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As of April 7, 2020, there are 4984 open recommendations, of which 369 are priority recommendations. Recommendations remain open until they are designated as Closed-implemented or Closed-not implemented.
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Recommendation: To help ensure that quality care is provided to AI/AN people, as part of the implementation of its quality framework, the Secretary of HHS should direct the Director of IHS to ensure that agency-wide standards for the quality of care provided in its federally operated facilities are developed, that facility performance in meeting these standards is systematically monitored over time, and that enhancements are made to its adverse event reporting system.
Agency: Department of Health and Human Services Status: Open Priority recommendation
Comments: HHS concurred with this recommendation and cited steps that have been taken to improve the quality of care in IHS's federally-operated facilities, including establishing an IHS Office of Quality, and developing a dashboard of standards for quality of care. In addition, IHS awarded a contract to a software development firm in December 2018 to design a new adverse event reporting and tracking system for the agency. In March 2020, IHS officials told us the agency had completed a 3 site pilot test, and that one site had gone live with the adverse events reporting system. However, the COVID-19 pandemic response has diverted IHS resources that would be required for successful implementation of the software and adoption of new workflows for managing adverse events. Therefore, IHS is temporarily halting further roll-out of the system until such time as the COVID-19 national emergency has resolved or a determination is made by IHS leadership that IHS can reasonably be expected to manage a new software release despite on-going disaster response. As such, IHS stated that the recommendation should remain open. We agreed and said we will assess HHS's actions once completed.