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As of January 31, 2023, there are 4840 open recommendations that still need to be addressed. 471 of these are priority recommendations, those that we believe warrant priority attention. Learn more about our priority designation on our Recommendations page.

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1 - 3 of 3 Recommendations, including 0 Priority Recommendations

Defense Health Care: Expanded Use of Quality Measures Could Enhance Oversight of Provider Performance

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2 Open Recommendations
Agency Recommendation Status
Office of the Assistant Secretary of Defense (Health Affairs) As MHS governing bodies conduct their recurring reviews of quality measures selected for MHS's Core Dashboard and Purchased Care Dashboards, the Assistant Secretary of Defense for Health Affairs should direct those bodies to prioritize, as appropriate, the selection of measures that apply to both direct and purchased care at the provider level and that expand the range of quality measure types and medical conditions that are assessed. (Recommendation 1)
Open

DOD concurred with this recommendation. In January 2020, DOD officials described proposed actions to address key elements of our recommendation. Specifically, DOD officials described compiling a comprehensive library of existing inpatient and outpatient quality measures for both direct and purchased care; categorizing those measures by type and medical condition; and identifying 8 measures that are common across direct and purchased care. In April 2021, DOD reported adding 4 measures to the purchased care core quality dashboard, increasing the current number of overlapping direct care and

Office of the Assistant Secretary of Defense (Health Affairs) The Assistant Secretary of Defense for Health Affairs should establish, as appropriate, performance standards related to the Purchased Care Dashboard measures that are consistent with the MHS's performance standards for direct care; ensure they are applied to individual purchased care providers; and take steps, such as amending its managed care support contracts, if necessary, to require corrective actions to be taken when providers do not meet those standards. (Recommendation 2)
Open

DOD concurred with this recommendation. In April 2021, DOD reported that the Defense Health Agency was in the planning phase for addressing recommendation 2 since the initiation of action was dependent upon completion of actions provided for in recommendation 1. In April 2022, DOD reported that the Defense Health Agency made changes to the next round of the TRICARE purchased care contract to establish specific clinical quality requirements with expectations for meeting consistent standards. New requirements for clinical quality monitoring at the individual level have also been incorporated

Military Personnel: Actions Needed to Address Sexual Assaults of Male Servicemembers

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1 Open Recommendations
Agency Recommendation Status
Office of the Assistant Secretary of Defense (Health Affairs) To improve DOD's ability to prevent sexual assaults of male servicemembers, to increase its responsiveness to male servicemembers who are sexually assaulted, and to help ensure that all of DOD's medical and mental health providers are generally aware of any gender-specific needs of sexual assault victims, and that victims are provided the care that most effectively meets those needs, the Assistant Secretary of Defense for Health Affairs should, in collaboration with the services' Surgeons General, develop and issue guidance for the department's medical and mental health providers--and other personnel, as appropriate--based on the results of this evaluation that delineates these gender-specific distinctions and the care regimen that is recommended to most effectively meet those needs.
Open

DOD concurred with this recommendation in written comments on our report. In August 2018, the Office of the Assistant Secretary of Defense for Health Affairs stated that DOD is writing an Instruction and two accompanying Defense Health Agency Procedural Instructions that will delineate gender-specific distinctions and care regimens where appropriate. The guidance will incorporate the findings of a report by the Psychological Health Center of Excellence of the Defense Health Agency resulting from a planned study of the patterns of health care utilization of servicemembers reporting a sexual

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