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    Results:

    Subject Term: "Quality standards"

    9 publications with a total of 15 open recommendations including 4 priority recommendations
    Director: Maurer, Diana C
    Phone: (202) 512-8777

    1 open recommendations
    Recommendation: To better ensure that the FBI Laboratory obtains additional transcripts, the FBI Director should require that the FBI Laboratory's procedure for tracking and obtaining transcripts routinely captures and uses additional information and data critical to transcript acquisition, such as the reason a transcript is unavailable, when it is expected to be available, the court jurisdiction, and a point of contact for the transcript.

    Agency: Department of Justice: Federal Bureau of Investigation
    Status: Open

    Comments: When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
    Director: Beryl H. Davis
    Phone: (202) 512-2623

    2 open recommendations
    Recommendation: To provide increased oversight of AOC and to keep the Architect and the Congress fully and currently informed, the AOC OIG should revise and implement policies and procedures to provide audit reports that are based on planning that includes an assessment of risk and the assignment of priorities, consistent with requirements in CIGIE's Quality Standards for Federal Offices of Inspector General.

    Agency: Architect of the Capitol
    Status: Open

    Comments: The AOC OIG has met the intent of GAO recommendation related to "revising" policies and procedures. We have verified that AOC OIG's policies (dated February 2017) have been revised and now require an assessment of risk and the assignment of priorities, consistent with requirements in CIGIE's Quality Standards for Federal Offices of Inspector General. However, we do not believe AOC OIG has met the intent of GAO recommendation related to "implementing" policies and procedures. In June 2017, the AOC OIG informed us that it plans to complete a risk assessment in August 2017 and use the results from the risk assessment to aid in developing the AOC OIG fiscal year 2018 audit plan, which AOC OIG plans to complete by October 1, 2017. To fully implement the recommendation, we believe AOC OIG still needs to (1) complete the risk assessment and (2) show how it used the results of the risk assessment to improve the scope of what needs to be audited. We will continue to monitor AOC OIG's actions to address this recommendation.
    Recommendation: To reduce the risk that fraud, waste, and abuse and criminal activities are not detected or fully addressed, the AOC OIG should (1) work with CIGIE to obtain a peer review from another federal OIG of the AOC OIG's overall investigative operations, including consideration of the OIG's reliance on investigations performed by other entities, and (2) make any needed changes in its operating procedures based on the results of the review to help ensure that investigations of AOC are conducted in accordance with CIGIE standards for investigations and AOC Inspector General Act of 1978 (IG Act) requirements.

    Agency: Architect of the Capitol
    Status: Open

    Comments: On April 27, 2017, the OIG informed us that it has scheduled with CIGIE an external peer review of AOC investigative operations. The Federal Housing Finance Agency OIG is scheduled to perform this review in August 2017. This external review will also include assessing the AOC OIG's reliance on other OIGs and the U.S. Capitol Police to complete certain investigations. Further, AOC OIG indicated that after they receive the results of this peer review, they will make needed changes in operating procedures consistent with the GAO recommendation. We will continue to monitor AOC OIG's actions to address this recommendation.
    Director: Kathleen King
    Phone: (202) 512-7114

    1 open recommendations
    including 1 priority recommendation
    Recommendation: To help ensure that timely primary care is available and accessible to AI/AN people, the Secretary of HHS should direct the Director of IHS to monitor patient wait times in its federally operated facilities and ensure corrective actions are taken when standards are not met.

    Agency: Department of Health and Human Services
    Status: Open
    Priority recommendation

    Comments: As of June 2017, according to IHS, the implementation of an agency-wide standard for patient wait times will be accomplished as follows: A decision will be made on the standard to be used, by the IHS Director no later than July 2017. Using a pilot sample of facilities (two to four facilities), the standard will be assigned to the Area Directors over the selected pilot facilities in October 2017. Systems of measurement will be decided and communicated to the Area Directors for the pilot facilities. By December 31, 2017, three months of activity will be analyzed and evaluated against the standard. Between January and March, 2018, adjustments to the necessary systems of measure, or adjustments to the reasonably expected performance standard will be made. A final evaluation will be performed not later than September 2018, and final adjustments will be made to either the measurement system or the standard to allow for full implementation of the standard across all IHS Areas by October, 2018.
    Director: Linda Kohn
    Phone: (202) 512-7114

    3 open recommendations
    Recommendation: To improve the measurement of nursing home quality, the Administrator of CMS should establish specific timeframes, including milestones to track progress, for the development and implementation of a standardized survey methodology across all states.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open

    Comments: HHS concurred with this recommendation and in September 2017 reported that CMS is taking steps to address. We will update the status of this recommendation when we receive additional information.
    Recommendation: To improve the measurement of nursing home quality, the Administrator of CMS should establish and implement a clear plan for ongoing auditing to ensure reliability of data self-reported by nursing homes, including payroll-based staffing data and data used to calculate clinical quality measures.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open

    Comments: HHS concurred with this recommendation and in September 2017 reported that CMS is taking steps to address. We will update the status of this recommendation when we receive additional information.
    Recommendation: To help ensure modifications of CMS's oversight activities do not adversely affect the agency's ability to assess nursing home quality and that effective modifications are adopted more widely, the Administrator of CMS should establish a process for monitoring modifications of essential oversight activities made at the CMS central office, CMS regional office, and state survey agency levels to better understand the effects on nursing home quality oversight.

