National Park Service headquarters and State Governors in a timely manner.

We recommend that the National Park Service require States to submit all missing financial and performance reports and verify submission for open State Side grants.

We recommend that the National Park Service in coordination with the Appraisal and Valuation Services Office, develop and implement a process to ensure internal appraisal reviews comply with the Uniform Appraisal Standards for Federal Land Acquisitions in accordance with 2 C.F.R. part 1402.