Centers for Disease Control and Prevention

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Open Recommendations (20 total)

Older Adults and Adults with Disabilities: Federal Programs Provide Support for Preventing Falls, but Program Reach is Limited

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1 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention The Director of the CDC should expand the scope of its analysis of Behavioral Risk Factor Surveillance System (BRFSS) data to include the prevalence of falls and fall-related injuries among adults under age 65 who may be at higher risk of falls, including adults with disabilities, and, as appropriate, share findings with ACL and other agencies overseeing relevant programmatic efforts. For example:

  • CDC could analyze existing BRFSS data on adults aged 45 to 64 and share findings, as appropriate.
  • CDC could propose asking adults aged 18 to 44 the two BRFSS fall-related questions, as part of the survey update process.

(Recommendation 1)

Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

HHS agreed with this recommendation and described steps CDC and ACL plan to take to implement it. For example, CDC plans to include a fall-related question in the 2023 BRFSS, which will allow additional analysis on adults aged 45 to 64. Additionally, ACL plans to share information among its disability programs to raise awareness of falls risk for adults with disabilities. In doing so, it plans to coordinate with federal partners on the most current and relevant information to be shared. We will monitor the agency's progress in implementing this recommendation.

Contact Tracing for Air Travel: CDC's Data System Needs Substantial Improvement

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3 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention The Director of CDC should assess additional opportunities to improve the quality of air passenger information it collects and manages— including opportunities to increase automation by adopting or establishing data exchange standards—and take action, as appropriate, based on this assessment. (Recommendation 2)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

The CDC concurred with this recommendation and said it would take steps to implement it. When we confirm what actions the CDC has taken in response to this recommendation, we will provide updated information.
Centers for Disease Control and Prevention The Director of CDC should re-design QARS or deploy a new data system that would allow CDC to more effectively facilitate contact tracing for air passengers and conduct disease surveillance for air travel. (Recommendation 3)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

The CDC concurred with this recommendation and said it would take steps to implement it. When we confirm what actions the CDC has taken in response to this recommendation, we will provide updated information.
Centers for Disease Control and Prevention The Director of CDC should implement controls for the entry of data into its Quarantine Activity Reporting System (QARS), including by providing adequate training and standard operating procedures that are documented and institutionalized for system users and by conducting consistent validation checks. (Recommendation 1)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

The CDC concurred with this recommendation and said it would take steps to implement it. When we confirm what actions the CDC has taken in response to this recommendation, we will provide updated information.

COVID-19: Current and Future Federal Preparedness Requires Fixes to Improve Health Data and Address Improper Payments

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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention The Director of the Centers for Disease Control and Prevention, in coordination with state, tribal, local, and territorial jurisdiction and public health organization partners, should ensure the agency builds upon its existing surveillance approach by detailing specific objectives for how it will achieve its COVID-19 surveillance goals and describing how it will assess progress toward meeting them. See the COVID-19 Surveillance enclosure. (Recommendation 10)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

The Department of Health and Human Services (HHS) agreed with our recommendation, and the Centers for Disease Control and Prevention noted that it will continue efforts to develop a document summarizing its COVID-19 surveillance goals and how it will assess progress towards meeting them. As of September, 2022, HHS had not provided an update on its efforts to implement the recommendation. When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Disease Control and Prevention The Director of the Centers for Disease Control and Prevention should define specific action steps and time frames for the agency's data modernization efforts. See the Public Health Data Collection and Standardization enclosure. (Recommendation 9)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

As of September 2022, HHS did not provide an update.

Scientific Integrity: HHS Agencies Need to Develop Procedures and Train Staff on Reporting and Addressing Political Interference

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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention The CDC Director should ensure that procedures for reporting and addressing potential political interference in scientific decision-making are developed and documented, including adding a definition of political interference. (Recommendation 1)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

As of September 2022, HHS indicated that it was still working on its plan for implementing this recommendation. We will continue to monitor HHS's efforts and provide an update on agency actions, if any.
Centers for Disease Control and Prevention The CDC Director should ensure that CDC employees and contractors performing scientific activities are trained on how to report allegations of political interference in scientific decision-making. (Recommendation 2)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

As of September 2022, HHS indicated that it was still working on its plan for implementing this recommendation. We will continue to monitor HHS's efforts and provide an update on agency actions, if any.

Tribal Epidemiology Centers: HHS Actions Needed to Enhance Data Access

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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Disease Control and Prevention The Director of CDC should develop written guidance for TECs on how to request data. Such guidance should include information on data potentially available to TECs, how to request data, agency contacts, criteria the agency will use to review such requests, and time frames for receiving an agency response to data requests. (Recommendation 2)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

HHS agreed with our recommendation. As of September 2022, HHS told us that CDC had begun drafting guidance for TECs on how to request data. To inform this guidance, CDC reported establishing an internal workgroup, engaging with Tribal and other partners, and collaborating with IHS. CDC officials anticipated publishing its first iteration of guidance on major CDC surveillance systems and data sets and information on how to access them on its Tribal Support website in the fourth quarter of calendar year 2022. To fully implement this recommendation, CDC must complete development of written guidance for the TECs on how to request data.
Centers for Disease Control and Prevention The Director of CDC should develop and document agency procedures on reviewing TEC requests for and making data available to TECs. These procedures should include a description of data potentially available to TECs, agency contacts, criteria for reviewing TEC data requests, and time frames for responding to TEC requests. (Recommendation 3)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.

HHS agreed with our recommendation. As of September 2022, HHS told us that CDC is working to improve agency procedures on reviewing TEC requests for data and making data available to TECs. As part of this process, CDC reported establishing a network of CDC points of contact for planning and implementing these procedures, and reviewing current CDC data policies to see what, if anything, should be updated. To fully implement this recommendation, CDC must develop procedures on reviewing TEC requests for and making data available to TECs.