    Agency: Department of Health and Human Services: Centers for Medicare and Medicaid Services
    Status: Open

    Comments: HHS concurred with this recommendation and in September 2017 reported that CMS is taking steps to address. We will update the status of this recommendation when we receive additional information.
    Director: Wise, David J
    Phone: (202) 512-2834

    1 open recommendations
    Recommendation: The Secretary of State should take steps to ensure that OBO fully documents and keeps readily available the basis for its planning decisions according to State's policy for new embassy compounds and major renovation projects, such as decisions to construct a building on-site or lease space off-site.

    Agency: Department of State
    Status: Open

    Comments: Beginning in 2016, major programmatic decisions related to choosing new embassy construction projects for award each fiscal year will be documented using a risk-based decision-making model. This model incorporates concepts of multi-attribute decision analysis and risk analytics to suggest an ideal project sequencing. Model inputs and outputs are stored on the Bureau of Overseas Building Operations (OB0) SharePoint directory. State expects to develop a similar method for the major rehabilitation program that may be implemented as early as 2017. Major project level decisions are documented through a variety of methods. OBO and other offices at State develop new embassy compound alternative analyses to document decisions about whether to pursue new construction, renovate and stay-in-place, or relocate to new leased space. Warehouse business cases document decisions to build on, or lease off compound. Those are kept, readily available, in OBO's SharePoint Directory. As projects proceed further through design and construction phases, any major decisions required are generally documented in decision memoranda and saved in OBO Link.
    Director: Beryl H. Davis
    Phone: (202) 512-2623

    1 open recommendations
    Recommendation: In order to ensure that the Commission receives effective oversight of its major programs and operations, the Commission IG, or the individual or entity that ultimately assumes IG oversight responsibilities for the Commission under an alternate structure, should conduct inspections that are fully in accordance with CIGIE's Quality Standards for Inspection and Evaluation and the OIG's policies and procedures.

    Agency: Denali Commission
    Status: Open

    Comments: The Denali Commissions' office's directives include policies and procedures to address planning for, conduct of, and reporting on inspections and include a section on annual planning, risk assessments, and internal and external quality control processes and procedures. In March 2017, the Denali Commission's Inspector General (IG) provided us a template, which will be used to ensure that inspections are conducted in accordance with the Council of Inspectors General on Integrity and Efficiency's (CIGIE) Quality Standards for Inspection and Evaluation and the Office of Inspector General's (OIG) policies and procedures. We have reviewed this template and concluded that it meets the intent of our recommendation. However, this template was not available in time for use during the last inspection, which was performed in 2016 and issued in March 2017. We will obtain a copy of the next inspection report once issued to ensure this latest template was used before we consider closing our recommendation. We will continue to monitor the agency's actions to address this recommendation.
    Director: Gomez, Jose A
    Phone: (202) 512-3841

    4 open recommendations
    including 3 priority recommendations
    Recommendation: To enhance the likelihood that TMDLs support the nation's waters' attainment of water quality standards and to strengthen water quality management, the Administrator of EPA should develop and issue new regulations requiring that TMDLs include additional elements--and consider requiring the elements that are now optional--specifically, elements reflecting key features identified by NRC as necessary for attaining water quality standards, such as comprehensive identification of impairment and plans to monitor water bodies to verify that water quality is improving.

    Agency: Environmental Protection Agency
    Status: Open
    Priority recommendation

    Comments: In November 2016, EPA officials stated that they agree that broad implementation and monitoring requirements would be helpful, but disagree that they should issue regulations. Officials stated that they continue to follow the state Water Quality Management Plan requirement related to GAO's recommendation.
    Recommendation: To enhance the likelihood that TMDLs support the nation's waters' attainment of water quality standards and to strengthen water quality management, the Administrator of EPA should ensure more consistent application of existing TMDL elements and to provide greater assurance that TMDLs, if implemented, can achieve tangible water quality results, identify regional offices with criteria for interpreting and applying such elements in reviewing and approving state-developed TMDLs and issue guidance with more specificity, directing all regional offices to follow the same criteria, including requesting that states provide more-detailed information about pollution causes and abatement actions.

