Recommendations
1332
| ID | Report Number | Report Title | Type | |
|---|---|---|---|---|
| 12-00375-290 | Review of the Enhanced Use Lease between the Department of Veterans Affairs and Veterans Development, LLC | Audit | ||
| 11-01406-247 | Healthcare Inspection Evaluation of Community Based Outpatient Clinics Fiscal Year 2011 | Comprehensive Healthcare Inspection Program | ||
1 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that each CBOC has a Women’s Health Liaison who collaborates with the parent facility’s Women Veterans Program Manager on women’s health issues.
Closure Date:
2 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that all breast imaging and mammography results are linked to the appropriate radiology mammogram or breast study order.
Closure Date:
3 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers Ensure that each medical center has a local policy for STFB consults.
Closure Date:
4 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers Ensure that practitioners document a justification for the use of STFB care in the medical record, specifically at urban CBOCs.
Closure Date:
5 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers Ensure there is documentation in the medical record that the patient received written notification STFB consult approval, specifically at urban CBOCs.
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6 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that each CBOC has a plan that defines how MH emergencies that require a higher level of care are addressed.
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7 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure patient care staff members at CBOCs have ongoing competency assessments validated for identified core competencies.
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8 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that auditory privacy is maintained during the check-in process.
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9 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers ensure that all PII is secured and protected.
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10 We recommended that the Under Secretary for Health, in conjunction with VISN and facility senior managers network space vulnerabilities in accordance with VA policy.
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11 We recommended that the Under Secretary for Health, in conjunction with the VISN and facility senior managers review the invoice validation process to consider creating a standardized billable roster report to improve oversight and accuracy of billable patient lists, thereby reducing man hours currently performing those duties and potential overpayments.
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12 We recommended that the Under Secretary for Health, in conjunction with the VISN and facility senior managers strengthen the oversight of the contract acquisition process to ensure that adequate planning occurs and that proper approvals are documented in the contract management system [eCMS] in accordance with VHA Directives.
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13 We recommended that the Under Secretary for Health, in conjunction with the VISN and facility senior managers ensure that MH services for contract CBOCs are addressed in a separate contract or within the primary care contract.
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| 10-03166-75 | Audit of VA Regional Offices' Appeals Management Processes | Audit | ||
| 11-04081-142 | Audit of VA’s Duty Station Assignments | Audit | ||
1 The Assistant Secretary for Human Resources and Administration develop training for human resources personnel responsible for coding duty stations in the automated system to ensure they understand how to designate employee duty stations as well as the implications of virtual assignments.
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2 The Assistant Secretary for Human Resources and Administration issue policy requiring that at least annually, managers are notified of their employees' duty station assignments and validate the assignments.
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3 The Assistant Secretary for Human Resources and Administration establish an oversight mechanism to ensure that at least annually, managers are notified of their employees¿ duty station assignments and validate the assignments.
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4 The Assistant Secretary for Human Resources and Administration establish a mechanism to notify all VA employees at least annually of the definition of duty station, as well as the implications of virtual assignments on locality pay.
Closure Date:
5 The Assistant Secretary for Human Resources and Administration establish a control mechanism to provide annual notification to supervisors regarding the requirement to submit a Request for Personnel Action, Standard Form 52, if an employee¿s duty station changes.
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6 The Assistant Secretary for Human Resources and Administration provide guidance to human resources personnel regarding processing corrective actions when employees have received inaccurate locality pay, which will help ensure that recoupment efforts are appropriate.
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7 The General Counsel take action to recoup overpayments as appropriate, in accordance with VA guidance.
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8 The Assistant Secretary for Information and Technology take action to recoup overpayments as appropriate, in accordance with VA guidance.
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9 The Executive Director for the Office of Acquisition, Logistics, and Construction take action to recoup overpayments as appropriate, in accordance with VA guidance.
Closure Date:
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| 11-00312-127 | Audit of VHA’s Prosthetics Supply Inventory Management | Audit | ||
| 11-00733-95 | Audit of VA’s Internal Controls Over the Use of Disability Benefits Questionnaires | Audit | ||
1 We recommend the Under Secretary for Benefits develop internal controls within the disability benefits questionnaire process that will reduce the risk of fraud, such as notifying veterans and physicians that submitted information is subject to verification.
2 We recommend the Under Secretary for Benefits develop front-end controls for the disability benefits questionnaire process to verify the identity and credentials of private physicians who submit completed disability benefits questionnaires, including those entered into the Fast Track Claims Processing System.
3 We recommend the Under Secretary for Benefits develop a plan to measure compliance with the guidance contained in Fast Letter 11-36 pertaining to tracking claims where a disability benefits questionnaire was received as medical evidence.
4 We recommend the Under Secretary for Benefits develop controls to electronically capture information contained on completed disability benefits questionnaires.
5 We recommend the Under Secretary for Benefits update the policy manual with information on the disability benefits questionnaire process, to include procedures for verifying information on completed disability benefits questionnaires and tracking and monitoring completed disability benefits questionnaires.
6 We recommend the Under Secretary for Benefits take steps to improve quality assurance reviews by focusing reviews on disability benefits questionnaires that pose an increased risk of fraud.
7 We recommend the Under Secretary for Benefits establish control mechanisms to ensure that potential cases of fraud identified during the quality assurance review process are immediately forwarded to the Office of Inspector General.
8 We recommend the Under Secretary for Health identify key components of disability benefits questionnaires that should be reviewed as part of the Disability Examination Management Office’s quality assurance review process.
9 We recommend the Under Secretary for Health modify the process used to select claims reviewed by the Disability Examination Management Office’s quality assurance staff.
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| 11-01295-232 | Combined Assessment Program Review of the Birmingham VA Medical Center, Birmingham, Alabama | Comprehensive Healthcare Inspection Program | ||
| 09-03850-99 | Audit of the Veterans Service Network | Audit | ||
1 We recommend the Assistant Secretary, Office of Information and Technology, update the Integrated Master Schedule to reflect project interdependencies and incorporate work breakdown structures of VA’s other Information Technology initiatives that will rely on Veterans Service Network resources.
2 We recommend the Assistant Secretary, Office of Information and Technology, update the capital planning, budgeting, and program management documents to clearly communicate the current disposition and future plans for the Benefits Delivery Network legacy system.
4 We recommend the Assistant Secretary, Office of Information and Technology, address longstanding accounting functionality defects to ensure that benefit payments are accurately recorded within the Veterans Service Network.
5 We recommend the Assistant Secretary, Office of Information and Technology, prioritize resources to put the Veterans Service Network on track toward meeting the established completion schedule and program goals within anticipated cost parameters.
6 We recommend the Assistant Secretary, Office of Information and Technology, implement controls to stabilize the functionality requirements process and enforce software “code freeze” during the Veterans Service Network software development process.
7 We recommend the Under Secretary for Benefits implement controls to stabilize the functionality requirements process and enforce software “code freeze” during the Veterans Service Network software development process.
8 We recommend the Assistant Secretary, Office of Information and Technology, implement full testing of all supplemental software releases and emergency software changes to identify and remediate functionality defects before Veterans Service Network applications are installed for production.
9 We recommend the Assistant Secretary, Office of Information and Technology, implement controls to ensure that software transmittal processes provide accurate and up-to-date system documentation and software installation packages for pre-production testing.
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| 08-02679-134 | Audit of VA's Management of Information Technology Capital Investments | Audit | ||
| 06-02238-163 | Review of Issues Related to the Loss of VA Information Involving the Identity of Millions of Veterans | Administrative Investigation | ||
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