Open Recommendations

We recommend that FWS require the Department to develop and implement policies and procedures to ensure performance reports developed by South Dakota Department of Game, Fish, and Parks personnel adhere to the requirements outlined in 2 C.F.R. 200.329.

We recommend that FWS require the Department to develop or obtain training for South Dakota Department of Game, Fish, and Parks personnel who develop performance reports to ensure compliance with the requirements of 2 C.F.R. 200.329.

We recommend that FWS require the Department to review all open contracts associated with Wildlife and Sport Fish Restoration Program grants to determine if any should have been classified as a subaward. If such contracts are found, amend the agreements and include all required elements, conduct risk assessments, develop monitoring plans, and report on SAM.gov as necessary.

We recommend that FWS require the Department to develop or obtain training on how to determine whether the party receiving Wildlife and Sport Fish Restoration Program funds is a subrecipient or a contractor per Federal regulation.

Develop a process to measure desired outcomes and efficiencies for future organizational changes.

Develop a program and project management framework or roadmap for organizational change.

Work with the Idaho Department of Labor to ensure timely reporting of the Forms SSA-4513 and SSA 4514.

We recommend that management ensure control operators remain abreast of significant changes in the environment and respond appropriately when performing internal control responsibilities.

The VA Nebraska—Western Iowa Health Care System Director ensures the installation of night lighting changes to accommodate patient comfort and facility staff’s ability to safely conduct rounding in applicable inpatient mental health unit patient rooms.

The VA Nebraska—Western Iowa Health Care System Director ensures establishment and implementation of guidance related to the facility inpatient mental health unit staff’s use and security of handheld flashlights to ensure appropriate education and training of handheld flashlights usage and storage.

The VA Nebraska—Western Iowa Health Care System Director establishes and ensures implementation of a patient safety observation rounds standard operating procedure consistent with Veterans Health Administration requirements.

The VA Nebraska—Western Iowa Health Care System Director reviews facility Mental Health Environment of Care Checklist processes related to development of mitigation plans as required by the Veterans Health Administration, and monitors compliance.

The VA Nebraska—Western Iowa Health Care System Director ensures compliance with Veterans Health Administration staffing requirements for areas identified as high-risk, such as the inpatient mental health unit, and monitors compliance.

The Under Secretary for Health evaluates the Veterans Health Administration written guidance for high-risk workplace staffing and determines if clarification is needed.

The VA Nebraska—Western Iowa Health Care System Director ensures staff that may provide coverage on the inpatient mental health unit receive applicable Prevention and Management of Disruptive Behavior training for high-risk units.

The VA Nebraska—Western Iowa Health Care System Director strengthens processes to ensure that supervisors are made aware of staff members that have not completed the applicable Prevention and Management of Disruptive Behavior training for high-risk units, to include the hands-on component, and monitors compliance.

The Under Secretary for Health considers written guidance regarding risk for violence assessment use in units identified as a high-risk workplace that can be used to temporarily change a unit’s acuity level and staffing needs.

The VA Nebraska"Western Iowa Health Care System Director evaluates the root cause analysis processes regarding reporting of action items and outcome measures in accordance with Veterans Health Administration requirements, takes action as needed, and monitors compliance.

The VA Nebraska"Western Iowa Health Care System Director evaluates processes requesting and reporting changes to authorized and operating beds on the inpatient mental health unit, takes action as needed, and monitors compliance.

The VA Midwest Health Care Network Director strengthens processes to ensure adequate oversight and adherence to Veterans Health Administration requirements pertaining to changes to authorized and operating inpatient mental health unit beds.

The VA Nebraska"Western Iowa Health Care System Director reviews and ensures consistent application of facility nursing leaders use of risk for violence assessment on the inpatient mental health unit, and monitors for compliance.

The VA Nebraska"Western Iowa Health Care System Director ensures the installation of night lighting changes to accommodate patient comfort and facility staffs ability to safely conduct rounding in applicable inpatient mental health unit patient rooms.

The VA Nebraska"Western Iowa Health Care System Director ensures establishment and implementation of guidance related to the facility inpatient mental health unit staffs use and security of handheld flashlights to ensure appropriate education and training of handheld flashlights usage and storage.

The VA Nebraska"Western Iowa Health Care System Director establishes and ensures implementation of a patient safety observation rounds standard operating procedure consistent with Veterans Health Administration requirements.

The VA Nebraska"Western Iowa Health Care System Director reviews facility Mental Health Environment of Care Checklist processes related to development of mitigation plans as required by the Veterans Health Administration, and monitors compliance.