Open Recommendations

Rec. 2.c: The DoD recommended that the Defense Health Agency Director, in coordination with the Military Departments, develop and implement a plan to balance the workforce, considering the providers reduced FTEs.

Perform a formal assessment of the agency’s accessibility-related oversight activities and document whether the activities ensure producers have access to relevant crop insurance plans.

The Director, National Teleradiology Program ensures guidance in memoranda of understanding, teleradiology service agreements, and policies related to the entity responsible for the completion of National Teleradiology Program radiologist peer reviews is consistent and aligns with Veterans Health Administration requirements.

The Director, National Teleradiology Program reviews the barriers, to include staffing shortages, to achieving turnaround time goals and creates a plan of action to optimize results.

The Director, National Teleradiology Program, in cooperation with Veterans Health Administration’s National Radiology Program, explores additional options for the recruitment and retention of National Teleradiology Program radiologists.

The Under Secretary for Health, in cooperation with Veterans Health Administration’s National Radiology Program, reviews the tools available for the recruitment and retention of radiologists across the Veterans Health Administration and creates a plan of action to optimize filling vacant positions.

The Under Secretary for Health ensures all facilities with an agreement for service by the National Teleradiology Program have a contingency plan.

We recommend MCC: Require closeout processes outlined in MCC's Policy on Program Closure be applied to suspended and terminated programs and have deviation decisions be documented as appropriate.

The Executive Director reviews current practices to obtain documents from community providers and determines if leaders can standardize an approach to improve timeliness.

The San Francisco Healthcare System Director confirms the Sierra Pacific Veterans Integrated Service Network Clinical Resource Hub sleep medicine licensed independent practitioners are privileged in accordance with policy and monitors for compliance

The Sierra Pacific Veterans Integrated Service Network Director ensures Sierra Pacific Veterans Integrated Service Network leaders and San Francisco Healthcare System leaders are educated on Veterans Health Administration policies regarding actions required following licensed independent practitioners’ lapse in privileges.

The Sierra Pacific Veterans Integrated Service Network Director confirms the San Francisco Healthcare System and the Sierra Pacific Veterans Integrated Service Network Clinical Resource Hub leaders complete a review of clinical care rendered by physicians with lapsed privileges as required by the Veterans Health Administration directive.

The Under Secretary for Health ensures the Veterans Health Administration National Program Director, Sleep Medicine and the National Sleep Medicine Field Advisory Board review sleep medicine privileges and provide national guidance for sleep medicine physicians who seek other specialty privileges.

The San Francisco Healthcare System Director ensures that the Sierra Pacific Veterans Integrated Service Network Clinical Resource Hub director addresses sleep medicine physicians’ concern of potential for disruptions in sleep medicine services without dual privileges and notifies sites receiving Sierra Pacific Veterans Integrated Service Network Clinical Resource Hub services if sleep medicine privilege changes will disrupt services.

The under secretary for benefits identify all veterans using dual entitlement on VA-guaranteed joint home loans who were charged funding fees and received a retroactive disability rating that precedes their loan closing date since July 2019 when the veteran refund eligibility list was implemented, and issue required refunds.

The under secretary for benefits update systems to ensure eligible veterans using dual entitlement on joint VA-guaranteed home loans are identified for funding fee refunds and ensure that any system updates are tested to demonstrate that the entire population of eligible veterans is included.

(U) Rec. 1.a: The DoD OIG recommended that the DoD Chief Information Officer source and maintain DoD-controlled capabilities that meet the DoDs operational needs to share information across the DoD and U.S. Government and with foreign partners. The capabilities should include the ability to communicate on DoD-approved and non-DoD personnel mobile devices, collaborate in group environments, and share unclassified, controlled, and classified information; have a user-friendly interface; and comply with DoD and government-wide requirements to protect information and preserve official records.

(U) Rec. 1.b: The DoD OIG recommended that the DoD Chief Information Officer establish and implement, in coordination with the Under Secretary of Defense for Intelligence and Security and Director of Administration and Management, a training requirement in DoD policy for DoD political appointees, general officers, flag officers, and members of the Senior Executive Service to take a tailored training with a knowledge assessment that addresses the unique needs of senior leaders and includes the content areas spelled out in DODIG-2023-041 Recommendation 2.d and its sub-elements

(U) Rec. 1.c: The DoD OIG recommended that the DoD Chief Information Officer clearly define the criteria, process, and personnel authorized to grant a waiver to the DoDs prohibition against using non"DoD-controlled electronic messaging services to conduct official business in DoD Instruction 8170.01, Online Information Management and Electronic Messaging, and related policies.

(U) Rec. 1.d: The DoD OIG recommended that the DoD Chief Information Officer update the annual DoD-wide cyber training to include information about the impacts of unauthorized disclosures on non-government applications and risks of using non"DoD-controlled electronic messaging services.

(U) Rec. 2.a: The DoD OIG recommended that the Under Secretary of Defense for Intelligence and Security conduct an Office of the Secretary of Defense- and DoD-wide assessment to identify the extent of DoD personnel using non"DoD-controlled electronic messaging services to conduct official business and associated risks.

(U) Rec. 2.b: The DoD OIG recommended that the Under Secretary of Defense for Intelligence and Security provide the findings and any recommendations of the assessment in Recommendation 2.a to the DoD Chief Information Officer to help inform the requirements for the capability described in Recommendation 1.a.

We recommend that the Acting GSA Administrator continue to collaborate with federal law enforcement agencies to address security risks at GSA-owned federal buildings.

Establish a common framework with roles and responsibilities for deferred maintenance that applies throughout the organization, standardizing what is considered deferred maintenance and the process for prioritizing and addressing it.

Prioritize and track all deferred maintenance and associated costs, including capital and maintenance projects, and begin addressing its backlog of maintenance in order of priority.