Open Recommendations

(U) Rec. 1.b.1: The DoD OIG recommended that the Under Secretary of Defense for Intelligence and Security update DoD Instruction 5200.48, Controlled Unclassified Information (CUI) to clarify the implications of using the limited dissemination controls of Federal Employees and Contractors Only (FEDCON) and Federal Employees Only (FED ONLY) for releasability outside the Executive Branch and emphasize the use of limited dissemination controls by exception, with a limited dissemination control of None as the default option unless required otherwise.

(U) Rec. 1.b.2: The DoD OIG recommended that the Under Secretary of Defense for Intelligence and Security update Defense Office of Prepublication and Security Review 25-P-0275 to clarify the implications of using the limited dissemination controls of Federal Employees and Contractors Only (FEDCON) and Federal Employees Only (FED ONLY) for releasability outside the Executive Branch and emphasize the use of limited dissemination controls by exception, with a limited dissemination control of None as the default option unless required otherwise.

(U) Rec. 1.b.3: The DoD OIG recommended that the Under Secretary of Defense for Intelligence and Security update Center for Development of Security Excellences DoD Mandatory CUI Training course to clarify the implications of using the limited dissemination controls of Federal Employees and Contractors Only (FEDCON) and Federal Employees Only (FED ONLY) for releasability outside the Executive Branch and emphasize the use of limited dissemination controls by exception, with a limited dissemination control of None as the default option unless required otherwise.

Facility leaders install detectable warning surfaces where crosswalks transition onto a vehicle roadway.

Facility leaders ensure clinical staff who perform toxic exposure screenings complete mandatory training.

The Director ensures staff implement processes to prevent repeat environment of care findings related to dusty sprinkler heads.

Facility leaders evaluate all areas where biohazardous materials are located to ensure staff store clean and dirty items separately.

The Director ensures staff keep the environment clean and safe.

Facility leaders ensure their policy aligns with VHA Directive 1088(1) and develop workflows for all services that communicate test results to patients.

The Chief of Staff and Associate Director for Patient Care Services ensure corrective actions address unfavorable trends in communication of test result data.

The Director ensures the Chief of Staff chairs and attends the Peer Review Committee meetings as required by VHA.

The Director ensures patient safety managers identify adverse events as sentinel events when they meet criteria.

Facility leaders evaluate and improve processes to identify adverse events that warrant an institutional disclosure.

The Director implements processes to ensure staff track action plans until they are completed and report to leaders those that are outstanding.

The Director ensures leaders train staff on their roles and responsibilities when responding to a medical emergency, including the location of equipment used for medical emergencies.

The Director ensures leaders revise the emergency response policy based on recertification time frames in VHA Directive 0999(1) or sooner, if warranted.

Facility leaders ensure all applicable staff maintain basic life support certification and take appropriate action for those staff without it.

The Director ensures facility leaders manage primary care teams panel sizes to support patients access to care.

Facility leaders install detectable warning surfaces where crosswalks transition onto a vehicle roadway.

Facility leaders ensure clinical staff who perform toxic exposure screenings complete mandatory training.

The Director ensures staff implement processes to prevent repeat environment of care findings related to dusty sprinkler heads.

Facility leaders evaluate all areas where biohazardous materials are located to ensure staff store clean and dirty items separately.

The Director ensures staff keep the environment clean and safe.

Facility leaders ensure their policy aligns with VHA Directive 1088(1) and develop workflows for all services that communicate test results to patients.

The Chief of Staff and Associate Director for Patient Care Services ensure corrective actions address unfavorable trends in communication of test result data.