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Open Recommendations

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)
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 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.

Indian Health Service: Opportunities Exist to Improve Clinician Screening Adherence and Oversight
GAO-24-106230
Apr 08, 2024
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3 Open Recommendations
Agency Affected Recommendation Status
Indian Health Service The Director of IHS should develop a single, authoritative source that clearly defines the procedures and steps to meet national credentialing and privileging requirements. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Indian Health Service The Director of IHS should develop and implement a process to review and update the single, authoritative source of credentialing and privileging requirements, once developed, to ensure that it is updated in a timely manner to reflect any changes in those requirements. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Indian Health Service The Director of IHS should implement regular monitoring of areas' and facilities' adherence to IHS's credentialing and privileging requirements by headquarters officials. Such monitoring could include, headquarter officials conducting audits or reviews of a sample of credentialing and privileging files, and regular reviews of audits conducted by area offices and facilities. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Veterans Community Care Program: Additional Information on VA Statutory Appointment Timeliness Measurements is Needed
GAO-24-105308
Mar 28, 2024
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2 Open Recommendations
Agency Affected Recommendation Status
Department of Veterans Affairs The Secretary of VA should ensure VA engages with congressional oversight committees on its limitations in collecting data on referral acceptance dates to determine any potential refinements to the Isakson-Roe Act requirements or seek legislative relief as appropriate. (Recommendation 1)
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 VA should ensure that VA disclose, to any users of its Isakson-Roe Act bi-weekly updates to the community care appointment scheduling timeliness measurements, the quantity of referrals used to generate each measurement. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Maternal and Infant Health: HHS Should Strengthen Processes for Measuring Program Performance
GAO-24-106605
Mar 27, 2024
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2 Open Recommendations
Agency Affected Recommendation Status
Health Resources and Services Administration The Administrator of HRSA should implement a documented process to review Healthy Start performance measures (including their definitions, associated data collection forms, and data dictionary), before a grant period begins, to ensure they are clear and allow for the collection of reliable data. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Health Resources and Services Administration The Administrator of HRSA should implement a documented process for program officials to coordinate the selection of performance measures across its related programs—Healthy Start; the Maternal, Infant, and Early Childhood Home Visiting; and the Title V Maternal and Child Health Services Block Grant. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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