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    Results:

    Subject Term: "Case management"

    8 publications with a total of 27 open recommendations including 2 priority recommendations
    Director: Wise, David J
    Phone: (202) 512-2834

    2 open recommendations
    Recommendation: To improve VA's supportive-housing EUL program and meet the needs of homeless veterans, the Secretary of Veterans Affairs should direct the Office of Asset Enterprise Management to clearly and completely document the selection process for all supportive-housing EULs from pre-development through completion of VA's development phase in keeping with internal control standards and VA policy.

    Agency: Department of Veterans Affairs
    Status: Open

    Comments: On September 19, 2017, an official from VA's Office of Capital Operations and Program Service said that the Office of Asset Enterprise Management (OAEM) is working with the Office of Information and Technology to ensure that the Enhanced Use Lease (EUL) Directive, Handbook, and Attachments are 508 compliant. This requirement is the last step in VA's internal process to certify and publish the updated EUL Directive and Handbook. Once OAEM receives an estimate when this process will be completed, VA will provide GAO a status update with the expected completion date for the updated EUL Directive and Handbook.
    Recommendation: To improve VA's supportive-housing EUL program and meet the needs of homeless veterans, the Secretary of Veterans Affairs should direct the Office of Asset Enterprise Management to update its EUL policy to (1) address the current authority for developing supportive-housing; and (2) specify how to identify properties for supportive-housing EULs to meet the needs of homeless veterans.

    Agency: Department of Veterans Affairs
    Status: Open

    Comments: On September 19, 2017, an official from VA's Office of Capital Operations and Program Service said that the Office of Asset Enterprise Management (OAEM) is working with the Office of Information and Technology to ensure that the Enhanced Use Lease (EUL) Directive, Handbook, and Attachments are 508 compliant. This requirement is the last step in VA's internal process to certify and publish the updated EUL Directive and Handbook. Once OAEM receives an estimate when this process will be completed, VA will provide GAO a status update with the expected completion date for the updated EUL Directive and Handbook.
    Director: Rebecca Gambler
    Phone: (202) 512-8777

    1 open recommendations
    Recommendation: To better assess whether the LOP and LOPC are having a measurable impact in meeting their program objectives, the Director of EOIR should develop and implement a system of performance measures, including establishing a baseline, to regularly evaluate the effectiveness of LOP and LOPC and assess whether the programs are achieving their stated goals.

    Agency: Department of Justice: Executive Office for Immigration Review
    Status: Open

    Comments: In January 2017, EOIR reported that the agency is working with a contractor to redesign EOIR's performance management system consistent with the principles outlined in the Government Performance and Results Modernization Act of 2010. In addition, EOIR reported that staff from its Office of Legal Access Programs (OLAP) plan to participate in strategic planning training, which will include how to establish performance measurements. To fully address the recommendation, EOIR should develop and implement a system of performance measures for LOP and LOPC, including establishing a baseline, and assess program performance against such measures.
    Director: Valerie Melvin
    Phone: (202) 512-6304

    2 open recommendations
    Recommendation: To provide greater transparency in the reporting of FOIA litigation costs, Congress could consider requiring Justice to provide a cost estimate for collecting and reporting information on costs incurred when defending lawsuits in which the plaintiffs prevailed.

    Agency: Congress
    Status: Open

    Comments: Congress has not yet considered if it plans to amend FOIA regarding the reporting of costs for defending lawsuits in which the plaintiffs prevailed.
    Recommendation: Congress could consider amending the act to require Justice to reflect in its Litigation and Compliance reports, changes in the award of attorneys' fees and costs resulting from the appeals process and settlement agreements between agencies and plaintiffs, if deemed to be cost-effective.

    Agency: Congress
    Status: Open

    Comments: Congress has not yet considered if it plans to amend FOIA to require Justice to make changes to its Litigation and Compliance reports.
    Director: Brenda S. Farrell
    Phone: (202) 512-3604

    7 open recommendations
    Recommendation: To increase oversight of the Army's Warrior Transition Unit program, the Secretary of the Army should direct the Army Surgeon General to assess the Triad of Care model's effectiveness in light of the changes in WTU diagnoses and take the appropriate action.

    Agency: Department of Defense: Department of the Army
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: To increase oversight of the Army's Warrior Transition Unit program, the Secretary of the Army should direct the Army Surgeon General to exercise oversight responsibility to track full adherence to selection processes for squad leaders and platoon sergeants, including the requirement to conduct interviews for these positions.

