Date Issued
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Report Number
18-00836-147
All Reports
Date Issued
|
Report Number
18-00835-146
Date Issued
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Report Number
17-00753-78
Open
Closed-Implemented
Closed-Not ImplementedNo. 1
to Human Resources and Administration Office (HRA),Operations, Security, and Preparedness (OSP)
Closure Date: 1/3/2019
The OIG recommended the Assistant Secretary for Operations, Security, and Preparedness implement the monitoring program required by policy and establish robust management oversight of the personnel suitability program.
No. 2
to Human Resources and Administration Office (HRA),Operations, Security, and Preparedness (OSP)
Closure Date: 3/28/2022
The OIG recommended the Assistant Secretary for Operations, Security, and Preparedness report the results of program monitoring activities and obtain corrective action plans from the Veterans Health Administration.
No. 3
to Human Resources and Administration Office (HRA),Operations, Security, and Preparedness (OSP)
Closure Date: 1/3/2019
The OIG recommended the Assistant Secretary for Operations, Security, and Preparedness establish and enforce quality and performance metrics for the personnel suitability program.
No. 4
to Human Resources and Administration Office (HRA),Operations, Security, and Preparedness (OSP)
Closure Date: 7/27/2021
The OIG recommended the Assistant Secretary for Operations, Security, and Preparedness evaluate human capital needs for program oversight and facilitate the delegation or brokering of duties necessary to manage the background investigation workload.
No. 5
to Veterans Health Administration (VHA),Human Resources and Administration Office (HRA),Operations, Security, and Preparedness (OSP)
Closure Date: 1/19/2021
The OIG recommended the Assistant Secretary for Operations, Security, and Preparedness coordinate with the Executive in Charge, Office of the Under Secretary for Health, to implement a plan to review the suitability status of all Veterans Health Administration personnel and correct delinquencies to ensure a properly vetted workforce.
No. 6
to Veterans Health Administration (VHA)
Closure Date: 2/16/2021
The OIG recommended the Executive in Charge, Office of the Under Secretary for Health, improve management oversight of the personnel suitability program at VA medical facilities and ensure background investigations are properly initiated and adjudicated nationwide, and internal control mechanisms required by policy are properly implemented.
No. 7
to Veterans Health Administration (VHA)
Closure Date: 3/26/2019
The OIG recommended the Executive in Charge, Office of the Under Secretary for Health, execute VA requirements to improve the governance of the personnel suitability program.
No. 8
to Veterans Health Administration (VHA)
Closure Date: 5/10/2021
The OIG recommended the Executive in Charge, Office of the Under Secretary for Health, evaluate human capital needs and coordinate appropriate resources to manage personnel suitability workload at VA medical facilities.
No. 9
to Human Resources and Administration Office (HRA),Operations, Security, and Preparedness (OSP)
Closure Date: 5/10/2021
The OIG recommended the Assistant Secretary for Operations, Security, and Preparedness develop and execute a project management plan to ensure sufficient and appropriate data are collected in support of suitability program objectives.
No. 10
to Human Resources and Administration Office (HRA),Operations, Security, and Preparedness (OSP)
Closure Date: 5/10/2021
The OIG recommended the Assistant Secretary for Operations, Security, and Preparedness ensure that personnel suitability investigation data are fully evaluated and reliable for program tracking and oversight.
No. 11
to Veterans Health Administration (VHA),Human Resources and Administration Office (HRA),Operations, Security, and Preparedness (OSP)
Closure Date: 10/29/2020
The OIG recommended the Executive in Charge, Office of the Under Secretary for Health, coordinate with the Assistant Secretary for Operations, Security, and Preparedness to implement a plan to correct current data integrity issues and improve the accuracy of personnel suitability program data.
Date Issued
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Report Number
17-02123-109
Date Issued
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Report Number
16-05121-110
Date Issued
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Report Number
17-05909-106
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Office of the Secretary (SVA)
Closure Date: 5/14/2018
Secretary Shulkin reimburses the $4,312 paid by VA to cover Dr. Bari’s travel costs.
No. 2
to Office of the Secretary (SVA)
Closure Date: 5/14/2018
Secretary Shulkin consults with the Office of General Counsel to determine the value of the Wimbledon tickets; grounds pass; and any food, parking, and other tangible benefits Ms. Gosling provided in connection with Wimbledon and reimburse that amount to her. If Ms. Gosling declines to accept reimbursement, Secretary Shulkin reimburses such amount to the US Treasury.
