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Open Recommendations

Electronic Health Records: DOD Has Made Progress in Implementing a New System, but Challenges Persist

GAO-21-571
Sep 20, 2021
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3 Open Recommendations
Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should direct the Program Executive Officer of Defense Health Management Systems to develop an approach for retesting the incidents identified by testers to ensure that the incidents have been resolved. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should direct the Program Executive Officer of Defense Health Management Systems to improve the effectiveness of MHS GENESIS training by ensuring it is relevant to user roles. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should direct the Defense Health Agency Chief Health Informatics Officer to ensure users are aware of system changes and to monitor users' awareness of changes. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Chronic Health Conditions: Federal Strategy Needed to Coordinate Diet-Related Efforts

GAO-21-593
Sep 16, 2021
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1 Open Recommendations
Agency Affected Recommendation Status
Congress Congress should consider identifying and directing a federal entity to lead the development and implementation of a federal strategy to coordinate diet-related efforts that aim to reduce Americans' risk of chronic health conditions. The strategy could incorporate elements from the 2011 National Prevention Strategy and should address outcomes and accountability, resources, and leadership. (Matter for Consideration 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicaid Home- and Community-Based Services: Evaluating COVID-19 Response Could Help CMS Prepare for Future Emergencies

GAO-21-104401
Sep 08, 2021
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2 Open Recommendations
Agency Affected Recommendation Status
Centers for Medicare and Medicaid Services The CMS Administrator should develop procedures to monitor temporary changes to Medicaid HCBS programs during public health emergencies. This should include procedures for collecting and analyzing data during emergencies on the effects of these changes. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare and Medicaid Services The CMS Administrator should evaluate the temporary changes to Medicaid HCBS programs after the COVID-19 emergency and develop corrective action plans to address any opportunities for improvement it identifies. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Medicare: Additional Reporting on Key Staffing Information and Stronger Payment Incentives Needed for Skilled Nursing Facilities [Reissued with revisions on Aug. 10, 2021.]

GAO-21-408
Aug 09, 2021
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4 Open Recommendations
Agency Affected Recommendation Status
Congress Congress should consider directing the Secretary of HHS to implement additional reductions in payments to SNFs that generate Medicare spending on potentially preventable critical incidents—hospital readmissions and ER visits that occur within 30 days of the SNF admissions—either through the SNF Value-Based Purchasing program or some other vehicle, including, as needed, making any appropriate modifications to enable HHS to take action.
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare and Medicaid Services The Administrator of CMS should report weekend decreases in RN and total nurse staffing levels on the Care Compare website. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare and Medicaid Services The Administrator of CMS should report minimum RN and total nurse staffing thresholds below which SNF residents are at increased risk of quality problems—such as thresholds that are similar to those identified in the CMS staffing study—on the Care Compare website. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Centers for Medicare and Medicaid Services The Administrator of CMS should assess the feasibility of incorporating into the Five-Star System staffing ratings information on weekend decreases in RN and total nurse staffing levels, and minimum RN and total nurse staffing thresholds below which SNF residents are at increased risk of quality problems—such as those that were identified in the CMS staffing study. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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