    Agency: Department of Defense: Department of the Army
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: To increase oversight of the Army's Warrior Transition Unit program, the Secretary of the Army should direct the Army Surgeon General to develop a mechanism to conduct post-training assessments on squad leaders and platoon sergeants' application of training to the work environment and incorporate the results into the training program.

    Agency: Department of Defense: Department of the Army
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: To increase oversight of the Army's Warrior Transition Unit program, the Secretary of the Army should direct the Army Surgeon General to develop plans to adjust staff levels, if needed, to accommodate a potential future surge in demand.

    Agency: Department of Defense: Department of the Army
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: To increase oversight of the Army's Warrior Transition Unit program, the Secretary of the Army should direct the Army Surgeon General to establish a process that assigns oversight responsibility for tracking instances in which Commanders make exceptions to WTU entrance criteria so that the Army Surgeon General is aware of the extent Commanders' decisions are consistent with program goals.

    Agency: Department of Defense: Department of the Army
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: To increase oversight of the Army's Warrior Transition Unit program, the Secretary of the Army should direct the Army Surgeon General to develop and implement an approach and associated procedures for providing senior leadership, such as the Warrior Transition Command, with complaints information concerning the WTU program and WTU soldiers.

    Agency: Department of Defense: Department of the Army
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Recommendation: To help ensure the best use of resources for managing the medical care of soldiers recovering from serious medical conditions, the Secretary of the Army should direct the Chief of the Army Reserve, in conjunction with the Army Surgeon General, to develop an analysis that compares the costs and benefits of maintaining the current system of Community Care Units with the costs and benefits of expanding the Reserve Component Managed Care program.

    Agency: Department of Defense: Department of the Army
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Director: Carol C. Harris
    Phone: (202) 512-4456

