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Open Recommendations

Public Health Preparedness: HHS Should Address Strategic National Stockpile Coordination Challenges
GAO-24-106260
May 02, 2024
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3 Open Recommendations
Agency Affected Recommendation Status
Office of the Assistant Secretary for Preparedness and Response The Assistant Secretary for Preparedness and Response should work with CDC to clearly define ASPR's and CDC's roles and responsibilities related to the SNS in a formal document and share that document with jurisdictions. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Office of the Assistant Secretary for Preparedness and Response The Assistant Secretary for Preparedness and Response should develop standard operating procedures, outlining how and when guidance documents, such as those for requesting and receiving SNS assets, are updated. Consistent with GAO's Standards for Internal Control, these standard operating procedures should include internal review processes, opportunities for stakeholder feedback, and timeframes for updating. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Office of the Assistant Secretary for Preparedness and Response The Assistant Secretary for Preparedness and Response should formally designate an entity—such as the Office of SLTT Preparedness—to regularly engage with Tribes and relevant stakeholders to (1) assess the unique challenges, such as infrastructure and geography, that could affect the delivery of SNS assets to Tribes during future emergencies and (2) develop options for how to address those challenges. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Public Health Preparedness: Mpox Response Highlights Need for HHS to Address Recurring Challenges
GAO-24-106276
Apr 18, 2024
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2 Open Recommendations
Agency Affected Recommendation Status
Department of Health and Human Services The Secretary of Health and Human Services should develop and implement a coordinated, department-wide after-action program that encourages collaboration between HHS's component agencies, including integrating the existing public health emergency after-action programs of these component agencies. (Recommendation 1)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Health and Human Services The Secretary of Health and Human Services should develop and implement a coordinated, department-wide after-action program that includes relevant external stakeholders involved in each public health emergency response—such as other federal agencies, jurisdictions, and nongovernmental partners—when identifying challenges and associated solutions. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Electronic Health Records: DOD Has Deployed New System but Challenges Remain
GAO-24-106187
Apr 18, 2024
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4 Open Recommendations
Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should direct the Federal EHR Modernization Office to identify and address specific barriers to maximizing integration at the FHCC, consistent with the FHCC executive agreement. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should direct the Defense Health Agency Health Informatics organization in conjunction with the Program Executive Officer of Defense Healthcare Management Systems to establish MHS GENESIS user satisfaction targets (i.e., goals) and ensure that the system demonstrates improvement toward meeting those targets. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should direct the Program Executive Officer of Defense Healthcare Management Systems to develop and implement a plan to provide an alternative to the MHS GENESIS dental module. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Veterans Affairs The Secretary of Veterans Affairs should direct the Federal EHR Modernization Office to identify and address specific barriers to maximizing integration at the FHCC, consistent with the FHCC executive agreement. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Military Health Care: DOD Should Improve Its Process for Clinical Adverse Actions against Providers
GAO-24-106107
Apr 11, 2024
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6 Open Recommendations
Agency Affected Recommendation Status
Defense Health Agency The Director of DHA should modify its monitoring reports or audit tools to capture information needed to effectively assess adherence to certain requirements, such as notification to other health care entities of a provider's summary suspension and state licensing board reporting. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should strengthen its monitoring of MTFs' and DHA's timeliness in completing the steps in the clinical adverse action process. (Recommendation 2)
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When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should clarify in the DHA procedures manual for clinical adverse actions that MTFs must summarily suspend providers at the initiation of all clinical adverse action cases. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should clarify in the DHA procedures manual for clinical adverse actions the requirements for documenting the MTFs' final privileging authority decisions. This should include specifying that implementation of the privileging authority decision should be documented in a timely manner. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should establish timeliness requirements for the DHA-level procedures in the clinical adverse action process, including the DHA audit, legal sufficiency review, clinical peer review, appeal panel meeting and recommendation, and final report authority decision. (Recommendation 5)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Office of the Assistant Secretary of Defense (Health Affairs) The Assistant Secretary of Defense for Health Affairs should require DHA to report data on its adherence to clinical adverse action reporting requirements, such as the number of providers with reportable actions and the timeliness of reports, and should use this information to improve its oversight of DHA. (Recommendation 6)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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