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As of March 28, 2024, there are 5125 open recommendations that still need to be addressed. 469 of these are priority recommendations, those that we believe warrant priority attention. Learn more about our priority designation on our Recommendations page.

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1 - 20 of 5125 Recommendations, including 469 Priority Recommendations

Maternal and Infant Health: HHS Should Strengthen Processes for Measuring Program Performance

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2 Open Recommendations
Agency 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.

Bureau of Indian Education: Improved Oversight of Schools' COVID-19 Spending is Needed

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4 Open Recommendations
Agency Recommendation Status
Bureau of Indian Education The Director of BIE should establish controls to ensure that staff consistently follow agency standard procedures when schools and other BIE grantees do not submit timely single audit reports. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Bureau of Indian Education The Director of BIE should establish controls to ensure staff document their monitoring of high-risk schools' COVID spending and consistently report whether schools followed agency requirements for using these funds. (Recommendation 2)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Bureau of Indian Education The Director of BIE should update its strategic workforce plan to build its capacity to conduct all annual fiscal reviews of schools that are designated as high risk, as required by its policy. (Recommendation 3)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Bureau of Indian Education The Director of BIE should work with BIA to establish controls to ensure that BIE staff responsible for monitoring purchase card activity at BIE-operated schools consistently use Interior's required monitoring tool and procedures. (Recommendation 4)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Veterans Health Care: Improvements Needed in Patient Tracking for Non-Biological Implantable Medical Devices

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2 Open Recommendations
Agency Recommendation Status
Veterans Health Administration The Under Secretary of Health should ensure VHA includes requirements in its policies that non-biological orthopedic implantable medical devices be effectively tracked to the patient level and ensure that VHA national-level offices have access to the information from the tracking systems for oversight. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Veterans Health Administration The Under Secretary of Health should undertake an assessment across all clinical specialties to identify where other gaps exist in its ability to effectively track non-biological implantable medical devices to individual patients and take actions to address any identified gaps. Such actions should include ensuring appropriate policies are in place, requiring the use of data systems for tracking, and ensuring that VHA national-level officials have access to the information from the tracking systems for oversight. Actions may also include identifying one program office with ultimate responsibility for implantable medical device oversight at the national level, which could be one of the national offices such as NCPS or an interdisciplinary team such as VHA's Biological Implant Tracking Integrated Project Team. (Recommendation 2)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Military Readiness: Comprehensive Approach Needed to Address Service Member Fatigue and Manage Related Efforts

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9 Open Recommendations
Agency Recommendation Status
Department of Defense The Secretary of Defense should ensure the Under Secretary of Defense for Personnel and Readiness conducts an assessment of DOD's oversight structure for fatigue-related efforts. This assessment should identify and delegate authority to an office with sufficient authority, sufficient staffing and resources, and committed leadership to act as a focal point for and oversee all DOD-wide fatigue-related efforts. (Recommendation 1)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Department of the Air Force The Secretary of the Air Force should assign leadership responsible for DOD component head responsibilities related to fatigue listed in DOD Instruction 1010.10. (Recommendation 2)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Department of the Army The Secretary of the Army should assign leadership responsible for DOD component head responsibilities related to fatigue listed in DOD Instruction 1010.10. (Recommendation 3)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Department of the Navy The Secretary of the Navy should assign Navy leadership responsible for DOD component head responsibilities related to fatigue listed in DOD Instruction 1010.10. (Recommendation 4)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Department of the Navy The Secretary of the Navy should assign Marine Corps leadership responsible for DOD component head responsibilities related to fatigue listed in DOD Instruction 1010.10. (Recommendation 5)
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 ensure the office identified above to oversee DOD-wide fatigue-related efforts creates and maintains a comprehensive list of all fatigue-related research projects. (Recommendation 6)
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 ensure the office identified above to oversee DOD-wide fatigue-related efforts establishes a cross-domain working group dedicated to sharing and communicating fatigue research and related information department-wide. (Recommendation 8)
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 ensure the Under Secretary of Defense for Personnel and Readiness (1) establishes well-defined time frames for conducting follow-on actions, coordinating with all stakeholders, and identifying key officials responsible for implementing the recommendations of the 2021 DOD study on sleep deprivation and readiness; or (2) documents the reasons that implementing the study's recommendations is not appropriate. (Recommendation 9)
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 ensure the office identified above to oversee DOD-wide fatigue-related efforts uses the comprehensive list of all fatigue-related research projects to compare fatigue-related research to reduce fragmentation among the initiatives. (Recommendation 7)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Service Members Transitioning to Civilian Life: Agencies Can Improve Warm Handovers for Additional Assistance

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3 Open Recommendations
Agency Recommendation Status
Department of Defense The Secretary of Defense should develop a written plan to analyze its available Transition Assistance Program data to identify reasons why transitioning service members who should receive a warm handover are not receiving one, and take appropriate action to collect additional warm handover data. Actions could include requiring Transition Assistance Program officials to provide an explanation when not providing a warm handover. (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 develop a process to regularly request updated online contact information from receiving agencies, including VA and DOL, to help ensure that Transition Assistance Program officials can connect service members with agency programs through warm handovers. (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 develop additional guidance to commanders and their designees on verifying warm handovers and on recording the verifications in the Transition Assistance Program database. (Recommendation 3)
Open

When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Note: the list of open recommendations for the last report may continue on the next page.

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For questions about a specific recommendation, contact the person or office listed with the recommendation. For general information about recommendations, contact GAO's Audit Policy and Quality Assurance office at (202) 512-6100 or apqa@gao.gov.