No. 3
to Office of the Secretary (SVA)
Closure Date: 5/14/2018
The Deputy Secretary of Veterans Affairs confers with the Offices of General Counsel, Human Resources, and Accountability and Whistleblower Protection to determine the appropriate administrative action to take, if any, against Ms. Wright Simpson and any other individuals associated with the Europe trip.
No. 4
to Office of the Secretary (SVA)
Closure Date: 5/16/2018
The Deputy Secretary of Veterans Affairs ensures that a thorough audit is conducted of the expense vouchers, travel authorizations, and the time and attendance records for all travelers on the Europe trip. Any overpayments should be reimbursed to VA by the traveler and any required leave adjustments should be made. Detailed results of the audits, including supporting documentation, shall be provided to the Office of Inspector General no later than thirty days following the publication of this report.
No. 5
to Office of the Secretary (SVA)
Closure Date: 5/14/2018
The Deputy Secretary of Veterans Affairs ensures that the Office of General Counsel (i) reviews and enhances the training provided to staff on travel planning, approvals, and the solicitation or acceptance of gifts; and (ii) provides refresher training on these topics to all travelers on the Europe trip as well as all staff involved in the planning and implementation of the trip.
Date Issued
|
Report Number
17-04460-84
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 9/28/2020
OIG recommended that the Executive in Charge, Office of the Under Secretary forHealth, in conjunction with Veterans Integrated Service Network senior managers, ensure Facility Directors establish Employee Threat Assessment Teams.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 9/28/2020
OIG recommended that the Executive in Charge, Office of the Under Secretary forHealth, in conjunction with Veterans Integrated Service Network senior managers, ensure facility senior managers require attendance by VA Police Officers, Patient Safety and/or Risk Management Officials, and Patient Advocates at Disruptive Behavior Committee/Board meetings and monitor compliance.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 5/17/2019
OIG recommended that the Executive in Charge, Office of the Under Secretary forHealth, in conjunction with Veterans Integrated Service Network and facility senior managers, ensure that when Chiefs of Staff (or designees) issue Orders for Behavioral Restriction, they document that they informed patients that the Orders were issued and of the right to appeal the decisions and that facility senior managers monitor compliance.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 9/28/2020
OIG recommended that the Executive in Charge, Office of the Under Secretary forHealth, in conjunction with Veterans Integrated Service Network senior managers, ensure facility senior managers require that within 90 days of hire, all employees complete Level I Prevention and Management of Disruptive Behavior training and additional training levels based on the type and severity of risk for exposure to disruptive and unsafe behaviors and monitor compliance.
Date Issued
|
Report Number
15-01005-18
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 1/17/2018
The OIG recommended the Acting Assistant Secretary for the Office of Information and Technology ensure the new directive reflects updates so that new and emerging advances in information technology are included.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 1/17/2018
The OIG recommended the Acting Under Secretary for Health ensure VHA’s Chief Financial Officer, in consultation with VA’s Chief Financial Officer and Office of General Counsel, determine which medical care appropriation VHA should use for mobile health application development and notify VHA staff offices accordingly.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 1/17/2018
The OIG recommended the Acting Assistant Secretary for the Office of Management issue a memorandum reiterating the importance of complying with the United States Code, Federal Regulations, and VA’s current policies on the proper use of appropriations.
Date Issued
|
Report Number
15-03036-47
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 7/21/2021
We recommended the Executive in Charge, Veterans Health Administration, develop and issue written payment policies to guide staff processing medical claims received from Third Party Administrators, as well as establish expectations and obligations for the Third Party Administrators that submit invoices for payment.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 3/31/2021
We recommended the Executive in Charge, Veterans Health Administration, ensure payment processing staff have access to documentation from the Third Party Administrators verifying amounts paid to providers to ensure the Third Party Administrators are not billing VA more than they paid the provider for medical claims.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 4/2/2021
We recommended the Executive in Charge, Veterans Health Administration, ensure Veterans Health Administration payment staff have access to accurate data regarding veterans’ other health insurance coverage and establish appropriate processes for collecting payments from these health insurers.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 3/31/2021
We recommended the Executive in Charge, Veterans Health Administration, ensure the new payment processing systems used for processing medical claims from Third Party Administrators have the ability to adjudicate reimbursement rates accurately and to ensure duplicate claims are not paid.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 1/4/2021
We recommended the Executive in Charge, Veterans Health Administration, ensure VA performs post-payment audits on a periodic basis to determine if payments made to Third Party Administrators for medical care are accurate.