    Agency: Environmental Protection Agency
    Status: Open
    Priority recommendation

    Comments: In November 2016, EPA officials said they had created a small workgroup to assess this recommendation. The group is continuing discussions about how to enhance consistent regional review. We will continue to monitor EPA's progress.
    Recommendation: To enhance the likelihood that TMDLs support the nation's waters' attainment of water quality standards and to strengthen water quality management, the Administrator of EPA should place conditions on states' annual use of nonpoint source management and water pollution control grants to ensure that the funds meet the purposes for which they are awarded and achieve greater reductions in nonpoint source pollution associated with TMDL implementation, such as by targeting funds to states and projects that incorporate factors needed for effective TMDL implementation (e.g., targeting grant funds to projects where implementation plans have been developed and where external agency assistance is available).

    Agency: Environmental Protection Agency
    Status: Open

    Comments: In November 2016, EPA officials said that they believe the 2013 nonpoint source guidance substantially addresses this recommendation. Specifically, in April 2013, EPA issued revised guidance for awarding section 319 grants to states to implement nonpoint source management programs and projects. The guidance updates previous guidance to EPA regional offices and states in four key areas: (1) state nonpoint source management program plans, (2) funding distribution, (3) reviews of states' watershed-based plans, and (4) regional offices' annual progress determinations. While this encourages states to target nonpoint source funding to watersheds with TMDLs, it does not incentivize it with funding. EPA continues to discuss approaches to address this recommendation. GAO will continue to monitor the recommendation.
    Recommendation: To enhance the likelihood that TMDLs support the nation's waters' attainment of water quality standards and to strengthen water quality management, the Administrator of EPA should obtain missing data that currently impede EPA's efforts to determine whether and to what extent TMDLs have been implemented or to what extent implemented TMDLs have helped impaired waters attain water quality standards by (1) directing states to use and report specific Geographic Information Systems data when implementing projects to which TMDLs apply and (2) requesting that USDA ask landowners who participate in conservation programs funded by the department in areas subject to a TMDL to disclose information on the location, type, and number of projects implemented under these programs.

    Agency: Environmental Protection Agency
    Status: Open
    Priority recommendation

    Comments: In November 2016, EPA officials said that they have created the Water Quality Framework to align and integrate the variety of water quality data in different systems. The first phase focuses on improvements to ATTAINS, the TMDL tracking system, to report on the status of healthy waters and restoring and improving impaired waters. EPA officials said that they have transitioned to the use of NHDPlus catchments to report on performance measures, allowing EPA to automate the calculation of data. In addition, in June 2016, EPA requested USDA to provide data on the location, type, and number of projects implemented by USDA programs. USDA has not provided the data. We will continue to monitor EPA's progress.
    Director: Fennell, Anne-marie Lasowski
    Phone: (202) 512-3841

    1 open recommendations
    Recommendation: To enhance the overall sustainability of the Forest Service's trail system, consistent with the vision articulated in A Framework for Sustainable Recreation, and to reduce the trail maintenance backlog, the Secretary of Agriculture should direct the Chief of the Forest Service to take several actions to improve the agency's trail maintenance approach in both the short and long terms. To improve the agency's ability to keep up with its maintenance goals in the short term and reduce its maintenance backlog, the agency should, recognizing the importance of volunteers for trail maintenance, take steps to improve management of volunteers, including by ensuring that collaboration with and management of volunteers are clear expectations of trails staff and offering relevant training.

    Agency: Department of Agriculture
    Status: Open

    Comments: The Forest Service reported that it has taken and continues to take steps to improve management of volunteers. In particular, the agency has taken steps to reduce barriers to volunteering, such as its fiscal year 2014 implementation of a revised approach to funding volunteer worker's compensation costs from a national funding pool rather than allocating funds locally. In addition, the December 2016 national trail strategy identifies some additional key actions, such as developing and providing efficiency tools to support active partnering. The Forest Service also reported that it is developing training materials that address volunteer and partnership program management skills. The Forest Service has not, however, taken steps to ensure that collaboration with and management of volunteers are clear expectations of trails staff.
    Director: Trimble, David C
    Phone: (202) 512-3841

    1 open recommendations
    Recommendation: To help ensure that the Environmental Protection Agency (EPA) can address atmospheric deposition of NOx and SO2 impairing the nation's waters, the EPA Administrator should determine whether EPA can obtain in a timely manner the data it needs to establish secondary NAAQS adequate to protect against the effects of acid rain and, if not, identify alternative strategies to do so.

    Agency: Environmental Protection Agency
    Status: Open

    Comments: EPA issued the final "Integrated Review Plan for the Secondary National Ambient Air Quality Standards for Oxides of Nitrogen and Oxides of Sulfur and Particulate Mater" in January 2017. According to this plan, it serves as a public information document and as a management tool for EPA's National Center for Environmental Assessment and Office of Air Quality Planning and Standards in conducting the review of the secondary national ambient air quality standards for oxides of nitrogen (NOx) and oxides of sulfur (SOx). This plan describes the development of the Integrated Science Assessment (ISA). According to the plan, the ISA is a comprehensive review, synthesis and evaluation of the most policy-relevant science, including key science judgments. As of January 2017, EPA estimates that the first draft ISA will be available for public review in winter 2017. GAO may be able to use the ISA to determine if EPA has implemented the recommendation.