Open Recommendations

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

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

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.

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 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.

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.

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 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).