Recommendations
2079
| ID | Report Number | Report Title | Type | |
|---|---|---|---|---|
| 16-00623-306 | Review of Alleged Breach of Privacy and Confidentiality of Personally Identifiable Information at the Milwaukee VARO | Audit | ||
1 We recommended the VA Assistant Secretary for Information and Technology improve VA’s email security filtering software configuration controls to effectively flag improper transmissions of veterans’ personally identifiable information over the VA network.
Closure Date:
2 We recommended the VA Assistant Secretary for Information and Technology establish Memoranda of Understandings with third party organizations that define network responsibilities, processes and procedures for handling sensitive veterans’ information, and require information security controls are implemented commensurate with VA’s information security standards.
Closure Date:
3 We recommended the VA Assistant Secretary for Information and Technology evaluate whether permanent encryption controls are needed for non-VA employees who maintain VA accounts for conducting business on behalf of veterans.
Closure Date:
4 We recommended the VA Assistant Secretary for Information and Technology conduct reviews of processes, procedures, and controls in place at VA regional offices that collaborate with third party organizations to ensure security of sensitive veterans’ information.
Closure Date:
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| 15-03713-288 | Healthcare Inspection – Emergency Department, Mental Health Service, and Suicide Prevention Training Concerns, Mann-Grandstaff VA Medical Center, Spokane, Washington | Hotline Healthcare Inspection | ||
1 We recommended that the Interim Facility Director strengthen processes to ensure suicide prevention training is completed per Veterans Health Administration Directive 1071 and monitor compliance.
Closure Date:
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| 15-01994-238 | Review of Alleged Contractor Information Security Violations in the Alaska VA Healthcare System | Audit | ||
1 We recommended the VA Northwest Health Network management assign a local Contracting Officer¿s Representative and Information Security Officer to provide oversight of Alaska VA Healthcare System contractors.
Closure Date:
2 We recommended the VA Northwest Health Network management, in conjunction with the Assistant Secretary for Information and Technology, ensure that ProCare personnel complete VA's information security awareness training and sign the Contractor Rules of Behavior.
Closure Date:
3 We recommended the Assistant Secretary for Information and Technology conduct a site assessment of information security controls at the ProCare facility, to include a risk assessment to determine the extent that any sensitive veteran data may have been compromised and, if so, with appropriate corrective action, to ensure compliance with VA and Federal information security requirements.
Closure Date:
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| 14-02725-316 | Healthcare Inspection – Administrative Response to Deaths and Quality of Care Irregularities, VA North Texas Health Care System, Dallas, Texas | Hotline Healthcare Inspection | ||
1 We recommended that the System Director ensure that the care of Patient A is evaluated, including a review of computerized tomography scan orders and imaging study results, and take action if appropriate.
Closure Date:
2 We recommended that the System Director consider revising the Do Not Resuscitate Policy to include re-addressing Do Not Resuscitate orders status with patients prior to any procedures in the hospital.
Closure Date:
3 We recommended that the System Director ensure timely compliance with all elements of the Drug-Free Workplace Program.
Closure Date:
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| 14-04505-346 | Healthcare Inspection – Diagnosis and Treatment of a Patient’s Adrenal Insufficiency at a Virginia VA Medical Center | Hotline Healthcare Inspection | ||
1 We recommended that the Facility Director initiate a clinical review of this case and take appropriate actions to educate providers, if indicated.
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| 15-02560-365 | Administrative Investigation - Misuse of Official Time, Denver VA Regional Office, Lakewood, CO | Administrative Investigation | ||
1 We recommend that the Director, VBA Continental District, confer with the Offices of General Counsel (OGC), Human Resources (OHR), and Accountability Review to determine the appropriate administrative action to take, if any, against Ms. Murphy.
Closure Date:
2 We recommend that the Director, VBA Continental District, review whether the privilege of credit hours and telework should be revoked and ensure that Ms. Murphy receives refresher training on VA’s policy for time and attendance, credit hours, and telework.
Closure Date:
3 We recommend that the Director, VBA Continental District, confer with OGC and OHR concerning the 14 days in which Ms. Murphy was unable to fully account for her activities, determine whether she was absent without approved leave, and initiate action to recover pay she received when she was not present for duty.
Closure Date:
4 We recommend that the Director, VBA Continental District, ensure that any VARO local policy for credit hours complies with VA policy and that employees use VA Form 5631 or the ETA system as the official means to record, certify, and report their time and attendance, to include any compensatory or credit hours earned or used.
Closure Date:
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| 15-04945-331 | Review of Alleged Mismanagement of the Ambulette Services at the New York Harbor Healthcare System | Audit | ||
1 We recommended the Under Secretary for Health implement an oversight process to ensure Integrated Oversight Process reviews arecompleted in accordance with established policies.
Closure Date:
2 We recommended the Head of Contracting Activity, Veterans Health Administration, Service Area Office East, develop a mechanism to ensure effective coordination between acquisition personnel when transferring contracting responsibilities.
Closure Date:
3 We recommended the Head of Contracting Activity, Veterans Health Administration, Service Area Office East, implement a process to ensure all acquisition personnel record contracting actions in the Electronic Contract Management System.
Closure Date:
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| 16-01708-340 | Healthcare Inspection – Review of Primary Care Ghost Panels, Veterans Integrated Service Network 23, Eagan, Minnesota | Hotline Healthcare Inspection | ||
1 We recommended that the Veterans Integrated Service Network Acting Director ensure that Facility Directors reassign or redistribute primary care patients to other primary care teams as required by the Veterans Health Administration and monitor compliance.
Closure Date:
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| 15-05490-367 | Healthcare Inspection – Reported Primary Care Staffing at St. Cloud VA Health Care System, Veterans Integrated Service Network 23, Eagan, Minnesota | Hotline Healthcare Inspection | ||
1 We recommended that the Acting Veterans Integrated Service Network Director ensure that the Facility Director reviews Primary Care Management Module data and reports and takes steps to follow Veterans Health Administration guidance for primary care provider panel sizes across the system.
Closure Date:
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| 16-02729-350 | Review of Alleged Waste of Funds at the VA Medical Center in Detroit, Michigan | Audit | ||
1 We recommended the Veterans Integrated Service Network 10 Acting Director require the Detroit VA Medical Center strengthen policy to ensure the proper equipment is purchased at the appropriate time when planning projects requiring the purchase of equipment.
Closure Date:
2 We recommended the Veterans Integrated Service Network 10 Acting Director ensure the Detroit VA Medical Center develop and implement a plan to use the purchased televisions or make them available to other VA facilities to use.
Closure Date:
3 We recommended the Veterans Integrated Service Network 10 Acting Director consult with the appropriate VA financial and legal officials to determine whether the Detroit VA Medical Center violated the bona fide needs rule, and if a violation occurred, take the steps necessary to remedy the violation.
Closure Date:
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15039