Open Recommendations

The Executive Director reviews staffing levels for the Housing and Urban Development–Veterans Affairs Supportive Housing program and takes action as needed.

The Executive Director ensures staff receive education about badge holders responsibilities in preventing unauthorized access to VA facilities and computer systems and safeguarding electronic databases including electronic health care records.

The Executive Director ensures staff monitor patient care areas for expired, damaged, and contaminated medications and remove them as needed.

The Executive Director ensures staff store medications in pharmaceutical grade refrigerators.

The Executive Director ensures primary care staffing is sufficient for patients to receive appropriate health care.

The Executive Director reviews staffing levels for the Housing and Urban Development"Veterans Affairs Supportive Housing program and takes action as needed.

The Medical Center Director ensures staff properly store clean medical equipment.

We recommend that the FAS Commissioner resume iterations of the Competitive Pricing Initiative at the MAS Program level to identify, address, and reduce price variability.

We recommend that the FAS Commissioner strengthen policies and procedures to: address data inaccuracies within FAS pricing tools; and ensure bilateral contract modifications are submitted and approved prior to catalog changes.

We recommend that the FAS Commissioner provide additional guidance to contracting officers regarding adequate sampling techniques for large catalogs to ensure information accuracy.

We recommend that the FAS Commissioner inform federal customer agencies that they should perform separate and independent price determinations because significant price variability puts federal customer agencies at risk of overpaying for products on MAS contracts.

We recommend that the FAS Commissioner increase oversight and implement additional controls related to temporary price reductions.

Update and fully implement the Collections Care Initiative Interim Guidelines to:
(a) require that awards to NCP be approved and monitored at a higher organizational level,
(b) require NCP to maintain a current list of all CCI projects and the funds awarded to them to use for oversight purposes, and
(c) add specific monitoring procedures for CCI awards.

Develop and implement a report tracking system and procedures requiring NCP staff to remind units of approaching due dates and timely follow-up with units that miss their reporting deadlines.

Develop and implement policies and procedures requiring NCP staff to review PSCI reports upon receipt to:
(a) ensure that they comply with applicable reporting requirements, and
(b) document the results of NCP’s review of the reports.

Add language to award letters reminding recipients that they may not deviate from the terms of the award without prior written approval from NCP.

Require the PSCI program to cease paying STRI’s Cryo Collection Manager’s salary and benefits with CCI funds.

Establish and implement a control to track the amount of S&E and FS Ops funds expended for IIJA Section 40804(b)(3).

Implement best practices for interagency coordination including but not limited to entering into a written agreement with DOI to document the roles, responsibilities, and expected outcomes.

Establish and implement controls to ensure that remaining award decisions are fully supported by data to ensure facilities are in close proximity to high or very high risk areas.

Evaluate whether the 132 awards approved from FY 2022 to FY 2024, which total $94.2 million in financial assistance, substantially decrease the cost of conducting ecological health restoration projects. Document conclusion reached and proceed to recover funds, as applicable.

Develop and implement a quantifiable and properly supported process for determining how the funding awarded to facilities would substantially or does substantially decrease the cost of conducting ecological restoration projects.

Update procedures for future restoration project funding to account for funding provided to facilities under Section 40804(b)(3).

We recommend the Senior Vice President, Generation, the Senior Vice President and Chief Nuclear Officer, and the Senior Vice President, Generation Projects and Fleet Services, evaluate physical controls to safeguard tools and determine the cost benefit of implementing the controls.

We recommend the Senior Vice President, Generation, the Senior Vice President and Chief Nuclear Officer, and the Senior Vice President, Generation Projects and Fleet Services, develop and implement policies and procedures for tool management. These should include a clear definition of what constitutes a tool, required controls for safeguarding tools, and guidance on who can purchase tools and shipping restrictions.