Open Recommendations

We recommend that BIE develop and implement a plan to resolve deficiencies identified in annual safety and health inspections with prescribed abatement timelines.

We recommend that BIE develop guidance to ensure that safety and health reports and associated work orders include detailed location information so BIE staff can easily find the deficiencies.

We recommend that BIE require Riverside Indian School to ensure that all components of the emergency management program are fully implemented and emergency management plans and continuity of operations plans are submitted as required.

We recommend that BIE develop a strategy to monitor future catastrophic deficiencies until corrected, and if a deficiency cannot be fixed within the abatement period, identify and implement mitigating measures.

We recommend that BIE provide Riverside Indian School's facilities and maintenance staff with access and training on BIE's facility management system, with emphasis on the importance of accurate and complete recordkeeping.

We recommend that BIE ensure that all safety and health deficiency work orders have the correct status either in an open status awaiting correction or as closed confirming that BIE has corrected the deficiency.

We recommend that BIE require Riverside Indian School to develop and implement a security plan as required by DOI policy.

We recommend that BIE require Riverside Indian School to train the school's collateral duty safety officer on the position's roles and responsibilities in advising management on issues related to the development and implementation of a safety and health program in accordance with Indian Affairs policy.

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.