Open Recommendations

The OIG recommended the under secretary for health make sure the Office of Integrated Veteran Care, in coordination with VHA’s chief operating officer and the Veterans Integrated Service Networks make certain that staff who are involved in the Veteran Self-Scheduling process are trained on how to assess eligibility for the scheduling option, communicate key information to veterans on the option, and conduct appropriate consult follow-up procedures.

The OIG recommended the under secretary for health make sure the Office of Integrated Veteran Care, in coordination with VHA’s chief operating officer and the Veterans Integrated Service Networks ensure all guidance related to the Veteran Self-Scheduling process is clear, consistent, and disseminated to all VA medical facilities.

The OIG recommended the under secretary for health make sure the Office of Integrated Veteran Care, in coordination with VHA’s chief operating officer and the Veterans Integrated Service Networks, establish a mechanism to effectively track and monitor each VA medical facility’s challenges with implementation of the Veteran Self-Scheduling process and then develop a plan to address reported issues.

The OIG recommended the under secretary for health make sure the Office of Integrated Veteran Care, in coordination with VHA’s chief operating officer and the Veterans Integrated Service Networks, develop best practices and lessons learned for implementing the Veteran Self-Scheduling process and disseminate them to all VA medical facilities.

The OIG recommended the under secretary for health make sure the Office of Integrated Veteran Care, in coordination with VHA’s chief operating officer and the Veterans Integrated Service Networks, develop controls to ensure VA medical facility staff have the tools in place to identify instances of potential inappropriate processing or inappropriate use of Veteran Self-Scheduling consults.

The OIG recommended the under secretary for health make sure the Office of Integrated Veteran Care, in coordination with VHA’s chief operating officer and the Veterans Integrated Service Networks, direct facilities to conduct routine reviews of Veteran Self-Scheduling consults to identify potential inappropriate processing or use of the Veteran Self-Scheduling option and notify VHA’s Office of Integrated Veteran Care of instances of inappropriate use

The OIG recommended the under secretary for health make sure the Office of Integrated Veteran Care, in coordination with VHA’s chief operating officer and the Veterans Integrated Service Networks, develop a plan to accurately assess whether the Veteran Self-Scheduling process is meeting its intended goals.

The OIG recommended the under secretary for health make sure the Office of Integrated Veteran Care, in coordination with VHAs chief operating officer and the Veterans Integrated Service Networks, direct facilities to conduct routine reviews of Veteran Self-Scheduling consults to identify potential inappropriate processing or use of the Veteran Self-Scheduling option and notify VHAs Office of Integrated Veteran Care of instances of inappropriate use.

The Montana VA Healthcare System Director assesses the timeliness of appointment setting for direct and community care referrals and ensures facility staff establish appointments within required time frames.

The Montana VA Healthcare System Director assesses the timeliness of completion of community care appointments within 90 days of requested date and acts on identified opportunities for improvement.

The Montana VA Healthcare System Director reviews consult management practices and ensures receiving staff document scheduled appointment dates for VA direct care referrals.

The Montana VA Healthcare System Director reviews appointment wait times and acts on identified opportunities for improvement.

The Montana VA Healthcare System Director ensures community care providers utilized by the system are designated as eligible in the Provider Profile Management System and acts on identified opportunities to improve the accuracy of eligibility designations.

To address the noncompliance identified, OIG adopts Premier Group's recommendations to USAID's Director, Office of Acquisition & Assistance:
Determine the allowability of $17,816 in questioned costs and recover any amount that is unallowable.

To address the noncompliance identified, OIG adopts Premier Group's recommendations to USAID's Director, Office of Acquisition & Assistance:
Require DAI Global, LLC to implement policies and procedures to
ensure that the exchange rate applied when billing USAID matches the rate used to pay employees based on the same date.

To address the noncompliance identified, OIG adopts Premier Group's recommendations to USAID's Director, Office of Acquisition & Assistance:
Require DAI Global, LLC to monitor implementation of invoicing
and exchange rate practices to ensure continued compliance with federal regulations and accuracy in billing.

We recommend that USAID/Zimbabwe determine the allowability of $101,722 in unsupported questioned costs identified on pages 14, 15, and 20 of the audit report.

We recommend that USAID/Zimbabwe verify that the implementer corrects the four instances of material noncompliance identified on pages 13, and 20, through 22 of the audit report.

We recommend that USAID/Zimbabwe verify that the implementer corrects the one material weakness in internal control detailed on page 18 of the audit report.

We recommend that the Substance Abuse and Mental Health Services Administration work with the Contractor to strengthen procedures related to verifying facility information, such as validating a sample of facilities each year.

We recommend that the Substance Abuse and Mental Health Services Administration improve the prominence of the statement on FindTreatment.gov about contacting the Contractor to report an issue with the information listed for a facility, such as placing the statement at the top of the page on the website and using a larger font size and a different color.

We recommend that the Substance Abuse and Mental Health Services Administration work with the Contractor to implement additional system edits in the Survey to prevent facilities from submitting the Survey without completing all of the critical information fields.

We recommend that the Acting GSA Administrator develop and implement a consistent methodology to collect daily occupancy data and implement appropriate controls to ensure that the data produced is consistent, reliable, and accurate.

We recommend that the Acting GSA Administrator develop and implement a centralized approach for managing GSA’s internal space and meeting its space utilization target.

We recommend that the Acting GSA Administrator improve the management of GSA’s occupancy agreements (OAs). Specifically, GSA should: (1) conduct a comprehensive review of the Occupancy Agreement Space Inventory System (OASIS) and verify and validate that there are no discrepancies in the OA space reporting for GSA-occupied space, (2) develop a process to periodically review and verify that OAs are properly cancelled in OASIS and ensure that all notifications and supporting documents are properly tracked in OASIS in accordance with the space release process, and (3) correct the $520,155.69 of imputed rent for the PBS space in the U.S. Department…