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Open Recommendations

Comparative Effectiveness Research: HHS Should Evaluate Its Performance of Related Activities
GAO-25-107462
Jul 14, 2025
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1 Open Recommendations
Agency Affected Recommendation Status
Department of Health and Human Services The Secretary of HHS should complete an evaluation of the dissemination and implementation portfolio efforts supported by the Trust Fund, as planned, including developing and implementing near-term goals and associated performance measures to regularly assess performance. (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.

VA and DOD Health Care: Agreements to Share Services and Other Resources Should Be Evaluated
GAO-25-107497
Jun 30, 2025
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5 Open Recommendations
Agency Affected Recommendation Status
Department of Defense The Under Secretary of Defense for Personnel & Readiness should finalize procedures that include guidance on developing non-reimbursable sharing agreements, including instructions on how to develop a required justification through a business case analysis plan, and provide the procedures to its DOD facilities. (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 VA Under Secretary for Health should work with DOD to implement a process for evaluating the effectiveness of all its sharing agreements and use the results to make changes as appropriate. Such a process should include establishing performance goals, establishing performance measures, and collecting data to assess progress towards these goals. (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 Assistant Secretary of Defense for Health Affairs should work with VA to implement a process for evaluating the effectiveness of all its sharing agreements and use the results to make changes as appropriate. Such a process should include establishing performance goals, establishing performance measures, and collecting data to assess progress towards these goals. (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 VA Under Secretary for Health should work with DOD to develop and implement a systematic process for identifying opportunities for new and expanded sharing agreements (Recommendation 4).
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Assistant Secretary of Defense for Health Affairs should work with VA to develop a systematic process for identifying opportunities for new and expanded sharing agreements (Recommendation 5).
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Military to Civilian Transition: Actions Needed to Ensure Effective Mental Health Screening at Separation
GAO-25-107205
Jun 05, 2025
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3 Open Recommendations
Agency Affected Recommendation Status
VA-DoD Joint Executive Committee The VA-DOD Joint Executive Committee should ensure that the joint SHA's alcohol use screen is validated. This could include taking steps to validate the joint SHA's existing screen or replacing it with an already validated one. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
VA-DoD Joint Executive Committee The VA-DOD Joint Executive Committee should ensure that the joint SHA's PTSD screen is validated. This could include taking steps to validate the joint SHA's existing screen or replacing it with an already validated one. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
VA-DoD Joint Executive Committee The VA-DOD Joint Executive Committee should assess whether to include violence risk screening in the joint SHA and take appropriate action based on this assessment. Possible actions could include taking steps to validate the joint SHA's existing questions, replacing them with a different validated tool, or removing the questions, as appropriate. (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: HHS Needs a Coordinated National Approach for Diagnostic Testing for Pandemic Threats
GAO-25-106980
Jun 04, 2025
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4 Open Recommendations
Agency Affected Recommendation Status
Department of Health and Human Services The Secretary of Health and Human Services should develop a national diagnostic testing strategy for infectious diseases with pandemic potential that incorporates all six desirable characteristics of a national strategy. (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 periodically update the national diagnostic testing strategy to incorporate any future lessons learned from infectious disease threats with pandemic potential, other public health threats as deemed relevant, or any related preparedness exercises. (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.
Department of Health and Human Services The Secretary of Health and Human Services should establish a national diagnostic testing forum for infectious diseases with pandemic potential, or expand an existing group. The forum should include a broad representation of knowledgeable testing stakeholders from HHS and its component agencies along with other relevant federal agencies, jurisdictions, the public and private sectors, academia, and nonprofits. This forum should include key decision makers and facilitate two-way discussion. (Recommendation 3)
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 ensure the national diagnostic testing forum meets regularly, including both before and during infectious disease threats with pandemic potential, other public health threats as deemed relevant, or any related preparedness exercises. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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