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    Subject Term: "Community-based services"

    2 publications with a total of 3 open recommendations
    Director: Kay Brown
    Phone: (202) 512-7215

    1 open recommendations
    Recommendation: The Secretary of the Department of Health and Human Services should facilitate development of a cross-agency federal strategy to help ensure that federal resources from Administration for Community Living, CMS, USDA, HUD, and DOT are effectively and efficiently used to support a comprehensive system of HCBS and related supports for older adults. Through such a strategy the agencies could, for example, define common outcomes for affordable housing with supportive services, non-medical transportation, and nutrition assistance at the federal level; develop lessons learned for the local networks that area agencies on aging and community-based organizations are forming; and develop strategies for leveraging limited resources.

    Agency: Department of Health and Human Services
    Status: Open

    Comments: HHS agreed with this recommendation, noting that it continually strives to improve its strategic coordination and described ways that it facilitates cross agency strategic efforts, including a community-living initiative with HUD and an interagency workgroup on Olmstead requirements. HHS also described collaboration by HHS and HUD on policy research projects concerning housing and supportive services for older adults, including a comparison of health service utilization by older adults who live in assisted housing with those who do not and an evaluation of a demonstration in Vermont that provides services and supports to residents of HUD-assisted housing. In 2017, of several HCBS partnership efforts HHS reported,only two efforts -- the Department of Transportation's Coordinating Council on Access and Mobility and the Centers for Medicare and Medicaid Services' Affinity Group--appear to include more than two of the five agencies that fund HCBS for older adults. In addition, neither of these efforts appear to cover the full range of services the five agencies fund. We continue to encourage HHS to engage all five agencies in developing a cross agency federal strategy for administering home and community-based services for older adults. To consider the recommendation implemented, we will look for HHS' report on efforts in which all five agencies participate in developing such a cross-agency federal strategy to provide HCBS in the areas of nutrition services, in-home services, affordable housing and transportation.
    Director: Farrell, Brenda S
    Phone: (202) 512-3604

    2 open recommendations
    Recommendation: To enhance DOD's capability and capacity to accomplish the missing persons accounting mission, and to clarify the specific roles and responsibilities of the accounting community members to help minimize unnecessary overlap and disagreement among community members, the Secretary of Defense should direct the Secretary of the Air Force and direct the Commander, U.S. Pacific Command, or the appropriate departmental entity in light of any reorganization, to negotiate a new memorandum of agreement between the Life Sciences Equipment Laboratory and Joint Prisoner of War/Missing in Action Accounting Command (JPAC). The memorandum should specify which conflicts' artifacts JPAC should send to the Life Sciences Equipment Laboratory for analysis, the type of artifacts sent, and the priorities according to which the Life Sciences Equipment Laboratory should analyze resolved cases.

    Agency: Department of Defense
    Status: Open

    Comments: Officials from the Defense POW/MIA Accounting Agency (DPAA) stated that the Life Sciences Equipment Laboratory (LSEL) and the former JPAC Central Identification Laboratory (CIL) have both been absorbed into DPAA, so there is no need for a separate memorandum between the two entities. We believe that DPAA should take actions that would meet the intent of our recommendation by delineating the roles and responsibilities within DPAA of the former LSEL and CIL laboratories. As of September 2017, DPAA has taken some actions to clarify which conflicts and types of artifacts the different laboratories are responsible for working on. For example, according to DPAA officials, DPAA has made progress in bringing the former LSEL up to the standard of the other DPAA laboratories by developing an evidence control system and a formal inventory. In addition, the DPAA laboratories have updated their standard operating procedures to specify the format and procedures for writing life science equipment material evidence reports, which should address the concerns identified in our report related to the length and utility of these reports prepared by one of the laboratories. However, a DPAA official stated that DPAA is rethinking how different laboratory functions should be performed and where those capabilities should reside, and that a decision about the future course of action would likely be made in fiscal year 2018. Until the responsibilities of the different DPAA laboratories are clarified with regard to which conflicts and types of artifacts the different laboratories are responsible for working on, the potential for inefficient and ineffective interactions between the different laboratories that we identified in our 2013 report may continue.
    Recommendation: To enhance DOD's capability and capacity to accomplish the missing persons accounting mission, and to more efficiently and effectively develop the capability and capacity to account for missing persons, the Secretary of Defense should direct the Office of the Under Secretary of Defense (Policy), or the appropriate departmental entity in light of any reorganization, to ensure that the Defense Prisoner of War/Missing Personnel Office (DPMO), in coordination with all members of the accounting community, develop personnel files for all unaccounted for persons as required by statute, in order to help avoid potential overlap or unnecessary duplication of effort and to ensure better communication among community members with respect to missing persons cases.

    Agency: Department of Defense
    Status: Open

    Comments: As of September 2017, this recommendation has not been implemented and remains open. The Defense POW/MIA Accounting Agency (DPAA) is taking actions to develop case files for all persons who are unaccounted for. As of May 2017, DPAA officials said that DPAA had completed the case files for all individuals from the Vietnam War; about 80 percent of the files for individuals from the Korean War; and about 60 percent of the files for individuals from World War II. The officials said that DPAA has an ongoing effort to develop a case management system and scanning project that will serve as the basis for the required personnel or case files, but they have faced funding challenges that have hindered their ability to finish this project. They said that if DPAA can get the necessary funding, they will be able to complete development of all of the files in about 2 years. They said that with a lower level of funding, it will take more time than that 2 year estimate, and potentially could cost more money over time. Until personnel files for all unaccounted-for missing persons are developed and made readily accessible, as required by law, the community?s efforts to collaborate on cases will be hindered by a lack of information visibility among community members.