Open Recommendations

Some or all of the recommendation is not publicly available due to concerns with information protected under the Freedom of Information Act.

Verify that all drivers are using wheel chocks at the Norfolk Local Processing Center.

We recommend that the Assistant Secretary of Commerce for Communications and Information Administrator, in coordination with the Department’s Senior Procurement Executive and Director of Acquisition Management, direct FirstNet Authority’s Chief Executive Officer and Chief Procurement Officer to: Ensure that future NPSBN contracts and task orders sufficiently define performance standards and measurements of success for achieving requirements prior to their award to protect the government’s interest in accordance with the FAR.

We recommend that the Assistant Secretary of Commerce for Communications and Information Administrator, in coordination with the Department’s Senior Procurement Executive and Director of Acquisition Management, direct FirstNet Authority’s Chief Executive Officer and Chief Procurement Officer to: Ensure service availability requirements for the 5G network and Pacific territories are clearly defined within the contract.

We recommend that the Assistant Secretary of Commerce for Communications and Information Administrator, in coordination with the Department’s Senior Procurement Executive and Director of Acquisition Management, direct FirstNet Authority’s Chief Executive Officer and Chief Procurement Officer to: Modify the current NPSBN QASP to ensure that:

(a) The method for measuring service availability is designed to protect the government’s interest and ensure that services rendered by AT&T meet contract requirements and that the measurement provides a complete and accurate assessment of service availability.
(b) Surveillance methods are sufficiently defined and detailed to verify that AT&T’s performance meets service availability contract requirements…

We recommend that the Assistant Secretary of Commerce for Communications and Information Administrator direct FirstNet Authority’s Chief Executive Officer and Chief Procurement Officer to: Conduct sufficient surveillance of service availability prior to acceptance of contract deliverables, including obtaining appropriate data required for oversight, performing random audits, reviewing AT&T’s QCP results, and applying timely remediation procedures in instances of noncompliance, as directed in the QASP and the FAR.

We recommend the Vice President, Nuclear Engineering, evaluate probability of occurrence and financial impact to verify they are accurately reported.

We recommend the Vice President, Nuclear Engineering, take steps to ensure that risk information in the Enterprise Risk Management system of record is accurate.

The Commissioner, LB&I Division, should assess the compliance risk of **********2**********, and the viability of using Form 1099 data to identify Form 8938 nonfilers to improve the compliance efforts of Campaign 896.

The VA Fayetteville Coastal Healthcare System Director confirms full implementation of the VA Community Care Oversight and Consult Management Council.

The Under Secretary for Health reviews practices and procedures for managing consults to identify and prioritize appointment scheduling for patients with serious health conditions (high‑priority consults), such as cancer, and provide direction to the field on the process to use to make this determination.

The VA Fayetteville Coastal Healthcare System Director directs the development and implementation of community care service standard operating procedures to address identification and management of high-priority consults, timeliness of consult processing, and care coordination that aligns with direction provided by Veterans Health Administration’s Integrated Veterans Care program.

The VA Fayetteville Coastal Healthcare System Director ensures staff are trained in all newly developed community care standard operating procedures and that adherence to policy and practice is monitored.

The VA Fayetteville Coastal Healthcare System Director confirms completion of a review of quality management processes to ensure quality management staff, when reviewing patient safety events, consider potential system issues and, if present, recommend they be addressed using other quality management reviews.

The VA Fayetteville Coastal Healthcare System Director ensures local processes are in place, including assigned roles and responsibilities, to manage Office of Inspector General case referrals in compliance with VA Directive 0701, Office of Inspector General Hotline Complaint Referrals.

The Under Secretary for Health assesses the electronic health record reviews completed by the system in response to the community care backlog to determine if a more comprehensive review is warranted with appropriate disclosure to patients placed at risk or harmed as a result of a delay in action on their community care consult, and takes action accordingly.

The VA Fayetteville Coastal Healthcare System Director confirms full implementation of the VA Community Care Oversight and Consult Management Council.

The Under Secretary for Health reviews practices and procedures for managing consults to identify and prioritize appointment scheduling for patients with serious health conditions (high-priority consults), such as cancer, and provide direction to the field on the process to use to make this determination.

The VA Fayetteville Coastal Healthcare System Director directs the development and implementation of community care service standard operating procedures to address identification and management of high-priority consults, timeliness of consult processing, and care coordination that aligns with direction provided by Veterans Health Administrations Integrated Veterans Care program.

The VA Fayetteville Coastal Healthcare System Director ensures staff are trained in all newly developed community care standard operating procedures and that adherence to policy and practice is monitored.

The VA Fayetteville Coastal Healthcare System Director confirms completion of a review of quality management processes to ensure quality management staff, when reviewing patient safety events, consider potential system issues and, if present, recommend they be addressed using other quality management reviews.

The VA Fayetteville Coastal Healthcare System Director ensures local processes are in place, including assigned roles and responsibilities, to manage Office of Inspector General case referrals in compliance with VA Directive 0701, Office of Inspector General Hotline Complaint Referrals.

The VA Fayetteville Coastal Healthcare System Director confirms reasonable efforts to conduct an institutional disclosure with the patient regarding circumstances that led to the delay in the diagnosis of and treatment for lung cancer are made and, if a disclosure is completed, that it is documented in the electronic health record.

The Under Secretary for Health assesses the electronic health record reviews completed by the system in response to the community care backlog to determine if a more comprehensive review is warranted with appropriate disclosure to patients placed at risk or harmed as a result of a delay in action on their community care consult, and takes action accordingly.

Some or all of the recommendation is not publicly available due to concerns with information protected under the Freedom of Information Act.