    9 open recommendations
    Recommendation: To provide reasonable assurance that the program executes Agile software development for USCIS ELIS consistent with its own policies and guidance and follows applicable leading practices, the Secretary of the Department of Homeland Security (DHS) should direct the Director of USCIS to direct the USCIS Chief Information Officer (CIO), in coordination with the DHS CIO and the Chief of the Office of Transformation Coordination (OTC), to review and update, as needed, existing policies and guidance and consider additional controls to complete planning for software releases prior to initiating development and ensure software meets business expectations prior to deployment.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of July 2017, the U.S. Citizenship and Immigration Services (USCIS) within the Department of Homeland Security (DHS) had taken steps to address this recommendation. In particular, in June 2017, USCIS provided an updated policy, dated April 2017, governing planning and deploying software releases. USCIS also demonstrated partial compliance with that policy. For example, it provided some release planning review documentation for recent releases that are required by the updated policy, including readiness review memos for releases 7.2 and 8.1. However, USCIS did not demonstrate that the program responsible for developing the USCIS Electronic Immigration System (USCIS ELIS) was consistently following its updated policy. For example, USCIS did not demonstrate that the program was completing all planning activities prior to initiating development, as called for in its updated policy. Moreover, the agency did not demonstrate compliance with its previous policy for all software releases planned and deployed since our July 2016 report. We will continue to work with USCIS to monitor actions the agency is taking to address this recommendation.
    Recommendation: To provide reasonable assurance that the program executes Agile software development for USCIS ELIS consistent with its own policies and guidance and follows applicable leading practices, the Secretary of DHS should direct the Director of USCIS to direct the USCIS CIO, in coordination with the DHS CIO and the Chief of OTC, to review and update, as needed, existing policies and guidance and consider additional controls to consistently implement the principles of the framework adopted for Agile software development.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of July 2017, USCIS had taken steps to address this recommendation. For example, in May 2017, USCIS provided updated policy governing the development of software releases, dated April 2017, along with release planning artifacts specific to USCIS ELIS. The updated policy included an appendix devoted to generally accepted agency practices and applying Agile principles in the agency. However, USCIS had not clearly indicated if USCIS ELIS was to implement the practices described in the policy. For example, the updated policy did not require program compliance with the generally accepted agency practices. Moreover, supporting artifacts from the release planning process did not always define a commitment to a particular development methodology or set of development practices. For example, the team process agreements, which describe how members of individual teams will work with each other, did not indicate if developers were to adhere to the practices described in updated USCIS policy. We will continue to work with USCIS to obtain additional documentation about actions it is taking to address this recommendation.
    Recommendation: To provide reasonable assurance that the program executes Agile software development for USCIS ELIS consistent with its own policies and guidance and follows applicable leading practices, the Secretary of DHS should direct the Director of USCIS to direct the USCIS CIO, in coordination with the DHS CIO and the Chief of OTC, to review and update, as needed, existing policies and guidance and consider additional controls to define and consistently execute appropriate roles and responsibilities for individuals responsible for development activities consistent with its selected development framework.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of July 2017, USCIS had taken steps to address this recommendation. For example, in June 2017, USCIS provided updated policy, dated April 2017, governing the development of software releases and release planning artifacts. The updated policy and release documentation defined some roles and responsibilities that were previously only described by USCIS in its informal November 2014 management model, such as the authority and responsibility of a product owner. However, program documentation and policy did not define all of the roles and responsibilities. For example, program documentation and policy did not define the roles and responsibilities of a facilitator, or Scrum Master, which is a position identified in leading practices for software development using Scrum, the development methodology previously identified by the program. In addition, USCIS did not demonstrate that it had defined and committed to an updated development methodology for software releases. Such a defined methodology will impact expectations for the roles and responsibilities in software development. Without such a defined methodology or approach to Agile software development, it is not clear if roles and responsibilities defined by previously documented approach to Agile software development are still applicable for the current development approach. Moreover, documentation associated with program releases and updated policy did not define all of the roles and responsibilities for positions described by USCIS in its May 2017 written response to GAO. We will continue to work with USCIS to obtain additional documentation about actions it is taking to address this recommendation.
    Recommendation: To provide reasonable assurance that the program executes Agile software development for USCIS ELIS consistent with its own policies and guidance and follows applicable leading practices, the Secretary of DHS should direct the Director of USCIS to direct the USCIS CIO, in coordination with the DHS CIO and the Chief of OTC, to review and update, as needed, existing policies and guidance and consider additional controls to identify all system users and involve them in release planning activities.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of July 2017, DHS and USCIS had not provided information demonstrating that the department has addressed this recommendation. In October 2016, DHS provided a written response stating that the USCIS Office of Information Technology and Office of Transformation Coordination were working closely with the various USCIS directorates to obtain and integrate feedback through regular review sessions with the end users and through additional end user testing. However, as of July 2017, DHS and USCIS have not provided new information about the status of this recommendation.
    Recommendation: To provide reasonable assurance that the program executes Agile software development for USCIS ELIS consistent with its own policies and guidance and follows applicable leading practices, the Secretary of DHS should direct the Director of USCIS to direct the USCIS CIO, in coordination with the DHS CIO and the Chief of OTC, to review and update, as needed, existing policies and guidance and consider additional controls to write user stories that identify user roles, include estimates of complexity, take no longer than one sprint to complete, and describe business value.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of July 2017, USCIS had provided GAO with documentation intended to demonstrate that the agency had taken steps to address this recommendation. For example, in May 2017, USCIS provided updated policy governing the development of software releases along with release planning artifacts specific to USCIS ELIS and an Independent Verification and Validation assessment. The agency also provided a series of backlogs that captured user stories for some software releases. In addition, the Independent Verification and Validation assessment indicated that the program was tracking user story quality as part of assessing whether value was continuously discovered and aligned to the mission. However, the assessment report provided to GAO indicated a negative trend for this outcome. Moreover, USCIS policy no longer set expectations regarding user story development. In addition, supporting artifacts from the release planning process did not always define a commitment to a particular development methodology, which is turn impacts the expectations for writing user stories. Finally, backlogs provided by USCIS did not cover all releases in development since our July 2016 report and did not include enough detail to assess all aspects of the user story process (e.g., story size and user involvement). We will continue to work with USCIS to obtain additional documentation about actions it is taking to address this recommendation.
    Recommendation: To provide reasonable assurance that the program executes Agile software development for USCIS ELIS consistent with its own policies and guidance and follows applicable leading practices, the Secretary of DHS should direct the Director of USCIS to direct the USCIS CIO, in coordination with the DHS CIO and the Chief of OTC, to review and update, as needed, existing policies and guidance and consider additional controls to establish outcomes for Agile software development.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of July 2017, USCIS had taken steps to address this recommendation. For example, in April 2017, USCIS issued updated policy governing software development at the agency. The updated policy included an appendix devoted to generally accepted agency practices and applying Agile principles in the agency. This appendix also included a set of ten outcomes associated with using Agile practices at USCIS. For example, outcomes included that value is continuously discovered and aligned to the mission. However, the updated policy did not require program compliance with the practices and principles described in the appendix. Moreover, the agency did not demonstrate that USCIS ELIS had committed to achieving a specific set of outcomes for Agile software development, such as the outcomes described in the USCIS policy. We will continue to work with USCIS to obtain additional documentation about actions it is taking to address this recommendation.
    Recommendation: To provide reasonable assurance that the program executes Agile software development for USCIS ELIS consistent with its own policies and guidance and follows applicable leading practices, the Secretary of DHS should direct the Director of USCIS to direct the USCIS CIO, in coordination with the DHS CIO and the Chief of OTC, to review and update, as needed, existing policies and guidance and consider additional controls to monitor program performance and report to appropriate entities through the collection of reliable metrics.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of July 2017, USCIS had taken steps to address this recommendation. For example, in May 2017, USCIS provided updated policy governing the development of software that called for teams to prepare an Operations Monitoring Plan or dashboard showing the practices, tools, and measures that will monitor applications in production. The agency also provided a series of documents from internal systems and processes intended to monitor performance, such as a product dashboard for analyzing code quality (i.e., SonarQube) and a report from its Independent Verification and Validation team. However, the program was undergoing a re-baseline and had yet to document updated cost, schedule, and performance expectations against which to monitor. Moreover, the agency did not demonstrate that other metrics, such as customer satisfaction and team velocity, were being reliably collected. We will continue to work with USCIS to obtain additional documentation about actions it is taking to address this recommendation.
    Recommendation: To help manage the USCIS ELIS system, the Secretary of DHS should direct the Director of USCIS to direct the USCIS CIO, in coordination with the DHS CIO and the Chief of OTC, to review and update existing policies and guidance and consider additional controls to conduct unit and integration, and functional acceptance tests, and code inspection consistent with stated program goals.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of July 2017, USCIS had taken steps to address this recommendation. For example, in May 2017, USCIS provided artifacts from internal systems in place to monitor software development performance. These metrics monitored aspects of testing, such as code quality and code coverage. However, the program did not provide an updated Test and Evaluation Master Plan, which is a document it will produce as part of its ongoing effort to re-baseline. A Test and Evaluation Master Plan sets the testing expectations for the program as agreed upon with its stakeholders in DHS and USCIS. The updated plan will provide a basis for further evaluation of the steps DHS and USCIS have taken to address this recommendation. Moreover, the agency did not demonstrate that functional acceptance tests were being conducted in accordance with stated program goals. For example, the agency did not provide acceptance criteria or the associated tests demonstrating that user stories passed the defined acceptance criteria. We will continue to work with USCIS to obtain additional documentation about actions it is taking to address this recommendation.
    Recommendation: To help manage the USCIS ELIS system, the Secretary of DHS should direct the Director of USCIS to direct the USCIS CIO, in coordination with the DHS CIO and the Chief of OTC, to review and update existing policies and guidance and consider additional controls to develop complete test plans and cases for interoperability and end user testing, as defined in the USCIS Transformation Program Test and Evaluation Master Plan, and document the results.

