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Inspector General Open Recommendations
04/10/2024
-
Department of Veterans Affairs
Comprehensive Healthcare Inspection of the VA Salt Lake City Health Care System in Utah
[Report Details]
Inspection / Evaluation
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Open Recommendations
02
The Director ensures staff conduct environment of care inspections in patient care areas as required.
01
The Chief of Staff ensures service chiefs report Focused Professional Practice Evaluation results to an executive committee of the medical staff for consideration in privileging recommendations.
04/10/2024
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Tennessee Valley Authority
Business Application Retirement Process
[Report Details]
Audit
-
Open Recommendations
4
We recommend the Vice President and Chief Information and Digital Officer, Technology and Innovation, prioritize and process the business application retirement request backlog.
3
We recommend the Vice President and Chief Information and Digital Officer, Technology and Innovation, update policies to incorporate best practice considerations based on risk.
2
We recommend the Vice President and Chief Information and Digital Officer, Technology and Innovation, update process documentation and implement effective controls to prevent duplicate requests and automatically require field completion.
1
We recommend the Vice President and Chief Information and Digital Officer, Technology and Innovation, implement clear ownership and accountability for the application retirement process by monitoring and managing the process to ensure applications are retired in a timely manner
04/10/2024
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U.S. Postal Service
Mail Conditions at South Houston Local Processing Center
[Report Details]
Audit
-
Open Recommendations
6
reiterate the process for using existing channels to report significant processing delays to Postal Service customers.
5
develop a comprehensive list, prioritize, and address the safety, security, and maintenance issues identified at the South Houston Local Processing Center.
4
in conjunction with Vice President, Regional Processing Operations Western, analyze current transportation schedules at the South Houston Local Processing Center and implement appropriate changes to reduce dock congestion, minimize delayed mail, and facilitate safety on the workroom floor.
3
develop a process to communicate with and solicit feedback from local managers when developing and implementing changes to the South Houston facility as it shifts from a peak annex to a Local Processing Center.
2
report delayed mail in the Mail Condition Visualization for the South Houston Local Processing Center separately from the North Houston Processing and Distribution Center and confirm its accuracy on an ongoing basis.
1
assess the current backlog and determine whether temporary staffing is necessary to work through the backlog; develop a facility complement; and hire to fill both management and staff positions at South Houston Local Processing Center.
04/09/2024
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Department of Veterans Affairs
Improved Oversight Needed to Evaluate Network Adequacy and Contractor Performance
[Report Details]
Audit
-
Open Recommendations
08
The under secretary for health to ensure the Office of Integrated Veteran Care routinely evaluates the third-party administrator’s network adequacy performance reports to ensure the reports are sufficiently reliable and comply with contract requirements, and then holds third-party administrators accountable for resolving identified issues.
07
The under secretary for health to ensure the Office of Integrated Veteran Care conducts Advanced Medical Cost Management Solution training for community care staff at each facility on evaluating network adequacy through the tool.
06
The under secretary for health to ensure the Office of Integrated Veteran Care develops its own network adequacy performance reports for each facility and communicates the results to the facilities monthly.
05
The under secretary for health to ensure the Office of Integrated Veteran Care evaluates the effectiveness of the third-party administrators’ quarterly and monthly reports for assessing network adequacy and then, if needed, modifies the language in its current contracts and makes changes to the applicable contract language for future Community Care Network contracts.
04
The under secretary for health to ensure the Office of Integrated Veteran Care develops and communicates to facilities a standard process to request and document their needs for additional providers.
03
The under secretary for health to ensure the Office of Integrated Veteran Care develops a mechanism for facilities to effectively report, track, and monitor challenges with access to specialty care services; trains all relevant staff on how to use the mechanism; make sure facilities use the mechanism routinely; and then helps facilities resolve access challenges.
02
The under secretary for health to ensure the Office of Integrated Veteran Care develops a process to make sure the third-party administrators regularly update their Community Care Network provider lists to reflect accurate provider contact information and annotate providers who are not currently accepting VA patients.
01
The under secretary for health to ensure the Office of Integrated Veteran Care holds future third-party administrators accountable for operational readiness and provider network adequacy at each facility by the time the contracts are implemented.
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