No. 6
to Veterans Health Administration (VHA)
Closure Date: 3/10/2020
We recommended the Executive in Charge, Veterans Health Administration, ensure that Office of Community Care staff and members of VA’s Office of General Counsel continue to work collaboratively with relevant Government authorities to review and determine an appropriate process for reimbursement.
No. 7
to Veterans Health Administration (VHA)
Closure Date: 9/4/2019
We recommended the Executive in Charge, Veterans Health Administration, ensure the Veterans Health Administration has sufficient claims processing capacity to timely meet and process expected claim volume from the Third Party Administrators.
No. 8
to Veterans Health Administration (VHA)
Closure Date: 9/11/2018
We recommended the Executive in Charge, Veterans Health Administration, ensure that future contracts with Third Party Administrators contain payment timeliness standards for the processing of claims from health care providers.
Total Monetary Impact of All Recommendations
Open: $ 0.00
Closed: $ 39,000,000.00
Date Issued
|
Report Number
15-05447-383
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA),Information and Technology (OIT)
Closure Date: 2/1/2019
The OIG recommended that the Acting Under Secretary for Health, in conjunction with the Acting Assistant Secretary for Information and Technology, apply additional resources and implement improved integrated project management controls for the remainder of the Real Time Location System project to restrict further cost increases.
No. 2
to Veterans Health Administration (VHA),Information and Technology (OIT)
Closure Date: 2/1/2019
The OIG recommended that the Acting Under Secretary for Health, in conjunction with the Acting Assistant Secretary for Information and Technology, enforce the use of incremental project management controls, such as those used within the Veteran-focused Integration Process, on all remaining Real Time Location System task orders to ensure such efforts will provide an adequate return on investment.
No. 3
to Information and Technology (OIT)
Closure Date: 7/16/2018
The OIG recommended the Acting Assistant Secretary for the Office of Information and Technology ensure that risk assessments are conducted on future Real Time Location System deployments to identify potential risks and vulnerabilities that may adversely affect other VA systems.
Date Issued
|
Report Number
15-03364-380
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 1/30/2020
The OIG recommended the Acting Under Secretary for Health establish standardized primary care scheduling processes that provide newly enrolled veterans an opportunity to schedule an appointment at the time of enrollment.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 6/29/2018
The OIG recommended the Acting Under Secretary for Health establish metrics to monitor the time it takes facilities to offer scheduling for an initial primary care appointment, beginning with the date the veteran submits a completed enrollment form.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 1/15/2019
The OIG recommended the Acting Under Secretary for Health improve oversight by ensuring facilities set panel sizes consistent with VHA’s recommended model panel sizes, submit written justification for panel sizes that deviate from VHA’s model panel sizes for review and approval by VHA, or implement corrective action to mandate appropriate panel size.
Total Monetary Impact of All Recommendations
Open: $ 0.00
Closed: $ 843,000,000.00
Date Issued
|
Report Number
17-00833-05
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Office of Management (OM)
Closure Date: 7/11/2018
We recommended the Acting Assistant Secretary for Management and Acting Chief Financial Officer establish procedures to ensure VA reimburses the Treasury Judgment Fund within 45 business days of receipt of requests for reimbursement or establishes appropriate payment plans for claims paid pursuant to applicable law.
Date Issued
|
Report Number
17-01219-24
Date Issued
|
Report Number
15-04156-352
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Benefits Administration (VBA)
Closure Date: 11/1/2017
We recommended the Acting Under Secretary for Benefits clarify the guidance for VA general medical examinations requirements related to original pension claims.
No. 2
to Veterans Benefits Administration (VBA)
Closure Date: 5/30/2018
We recommended the Acting Under Secretary for Benefits ensure staff at the Pension Management Centers receive training based on the clarified guidance for VA medical general examination requirements related to original pension claims.
No. 3
to Veterans Benefits Administration (VBA)
Closure Date: 9/21/2018
We recommended the Acting Under Secretary for Benefits ensure St. Paul claims processing staff review the 605 pension claims denied without a VA general medical examination in CY 2015 to determine whether corrective action is necessary based on clarified guidance and report to the OIG the number of denials reversed.
No. 4
to Veterans Benefits Administration (VBA)
Closure Date: 4/3/2018
We recommended the Acting Under Secretary for Benefits develop and implement a plan to ensure rating consistency across Pension Management Centers.
