Open Recommendations

CMS should explore whether improvements to the quality measure related to falls can also be used to improve the accuracy of other home health measures.

CMS should ese data sources, in addition to OASIS assessments, to improve the accuracy of the quality measure related to falls with major injury.

Take steps to ensure that periodic supervisory reviews are conducted on a consistent basis and that case files i.nclude documentation of supervisory approvals.

Build upon its efforts to increase referrals of patient abuse or neglect.

Implement a comprehensive case management system that allows for efficient access to case documents and information.

Continue efforts to hire a second-line supervisor and assess whether additional supervisors are warranted to meet the Unit's oversight needs.

3. We recommend the NOAA Deputy Undersecretary of Operations direct the Assistant Administrator for Satellite and Information Services ensure the JPSS program updates its JPSS Program Plan and JPSS Flight Project Plan to describe a lessons-learned approach that is executable and meets the needs of the program and NASA. The update should include specific management controls that ensure these needs are met.

4. We recommend the NOAA Deputy Undersecretary of Operations direct the Assistant Administrator for Satellite and Information Services ensure the program defines and provides guidance to the spacecraft contractor on the expected level of documentation and artifacts necessary to support verifications.

We recommend that the Architect of the Capitol (AOC) update and revise AOC Order 34-45 (Personal Property Manual) to (1) establish a dollar threshold for accountable property, (2) the greatest extent possible, ensure mission critical non-consumable property is consistently defined across AOC jurisdictions, (3) provide guidance on how to identify, document and track mission critical non-consumable and non-accountable property, (4) provide clear directions on administrative controls and (5) develop and enforce additional inventory and accountability procedures for accountable and non-accountable property to reduce the risk of mismanagement and lost property in accordance with federal best practices.

Add system controls to ensure employees review for possible prior Non-Home Real Property ownership for properties that may have been owned or sold within the look-back period and whether the sales are subject to transfers of resource rules.

Add system controls to ensure employees add required documentation supporting property determinations and independent property verifications.

Add system controls to ensure employees add required documentation to support allegations of an undue hardship exclusion.

Add system controls to ensure living arrangements are reviewed and updated for changes during redeterminations if information from property searches conflict with other information in SSA records.

Review system processing of names to reduce inaccurate name mismatches.

We noted that in OIG Audit Report No. 17-AUD-15, a suggestion was made to “modify NARA's SDLC methodology to align it better for agile projects” that has not been addressed. In addition to resolving this issue, we recommend NARA’s Information Services review and update the SDLC Methodology to ensure it reflects current NARA practices related to system development methodologies utilized at the agency. NARA should modify the description of their SDLC methodology processes to be more agile, by adopting the cyclical approach described in GAO’s Agile Assessment Guide – Best Practices for Agile Adoption and Implementation. The system development process…

We recommend NARA’s Office of the Chief Financial Officer finalize Interim Guidance 400-5, Capitalization Policy for NARA Assets on capitalization of costs for Software Development Projects and enhance to address the scenario where programming and development for internal software is outsourced to external contractors. This should include the types of costs to be capitalized, materiality, and documentation requirements.

OIG recommends that the Special Immigrant Visa (SIV) Senior Coordinating Official, in coordination with the Bureau of Consular Affairs and the Joint Executive Office for the Bureau of Near Eastern Affairs and the Bureau of South and Central Asian Affairs, develop and implement a strategic performance management approach to improve the outcomes of the Afghan SIV program, including establishing goals and measures of success to evaluate progress against those established goals.

We recommend that the Florida Agency for Health Care Administration refund $106,153,061 to the Federal Government, representing the Federal share of rebates for calendar years 2015 through 2019 that the State agency did not refund.

We recommend that the Manager, Fermi Site Office, direct the Contracting Officer, in consultation with the Cognizant Federal Agency Official, to determine the allowability of costs questioned in this report, as summarized in Appendix 2, and recover any amounts deemed unallowable.

We recommend that the Manager, Fermi Site Office, direct the Contracting Officer, in consultation with the Cognizant Federal Agency Official, to conduct a risk assessment of FY 2018 subcontracts containing cost-type components to determine the appropriate audit coverage necessary and arrange for those audits to be conducted.

We recommend that the Manager, Fermi Site Office, direct the Contracting Officer, in consultation with the Cognizant Federal Agency Official, to require FRA to establish a policy to permit reasonable subsistence reimbursements for visiting researchers on extended assignment.

Recommend that the Acting Manager, direct the Contracting Officer, in consultation with the Cognizant Federal Agency Official, to determine the allowability of costs questioned in the report, as summarized in Appendix 2,and recover any amounts deemed unallowable.

We recommend that the Manager, Fermi Site Office, direct the Contracting Officer, in consultation with the Cognizant Federal Agency Official, to require FRA to establish a policy to permit reasonable subsistence reimbursements for visiting researchers on extended assignment.

We recommend that CPB management require KSVR-FM to post its most recent unaudited financial statement on its website.

We recommend that CPB management require KSVR-FM to identify the corrective actions and controls it will implement to ensure future compliance with Act and CPB requirements for open financial records.