Open Recommendations

The Associate Director of Patient Care Services/Nurse Executive ensures nursing staff monitor proper food clean-up, storage, and disposal in the Mental Health Residential Rehabilitation Treatment Programs areas.

The Medical Center Director ensures staff refill hands-free sanitizer dispensers throughout the facility.

Executive leaders ensure staff develop service-level workflows for the communication of test results for each service.

The Medical Center Director ensures staff implement a process to monitor providers compliance with communicating abnormal test results to patients.

Executive leaders ensure staff complete improvement actions from root cause analyses within one year.

Facility leaders ensure providers who order tests communicate the results to patients timely.

Require annual training for personnel responsible for reporting mail conditions to improve mail condition reporting accuracy.

In coordination with the Vice President, Technology Applications, update policies and manuals related to condition reporting to include newly established categories and mail conversion rates in the Mail Condition Visualization system and Handbook M-32.

Some or all of the recommendation is not publicly available due to concerns with information protected under the Freedom of Information Act.

Develop and implement periodic reviews of scanner inventory.

Require a documented transportation review that tracks the root cause and planned mitigation tactics for facilities not meeting their transportation goals.

We recommend the CISA Director analyze and document the targeted categories of its cybersecurity employees in mission-critical positions that possess unusually high or unique qualifications and limit retention incentives to only those qualified individuals.

We recommend the CISA Director develop and implement consistent policy and guidance on the minimum percentage of time that an employee must perform assignments related to a primary and secondary National Initiative for Cybersecurity Education code to qualify for the Cybersecurity Retention Incentive.

We recommend the CISA Director develop and implement an accurate, reliable, and auditable methodology and process for approving and tracking Cyber Incentive recipients and program use, to ensure that the data tracking needs are adequately addressed.

We recommend the CISA Director consolidate and assign responsibilities for managing the Cybersecurity Retention Incentive program to an office with the authority to make program decisions.

We recommend the CISA Director develop, update, and implement its policies for the Cybersecurity Retention Incentive program to: • document if employees are likely to leave Federal service if they do not receive a retention incentive and have the completed approval on file; • annually review whether each employee is still eligible for the Cybersecurity Retention Incentive; • define unusual and extraordinary circumstances for back pay and ensure the reasons for back pay are documented; • update and publish the eligible cybersecurity certifications list annually; and • track internal transfers and resubmissions of Cybersecurity Retention Incentive eligibility forms in a…

We recommend the CISA Director conduct further analysis and evaluation to resolve the $1.41 million in unallowable back pay given to Cybersecurity Retention Incentive recipients.

We recommend the CISA Director determine whether it is appropriate to seek repayment of improper incentive payments to ineligible employees and recover those co

We recommend the DHS Office of the Chief Human Capital Officer periodically review and monitor CISA’s Cybersecurity Retention Incentive program to ensure it meets programs goals and is in compliance with DHS policy, DHS directives, and the DHS Cybersecurity Retention Incentive Plan.

We recommend the FEMA Region 2 Administrator provide Puerto Rico with additional technical assistance and guidance for submitting detailed scopes of work related to rebuilding fully Puerto Rico’s electric power grid.

We recommend the FEMA Region 2 Administrator provide Puerto Rico with additional technical assistance and guidance for submitting detailed scopes of work related to rebuilding fully Puerto Rico’s electric power grid.

We recommend the FEMA Region 2 Administrator identify lessons learned from the Puerto Rico electrical grid rebuild and incorporate the need for improved guidance and technical assistance to grant recipients into the Agency’s policies and procedures to ensure greater accountability for future permanent projects.

The VA Secretary should ensure the Palo Alto major construction project (project number 640-424) is brought into the Acquisition Lifecycle Framework.

The VA Secretary should ensure the activities and artifacts required during the conceptual phase of the Acquisition Lifecycle Framework are completed for the Palo Alto major construction project (project number 640-424)"including a business case with cost, schedule, and performance goals approved by the Secretary.

The VA Secretary should ensure a decision event to verify the need of the acquisition is conducted for the Palo Alto major construction project (project number 640-424) and a determination is made to terminate or continue this project based on VAs strategic needs and the VA Palo Alto Health Care Systems clinical needs.