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Open Recommendations

Medicare Hospice: CMS Needs to Fully Implement Statutory Provisions and Prioritize Certain Overdue Surveys
GAO-24-106442
May 08, 2024
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4 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare & Medicaid Services The CMS Administrator should fully implement the new enforcement tools, including issuing planned internal guidance, to enable the agency to use these tools to address hospices out of compliance with Medicare quality standards. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The CMS Administrator should make hospice survey results publicly available on Care Compare such that the information is prominent, easily accessible, and readily understandable. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The CMS Administrator should fully implement efforts to measure and reduce inconsistency in survey results among all surveyors, including SAs and AOs. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare & Medicaid Services The CMS Administrator should instruct SAs and AOs to prioritize the completion of standard surveys for hospices that are overdue for a survey based on potential risk factors, which could include the amount of time overdue or evidence of past quality issues. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

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.

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.

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)
Open
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.
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