No. 5
to Veterans Benefits Administration (VBA)
Closure Date: 11/1/2017
We recommended the Acting Under Secretary for Benefits implement a plan to ensure claims processing staff prioritize actions for cases involving benefits reductions based on Medicaid-covered nursing home care to minimize improper payments.
No. 6
to Veterans Benefits Administration (VBA)
Closure Date: 9/21/2018
We recommended the Acting Under Secretary for Benefits develop workload performance measures for cases involving benefits reductions based on Medicaid-covered nursing home care to minimize improper payments.
No. 7
to Veterans Benefits Administration (VBA)
Closure Date: 5/30/2018
We recommended the Acting Under Secretary for Benefits develop and implement training for claims processing staff that is specific to Medicaid-covered nursing home cases.
Total Monetary Impact of All Recommendations
Open: $ 0.00
Closed: $ 41,400,000.00
Date Issued
|
Report Number
15-04929-351
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 2/1/2018
We recommended the Acting Under Secretary for Health require Prosthetic and Sensory Aids Service conduct periodic analyses of Veterans Health Administration prosthetic purchases to identify commonly used prosthetics that offer opportunities for VA’s Strategic Acquisition Center to leverage Veterans Health Administration’s purchasing power by pursuing Veterans Health Administration-wide or multi-Veterans Integrated Service Network contracts.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 1/24/2018
We recommended the Acting Under Secretary for Health require the Procurement and Logistics Office and Prosthetics and Sensory Aids Service to periodically monitor prosthetic procurements to ensure Veterans Integrated Service Networks and Network Contracting Offices identify and report prosthetics usage and cost data for use in developing Veterans Integrated Service Network contracts when Veterans Health Administration wide or multi-Veterans Integrated Service Network contracts are not possible.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 2/8/2018
We recommended the Acting Under Secretary for Health require the Procurement and Logistics Office to review fiscal years 2015 and 2016 prosthetic purchase card transactions above the micro-purchase limit and submit identified unauthorized commitments to Heads of Contracting Activities for ratification actions.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 2/8/2018
We recommended the Acting Under Secretary for Health direct Heads of Contracting Activities to perform ratification actions for unauthorized commitments identified by the Procurement & Logistics Office review of fiscal years 2015 and 2016 prosthetic purchase card transactions above the micro-purchase limit and consider holding cardholders and their approving officials accountable for unauthorized commitments, as appropriate.
No. 5
to Veterans Health Administration (VHA)
Closure Date: 1/24/2018
We recommended the Acting Under Secretary for Health require the Procurement and Logistics Office to develop a process for conducting periodic reviews to evaluate compliance with the requirements of VHA Directive 1081, VA Procurement Policy Memorandum 2016-02, and the Veterans Health Administration’s Memorandum, Implementation of the Implant Pre-authorization Process.
Total Monetary Impact of All Recommendations
Open: $ 0.00
Closed: $ 3,120,699,904.00
Date Issued
|
Report Number
16-00838-348
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Information and Technology (OIT)
Closure Date: 9/29/2017
We recommended the Acting Assistant Secretary for Information and Technology implement appropriate controls to ensure that Class III software is not installed on VA networks without a formal technical review and authority to operate, and that training is provided to OIT Region 1 staff on the treatment of Class III software.
Date Issued
|
Report Number
17-00936-385
|
Topics: Staffing
OpenClosed-ImplementedClosed-Not ImplementedNo. 1
to Veterans Health Administration (VHA)
Closure Date: 8/19/2020
We recommended that the Acting Under Secretary for Health ensure that the Veterans Health Administration implements staffing models for critical need occupations.
No. 2
to Veterans Health Administration (VHA)
Closure Date: 8/2/2018
We recommended that the Acting Under Secretary for Health review the Veterans Health Administration report on regrettable losses and implement effective measures to reduce such losses.
No. 3
to Veterans Health Administration (VHA)
Closure Date: 8/19/2020
We recommended that the Acting Under Secretary for Health continue incorporating data that predict changes in veteran demand for health care into its staffing model.
No. 4
to Veterans Health Administration (VHA)
Closure Date: 11/5/2019
We recommended that the Acting Under Secretary for Health continue assessing the Veterans Health Administration’s resources and expertise in developing staffing models and determine whether exploration of external options to develop the above staffing model is necessary.
Date Issued
|
Report Number
16-00349-369
Date Issued
|
Report Number
15-05020-278