Open Recommendations

We recommend that CPB management require WOMR-FM to identify the corrective actions and controls it will implement to ensure future compliance with CPB’s General Provision requirements for transparency.

The Under Secretary for Health verifies compliance with Veterans Health Administration requirements that all acute sexual assault victim-survivors are offered prophylaxis for pregnancy when clinically indicated and monitors compliance.

The Under Secretary for Health ensures all sexual assault victim-survivors are offered mental health resources, either directly through Veterans Health Administration or through the community and monitors compliance.

The Under Secretary for Health ensures that VA Police Chiefs review facility policy and guidance for police responding to sexual assaults and update to incorporate information on facility-specific resources and processes, including jurisdictional requirements, as warranted, and educates facility police officers as needed.

HRSA should create a document to record lessons learned from managingPRF and submit the document to HHS leadership.

HRSA should expedite audits of provider use of PRF payments.

Embassy Vienna, in coordination with the Bureaus of Overseas Buildings Operations and Consular Affairs, should provide a wheelchair accessible interview window for consular applicants, in accordance with Department standards.

Embassy Vienna, in coordination with the U.S. Mission to International Organizations in Vienna and the U.S. Mission to the Organization for Security and Cooperation in Europe, should bring tri-mission motor pool operations into compliance with Department standards.

Embassy Vienna, in coordination with the Bureau of Overseas Buildings Operations, should comply with Department standards for its non-high-rise residential properties.

Embassy Vienna should retire records in accordance with Department records management standards.

Embassy Vienna should install server room emergency power-off switches in accordance with Department standards.

CMS should educate enrollees and providers about options for access to overdose-reversal medications, as Narcan and its generic equivalents will no longer be covered by Part D.

Based on the results of the risk assessment, develop and implement a plan to better control, monitor, and block identified data and user activities for its systems.

Establish a process to track and enforce access management requirements for the company’s non-financial systems, including ensuring system owners are aware of and complete required access reviews.

Prioritize and develop a strategy for DT to implement available access management tools across company systems while minimizing disruption to company operations.

We recommend that the Washington State Department of Social and Health Services educate nursing home management that life safety and emergency preparedness training resources are available to nursing home staff.

We recommend that the Washington State Department of Social and Health Services follow up with the 20 nursing homes reviewed in this audit to ensure that these nursing homes have taken corrective actions to address the life safety, emergency preparedness, and infection control deficiencies identified.

We recommend that the Washington State Department of Social and Health Services provide training to State surveyors to ensure that deficiencies related to life safety, emergency preparedness, and infection control are consistently identified.

We recommend that the Connecticut Department of Social Services continue to coordinate with the Department of Developmental Services to provide training for staff of DDS and private group homes on how to monitor and report reasonable suspicions of abuse and neglect, especially in light of the significant staff hiring and retention problems in Connecticut group homes.

We recommend that the Connecticut Department of Social Services continue to coordinate with the Department of Developmental Services to use the new analytical procedures to identify potential cases of abuse or neglect involving Medicaid enrollees with developmental disabilities that incurred injuries and are treated in hospital emergency room settings.

Explore the feasibility of increasing personnel pay in Colorado mountain towns based on locality, including tracking all expenses for personnel detailed to these locations and other hiring costs.

We recommend that the National Park Service determine the number of Land and Water Conservation Fund sites that are overdue for post-completion inspection reporting and require that States conduct inspections to ensure Land and Water Conservation Fund sites are operated and maintained for public outdoor recreation as required by the Land and Water Conservation Fund Act section 6(f)(3).

We recommend that the National Park Service develop and implement a process to ensure and verify that States submit mandatory post-completion inspection reports to ensure Land and Water Conservation Fund sites are operated and maintained for public outdoor recreation as required by the Land and Water Conservation Fund Act section 6(f)(3).

We recommend that the Manager, ORNL Site Office, ensure that UT-Battelle:2. Maintains PRVs in the data centers in accordance with its Procedure.

We recommend that the Pennsylvania Department of Human Services expand the pilot program to other regions to periodically match Medicaid claims with diagnosis codes indicating potential abuse or neglect to 24-hour reportable incidents recorded in the incident reporting system.