Open Recommendations

We recommend that the FWS work with the Department to update policies and procedures to include guidance for daily entry of hours.

We recommend that the FWS work with the Department to develop and implement training for supervisors and volunteers to ensure proper documentation and approval of volunteer time.

We recommend CBP and CWMD key stakeholders develop an agreed to support plan to monitor and sustain RPM systems that includes: • An assessment of RPM panel condition; and • Operational Analysis to assess RPM system performance and operations to identify evolving requirements and future capability needs, and changes to sustainment approach.

Use a system-approach that complies with Public Law 116-92, EEO MD-715, and 29 CFR 1614.

Review and evaluate current processes, procedures, and practices, make revisions, and implement guidance to improve efficiencies associated with obtaining contract award for conducting investigations and drafting final agency decisions.

Develop and implement processes and procedures to ensure the contractors adhere to the Statement of Work for Equal Employment Opportunity services, to include, but not limited to (1) completing investigations timely, (2) submitting authorizations for extensions, if necessary, and (3) submitting weekly status reports; and where applicable enforce any associated penalties for delays.

Define and formalize the roles and responsibilities of the Office of General Counsel in the processing of discrimination complaints. Specifically, implement policies and procedures to demonstrate the agency has a fair and impartial Equal Employment Opportunity process, to include but not limited to, ensuring: a clear separation between the agency’s Equal Employment Opportunity complaint program and its defensive function, and the agency representative does not intrude or have the appearance of intruding upon Equal Employment Opportunity counseling, investigations, and final agency decisions.

Establish and implement procedures to ensure agency responses submitted to Equal Employment Opportunity Commission in its EEO MD-715 submissions are accurate, complete, and supported by documentation.

Develop and implement controls to ensure standard operating procedures are kept up to date to reflect subsequent organizational, policy, or procedural changes that can affect processing of discrimination complaints.

Ensure the continuity of operations plan is tested annually, as required by Federal Continuity Directive 1.

CMS should Issue new guidance on the appropriate use of MAO clinical criteria in medical necessity reviews.

CMS should Update its audit protocols to address the issues identified in this report, such as MAO use of clinical criteria, and/or examine particular service types.

CMS should direct MAOs to take additional steps to identify and address vulnerabilities that can lead to manual review errors and system errors.

Establish a grievance tracking system to ensure timely responses to all detainee grievances filed at South Texas, with a completegrievance log.

Ensure compliance with segregation standards, including the use of restraints, access to recreation, legal calls, laundry services forbedding and clothing, mail, legal materials, and the law library.

The executive director of the Electronic Health Record Modernization Program Management Office complies with internal guidance and ensures the development of an integrated master schedule for the Electronic Health Record Modernization program that complies with standards adopted from GAO for scheduling.

The executive director of the Electronic Health Record Modernization Program Management Office takes action to improve stakeholder coordination in the development of the program schedules to ensure activities from all relevant VA entities are included.

The executive director of the Electronic Health Record Modernization Program Management Office develops procedures for when and how staff should perform an initial schedule risk analysis for the program and conduct periodic updates as needed.

The executive director of the Electronic Health Record Modernization Program Management Office ensures consistency between contract language and program office plans or other guidance identifying the entity or individuals responsible for developing and maintaining the program’s work breakdown structure and integrated master schedule.

Update NARA 1572, Preventing Theft and Vandalism of NARA Holdings in NARA Facilities, and its Supplement(s) to include documented procedures that include simplified reporting of internal incidents of loss, theft, or damage of NARA holdings.

We recommend that the Massachusetts Executive Office of Health and Human Services, Office of Medicaid continue to coordinate with DDS and DPPC to ensure that all reasonable suspicions of abuse and neglect are properly identified, reported, and investigated as needed.

We recommend that the Massachusetts Executive Office of Health and Human Services, Office of Medicaid require periodic training for DDS and group home staff on reporting reasonable suspicions of abuse and neglect.

HHS OCIO work with all OpDivs to ensure that: All systems on the network have a valid ATO. OpDivs should ensure that security authorization policies and procedures are fully developed and disseminated to the appropriate personnel to ensure that all OpDiv personnel understand the requirements for completing the ATO process.

HHS OCIO work with all OpDivs to ensure that: ISCM strategy and procedures should clearly define critical reporting metrics for reports utilized by internal and external stakeholders. Additionally, OpDivs should coordinate reporting efforts with the OCIO to ensure the definitions and reporting requirements are consistently implemented.

Continue implementation of an automated CDM solution that provides a centralized, enterprise-wide view of risks across all of HHS.