Open Recommendations

We recommend that BIE ensure all schools have submitted the required emergency management plans and continuity of operations plans.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures community care oversight councils function according to their charters and meet the required number of times per fiscal year.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care leaders complete the staffing tool reassessment every 90 days.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff enter patient safety events into the Joint Patient Safety Reporting system.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures patient safety managers or designees brief community care patient safety event trends, lessons learned, and corrective actions at community care oversight council meetings.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures staff import all community care documents into patients’ electronic health records within five business days of receipt.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff confirm patients attended their appointments and attempt to obtain community providers’ medical documents prior to administratively closing consults.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff make two additional attempts to obtain community providers’ medical documents within 90 days of the appointment following administrative closure of non-low-risk consults.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff process community providers’ requests for additional services within three business days of receipt.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff send approval or denial letters to community providers for requests for additional services.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff send approval or denial letters to patients for requests for additional services.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff create and use the Community Care–Care Coordination Plan note in the electronic health record to document all care coordination activities for consults with an assigned level of care coordination other than basic.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff confirm patients attended their scheduled community care appointments and received care.

The Veterans Integrated Service Network Director, in conjunction with facility directors, ensures facility community care staff create the Community Care–Urgent Care Record note in the electronic health record when they receive urgent care documents.

Develop and implement a method to identify and report separate quality statistics for the Military Sexual Trauma Operations Center.

Update the existing two-signature review process for claims processors and designated reviewers to include an increased focus on military sexual trauma denials.

Develop and implement a process to assess designated reviewers’ competency in processing denied military sexual trauma claims and monitor effectiveness.

Review GPO Instructions 810.5B, Organization and Functions of the Board of Survey, and 810.11B, GPO Property Management Program, for applicability and update or replace them with policies and standard operating procedures that align with the
current organizational structure and business operations.

Develop and implement comprehensive procedures for conducting inventory counts, regardless of physical storage location. These procedures should include, but not be limited to:
a. Establish accountability and responsibilities for the overall physical count.
b. Standardize the frequency of counts and the method of selecting individual items or locations for count.
c. Document the count and supervisor review.
d. Assess production paper and materials for obsolete, damaged, and slow-moving items for action.

Take appropriate action to pursue potential revenue opportunities for the 155 non-moving inventory items, valued at nearly $304,000, in funds be put to better use, identified in this audit.

Take appropriate action to remedy the $39,000 overstatement in the inventory management system for the 44 inventory items identified in this audit.

Verify that Family Health International 360 corrects the instance of material noncompliance detailed on page 21 of the audit report.

FHFA’s Chief Information Officer should establish and implement guidance for performing National Institute of Standards and Technology Cybersecurity Framework 2.0 activities through policies and procedures.

FHFA’s Chief Information Officer should ensure that Privileged Account Request eWorkflows are fully completed and approved for all privileged FHFA General Support System user accounts prior to granting access.

FHFA’s Chief Information Officer should ensure all applicable Organizational Units are included in the automated process that disables inactive accounts after 35 days.