Open Recommendations

The Country Director develops post-specific procedures for receiving and responding to Safety and Security incidents, to include roles and responsibilities, and then trains staff in those procedures.

The Country Director works with the Peace Corps Medical Officers to ensure they visit more Volunteers at site per TG 204 requirements and develop and implement a plan to assess healthcare facilities and consultants as required.

The Chief Information Officer should ensure that the ECM Office prioritizes incorporating and decommissioning
of the legacy case management systems.

The Chief Information Officer should ensure that all existing legacy case management systems, and any new projects incorporated into the ECM platform, comply with the April 2025 legacy definition.

The Under Secretary for Health ensures that VA homeless program staff consistently document, in patients electronic health records, the clinical information from the Homeless Operations Management and Evaluation System.

The Under Secretary for Health makes certain that a suicide risk screening is completed with patients during intake into VA homeless programs, consistent with Veterans Health Administration policy.

The Under Secretary for Health ensures that staff complete suicide risk screening in response to danger of self-harm identified in the Homeless Operations Management and Evaluation System.

The Under Secretary for Health makes certain that homeless program staff provide and document care coordination to address patients mental health and substance use disorder treatment needs as identified in the Homeless Operations Management and Evaluation System.

Executive leaders ensure there are clear signs during construction projects, and maps at the main entrance information desk to help veterans navigate the facility.

The Medical Center Director ensures contractors inspect and test emergency generators and fire doors as required, and staff report compliance to an environment of care committee.

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 Program’s 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.

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

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

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

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

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

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

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.