    Agency: Department of Homeland Security
    Status: Open

    Comments: As of July 2017, DHS and USCIS had not provided information demonstrating that they had addressed this recommendation. In October 2016, DHS provided a written response indicating that an internal process for revisiting the USCIS ELIS Test and Evaluation Master Plan had been initiated, with participation from all relevant stakeholder groups. A Test and Evaluation Master Plan sets the testing expectations for the program as agreed upon with its stakeholders in DHS and USCIS. The updated plan will provide a basis for further evaluation of the steps DHS and USCIS have taken to address this recommendation. The letter also stated that USCIS had begun to work on a policy for new interoperability test procedures. Moreover, the letter added that end user testing is a continuing activity, including providing feedback of observed issues into the development queue, with the slow launch of the naturalization capabilities in USCIS ELIS being a model. However, as of July 2017, DHS and USCIS had not provided new information about the status of this recommendation. We will continue to work with DHS and USCIS to obtain additional documentation about actions they are taking to address this recommendation.
    Director: Chris Currie
    Phone: (404) 679-1875

    2 open recommendations
    Recommendation: To ensure the accuracy of the data submitted by chemical facilities, the Secretary of Homeland Security should direct the Under Secretary for NPPD, the Assistant Secretary for the Office of Infrastructure Protection, and the Director of ISCD, in the interim, to identify potentially miscategorized facilities with the potential to cause the greatest harm and verify the Distance of Concern these facilities report is accurate.

