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Executive (151 - 160 of 32,189 items)
Nursing Homes: Consumers Could Benefit from Improvements to the Nursing Home Compare Website and Five-Star Quality Rating System
GAO-17-61: Published: Nov 18, 2016. Publicly Released: Dec 6, 2016.
GAO found that the Centers for Medicare & Medicaid Services (CMS) collects information on the use of the Nursing Home Compare website, which was developed with the goal of assisting consumers in finding and comparing nursing home quality information. CMS uses three standard mechanisms for collecting website information—website analytics, website user surveys, and website usability tests. These m...
Human Trafficking: State Has Made Improvements in Its Annual Report but Does Not Explicitly Explain Certain Tier Rankings or Changes
GAO-17-56: Published: Dec 5, 2016. Publicly Released: Dec 5, 2016.
The Department of State's (State) Office to Monitor and Combat Trafficking in Persons (Trafficking Office) compiles information on countries' actions to combat human trafficking and recommends tier rankings for the Trafficking in Persons Report but did not post information on waivers within mandated timeframes. The figure below shows the percentage of countries by tier in the 2015 and 2016 repor...
Joint Intelligence Analysis Complex: DOD Needs to Fully Incorporate Best Practices into Future Cost Estimates
GAO-17-29: Published: Nov 3, 2016. Publicly Released: Dec 5, 2016.
GAO assessed the cost estimate for the military construction project to consolidate and relocate the Joint Intelligence Analysis Complex (JIAC) at Royal Air Force (RAF) base Croughton and found that it partially met three and minimally met one of the four characteristics of a reliable cost estimate defined by GAO best practices, as shown in the table below. For example, it minimally met the credib...
American Samoa: Alternatives for Raising Minimum Wages to Keep Pace with the Cost of Living and Reach the Federal Level
GAO-17-83: Published: Dec 2, 2016. Publicly Released: Dec 2, 2016.
Federal legislation passed in 2007 created a schedule of periodic increases to minimum wages in American Samoa. During the previous 50 years, special industry committees had periodically recommended industry-specific minimum wages. Historically, minimum wages in the U.S. territory have generally remained below the federal minimum wage (see fig.). The current schedule of increases would raise all A...
Hazardous Materials Rail Shipments: A Review of Emergency Response Information in Selected Train Documents
GAO-17-130: Published: Dec 2, 2016. Publicly Released: Dec 2, 2016.
To help emergency responders safely handle rail accidents involving hazardous materials, selected railroads transporting hazardous materials typically carry two sources of information: the Department of Transportation's (DOT) Emergency Response Guidebook ( ERG ) and information in the trains' documents. Federal Hazardous Material Regulations require railroads and other hazardous material transpo...
Motor Carriers: Establishing System for Self-Reporting Equipment Problems Appears Feasible, but Safety Benefits Questionable and Costs Unknown
GAO-17-132: Published: Dec 2, 2016. Publicly Released: Dec 2, 2016.
Establishing a system that would provide incentives for trucking companies to self-report equipment problems may not necessarily yield safety benefits. Most stakeholders GAO interviewed—including selected carriers and drivers—thought a self-reporting system would be unlikely to produce safety benefits, stating that it would not incentivize quicker repairs. If repairs are not made more quickly,...
VA Health Care: Improved Monitoring Needed for Effective Oversight of Care for Women Veterans
GAO-17-52: Published: Dec 2, 2016. Publicly Released: Dec 2, 2016.
The Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) does not have accurate and complete data on the extent to which its medical centers comply with environment of care standards for women veterans. VHA policy requires its medical facilities, including VA medical centers, to meet environment of care standards related to the privacy, safety, and dignity of women veterans. V...
Enterprise Risk Management: Selected Agencies' Experiences Illustrate Good Practices in Managing Risk
GAO-17-63: Published: Dec 1, 2016. Publicly Released: Dec 1, 2016.
Enterprise Risk Management (ERM) is a forward-looking management approach that allows agencies to assess threats and opportunities that could affect the achievement of its goals. While there are a number of different frameworks for ERM, the figure below lists essential elements for an agency to carry out ERM effectively. GAO reviewed its risk management framework and incorporated changes to better...
Federal Fees, Fines, and Penalties: Observations on Agency Spending Authorities
GAO-17-268T: Published: Dec 1, 2016. Publicly Released: Dec 1, 2016.
GAO's prior work has identified four key design decisions related to how fee, fine, and penalty collections are used that help Congress balance agency flexibility and congressional control.Key Design Decisions for Use of CollectionsOne of these key design decisions is the congressional action that triggers the use of collections. The table below outlines the range of structures that establish an a...
Littoral Combat Ship and Frigate: Congress Faced with Critical Acquisition Decisions
GAO-17-262T: Published: Dec 1, 2016. Publicly Released: Dec 1, 2016.
The Navy's vision for Littoral Combat Ship (LCS) program has evolved significantly over the last 15 years, reflecting degradations of the underlying business case. Initial plans to experiment with two different prototype ships adapted from commercial designs were abandoned early in favor of an acquisition approach that committed to numerous ships before proving their capabilities. Ships were not d...