Open Recommendations

The Country Director establishes memoranda of understanding, or informal cooperative agreements with clear expectations, with the Madagascar ministries of health, education, and agriculture.

The Office of Volunteer Recruitment and Selection, the Office of Communications, and the post work together to develop and implement strategies that address applicant concerns specific to Madagascar to increase application and retention rates.

The Country Director develops post-specific procedures for receiving and responding to Safety and Security incidents, to include roles and responsibilities, and then trains staff in those procedures.

The Country Director works with the Peace Corps Medical Officers to ensure they visit more Volunteers at site per TG 204 requirements and develop and implement a plan to assess healthcare facilities and consultants as required.

The Under Secretary for Health ensures that VA homeless program staff consistently document, in patients electronic health records, the clinical information from the Homeless Operations Management and Evaluation System.

The Under Secretary for Health makes certain that a suicide risk screening is completed with patients during intake into VA homeless programs, consistent with Veterans Health Administration policy.

The Under Secretary for Health ensures that staff complete suicide risk screening in response to danger of self-harm identified in the Homeless Operations Management and Evaluation System.

The Under Secretary for Health makes certain that homeless program staff provide and document care coordination to address patients mental health and substance use disorder treatment needs as identified in the Homeless Operations Management and Evaluation System.

Executive leaders ensure there are clear signs during construction projects, and maps at the main entrance information desk to help veterans navigate the facility.

The Medical Center Director ensures contractors inspect and test emergency generators and fire doors as required, and staff report compliance to an environment of care committee.

The Associate Director of Patient Care Services/Nurse Executive ensures nursing staff monitor proper food clean-up, storage, and disposal in the Mental Health Residential Rehabilitation Treatment Program’s areas.

The Medical Center Director ensures staff refill hands-free sanitizer dispensers throughout the facility.

Executive leaders ensure staff develop service-level workflows for the communication of test results for each service.

The Medical Center Director ensures staff implement a process to monitor providers’ compliance with communicating abnormal test results to patients.

Executive leaders ensure staff complete improvement actions from root cause analyses within one year.

Facility leaders ensure providers who order tests communicate the results to patients timely.

Ensure processes and guidance are in place for the director of the Office of Construction and Facilities Management to provide appropriate oversight and management over minor construction projects consistent with the authority and responsibilities described in 38 U.S.C. 312A.

Revise the Veterans Health Administration directive on minor construction projects to incorporate 38 U.S.C. 312A requirements and develop a review process for confirming compliance with the Office of Construction and Facilities Managements guidance and any applicable industry standards.

Review the Audie L. Murphy emergency department exam and fast-track rooms for compliance with applicable design and equipment standards and provide any recommendations to the executive director of the South Texas Veterans Health Care System.

Review an assessment by the Office of Construction and Facilities Management of the Audie L. Murphys emergency department for compliance with design and equipment requirements to determine what changes, if any, are necessary and take appropriate corrective action.

We recommend that the Grantee develop and implement formal written policies and procedures surrounding the management of Federal awards, in accordance with the Uniform Guidance.

We recommend the Vice President, Chief Information and Digital Officer, Information Technology, consistently implement the defined policies, procedures, and processes for developing and maintaining a comprehensive and accurate inventory for public-facing websites.

We recommend the Vice President, Chief Information and Digital Officer, Information Technology, implement, assess, and maintain common secure configuration settings for all information systems.

We recommend the Vice President, Chief Information and Digital Officer, Information Technology, incorporate vulnerability scanning into the Continuous Diagnostics and Mitigation dashboard in accordance with Binding Operational Directive 23-01, in coordination with Department of Homeland Security as necessary.

We recommend the Vice President, Chief Information and Digital Officer, Information Technology, refine the profiles periodically based on known risk exposure and residual risk, align cybersecurity profiles with risk strategy, and periodically monitor and report on progress in reaching TVA’s target profile.