    Agency: Department of Homeland Security
    Status: Open

    Comments: According to Infrastructure Security Compliance Division (ISCD) officials, as of November 2016 ISCD completed its assessment of all Top-Screens which reported threshold quantities of release-toxic chemicals of interest and identified 158 facilities with the potential to cause the greatest harm. ISCD contacted all 158 facilities and received revised Top-Screens from 101, according to ISCD officials. ISCD halted pursuit of revised Top-Screens from the remaining facilities during summer 2016 in anticipation of the pending release of CSAT 2.0, the Top-Screen application, which both eliminates the Distance of Concern question and will result in all remaining facilities being required to submit a new Top-Screen upon the activation of CSAT 2.0. CSAT 2.0 was activated October 1, 2016, and DHS sent a letter to each of the remaining facilities informing them of their obligation to submit a new top-screen, according to ISCD officials. ISCD is continuing to monitor the resolution of the remaining cases and expects to have assessed updated Top-Screens for all of them within the first or second quarter of 2017. We will update the status of this recommendation after additional information is received from DHS.
    Recommendation: In addition, to better manage compliance among high-risk chemical facilities and demonstrate program results, the Secretary of Homeland Security should direct the Under Secretary for NPPD, the Assistant Secretary for the Office of Infrastructure Protection, and the Director of ISCD to develop documented processes and procedures to track noncompliant facilities and ensure they implement planned measures as outlined in their approved site security plans.

    Agency: Department of Homeland Security
    Status: Open

    Comments: According to Infrastructure Security Compliance Division (ISCD) officials, ISCD is nearing finalization of the updated CFATS Inspection Standard Operating Procedure (SOP) and has made progress on the new CFATS Enforcement SOP. Once completed, expected in mid-2017, these two documents collectively will formally document the processes and procedures currently being used to track noncompliant facilities and ensure they implement planned measures as outlined in their approved site security plans, according to ISCD officials. We will update the status of this recommendation after additional information is received from DHS.
    Director: Brenda S. Farrell
    Phone: (202) 512-3604

    1 open recommendations
    Recommendation: To improve the military whistleblower reprisal investigation process and oversight of such investigations, the Secretary of Defense should work in coordination with the Department of Defense Inspector General (DODIG) to direct the services to follow standardized investigation stages and issue guidance clarifying how the stages are defined.

    Agency: Department of Defense
    Status: Open

    Comments: As of August 2016, this recommendation remains open. Officials from DOD Inspector General, Whistleblower Reprisal Investigations Directorate provided GAO with an update to this recommendation August 11, 2016. Although DOD concurred with this recommendation in the draft and final report, they stated that DODIG is not empowered in its oversight capacity to direct the services to follow standardized stages. However, these same officials noted that they are currently working with the military services through an established working group to standardize investigation stages and develop guidance for its implementation across the services by the end of 2016. If completed, we believe that these actions will meet the intent of our recommendation by helping to DODIG to better ensure consistent program implementation and equal treatment of all servicemember complaints.
    Director: Williamson, Randall B
    Phone: (206)287-4860

    3 open recommendations
    including 2 priority recommendations
    Recommendation: To ensure that servicemembers have equitable access to the military services' wounded warrior programs, including the RCP, and to establish central accountability for these programs, the Secretary of Defense should establish or designate an office to centrally oversee and monitor the activities of the military services' wounded warrior programs to include the following: (1) Develop consistent eligibility criteria to ensure that similarly situated recovering servicemembers from different military services have uniform access to these programs; (2) Direct the military services' wounded warrior programs to fully comply with the policies governing care coordination and case management programs and any future changes to these policies; (3) Develop a common mechanism to systematically monitor the performance of the wounded warrior programs--to include the establishment of common terms and definitions--and report this information on a biannual basis to the Armed Services Committees of the House of Representatives and the Senate.

    Agency: Department of Defense
    Status: Open
    Priority recommendation

    Comments: DOD did not concur with our part (1) of our recommendation to develop consistent eligibility criteria, explaining that the three military department secretaries should have the ability to control entrance criteria into their wounded warrior programs and that varying eligibility criteria have not resulted in noticeable differences in access to these programs by recovering servicemembers or their families. In attachments to a memo dated April 8, 2014, DOD provided an update on progress made to implement parts (2) and (3) of the DOD-specific recommendation made in GAO-13-5. Regarding part (2), DOD reported that budget constraints had delayed its plan to conduct oversight visits to 63 service sites over a 12-month period to ensure that military wounded warrior programs were operating in compliance with DOD Recovery Coordinator Program policy. DOD stated that the Warrior Care Policy office, in coordination with the military service branches, had intended to begin these oversight visits and interviews in September 2013; that as of March 2014, five sites had been reviewed; and that results of the compliance visits would be available upon completion. Regarding part (3) of the recommendation, DOD's memo stated that DOD and VA continue work on developing policies on clinical and non-clinical care coordination. It also noted that interagency metrics for monitoring complex care coordination performance were under development by the DOD/VA Interagency Care Coordination Committee. Further, DOD stated that because the Joint Executive Council publishes an annual report, that reporting the progress in developing common terms and definitions used by wounded warrior programs to congressional committees would be of limited value. As of October 2016, when we determine what additional steps the agency has taken to implement this recommendation, we will update this information.
    Recommendation: To ensure that persistent challenges with care coordination, disability evaluation, and the electronic sharing of health records are fully resolved, the Secretaries of Defense and Veterans Affairs should ensure that these issues receive sustained leadership attention and collaboration at the highest levels with a singular focus on what is best for the individual servicemember or veteran to ensure continuity of care and a seamless transition from DOD to VA. This should include holding the Joint Executive Council accountable for (1) ensuring that key issues affecting recovering servicemembers and veterans get sufficient consideration, including recommendations made by the Warrior Care and Coordination Task Force and the Recovering Warrior Task Force; (2) developing mechanisms for making joint policy decisions; (3) involving the appropriate decision-makers for timely implementation of policy; and; (4) establishing mechanisms to systematically oversee joint initiatives and ensure that outcomes and goals are identified and achieved.

    Agency: Department of Defense
    Status: Open
    Priority recommendation

    Comments: As of October 2016, under the joint DOD/VA Interagency Care Coordination Committee, the departments have made progress to improve nonclinical care coordination procedures, primarily through the development of two initiatives?the Lead Coordinator initiative (in which a single care coordinator serves as the primary point of contact for a recovering servicemember) and through the use of a single, interagency care plan (ICP) for each recovering servicemember. As of March 2016, the departments were continuing the national rollout of the Lead Coordinator initiative and had trained nearly 3,700 DOD and VA personnel on the new process. In addition, DOD and VA continued the development of the ICP initiative, which will depend upon their ability to electronically exchange the information needed to implement servicemembers' care plans. In December 2015, DOD awarded a contract to support the ICP and to create electronic interoperability with VA. The departments anticipate testing their ability to exchange information digitally in June 2016 and achieving full operational capability by September 2016. We will continue to monitor progress to implement the joint Lead Coordinator and the ICP care coordination initiatives.
    Recommendation: To ensure that persistent challenges with care coordination, disability evaluation, and the electronic sharing of health records are fully resolved, the Secretaries of Defense and Veterans Affairs should ensure that these issues receive sustained leadership attention and collaboration at the highest levels with a singular focus on what is best for the individual servicemember or veteran to ensure continuity of care and a seamless transition from DOD to VA. This should include holding the Joint Executive Council accountable for (1) ensuring that key issues affecting recovering servicemembers and veterans get sufficient consideration, including recommendations made by the Warrior Care and Coordination Task Force and the Recovering Warrior Task Force; (2) developing mechanisms for making joint policy decisions; (3) involving the appropriate decision-makers for timely implementation of policy; and; (4) establishing mechanisms to systematically oversee joint initiatives and ensure that outcomes and goals are identified and achieved.

    Agency: Department of Veterans Affairs
    Status: Open

    Comments: As of October 2016, under the joint DOD/VA Interagency Care Coordination Committee, the departments have made progress to improve nonclinical care coordination procedures, primarily through the development of two initiatives?the Lead Coordinator initiative (in which a single care coordinator serves as the primary point of contact for a recovering servicemember) and through the use of a single, interagency care plan (ICP) for each recovering servicemember. As of March 2016, the departments were continuing the national rollout of the Lead Coordinator initiative and had trained nearly 3,700 DOD and VA personnel on the new process. In addition, DOD and VA continued the development of the ICP initiative, which will depend upon their ability to electronically exchange the information needed to implement servicemembers' care plans. In December 2015, DOD awarded a contract to support the ICP and to create electronic interoperability with VA. The departments anticipate testing their ability to exchange information digitally in June 2016 and achieving full operational capability by September 2016. We will continue to monitor progress to implement the joint Lead Coordinator and the ICP care coordination initiatives.