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Open Recommendations

Coast Guard Health Care: Additional Actions Could Help Ensure Beneficiaries' Access
GAO-23-105574
Apr 04, 2023
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7 Open Recommendations
Agency Affected Recommendation Status
United States Coast Guard The Commandant of the Coast Guard should collect information on the reasons for USPHS recruitment and retention challenges, such as information obtained through standardized exit interviews; analyze the information; and take action as appropriate, such as sharing relevant information with USPHS and developing targeted strategies for addressing the challenges. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
United States Coast Guard The Commandant of the Coast Guard, in collaboration with DHA, should develop an agreement to outline the responsibilities for and facilitation of the routine sharing of data on Coast Guard beneficiaries' access to medical care provided at DHA medical facilities. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA, in collaboration with the Coast Guard, should develop an agreement to outline the responsibilities for, and facilitation of, the routine sharing of data on Coast Guard beneficiaries' access to medical care provided at DHA medical facilities. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
United States Coast Guard The Commandant of the Coast Guard should establish a process to routinely monitor data on Coast Guard beneficiaries' access to medical care provided at DHA medical facilities, once routine data sharing is established with DHA. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
United States Coast Guard The Commandant of the Coast Guard should establish a process to routinely monitor data available from the managed care support contractors on Coast Guard beneficiaries' access to civilian medical care through TRICARE. (Recommendation 5)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should require the military medical treatment facilities to share capability and capacity reports with Coast Guard clinics from which beneficiaries are referred, such as through a policy or a memorandum of understanding with the Coast Guard. (Recommendation 6)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Drug Manufacturing: FDA Should Fully Assess Its Efforts to Encourage Innovation
GAO-23-105650
Mar 10, 2023
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1 Open Recommendations
Agency Affected Recommendation Status
Food and Drug Administration The Commissioner of FDA should ensure that, for its ETP and FRAME program efforts, CDER documents and finalizes (1) performance goals with specific targets and time frames, and (2) associated clear performance measures with measurable results, both of which are linked to its long-term strategic objectives. CDER also should regularly assess progress toward achieving program goals. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Bureau of Prisons: Assessment of Health Care Reentry Policies and Procedures Needed
GAO-23-105610
Feb 27, 2023
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1 Open Recommendations
Agency Affected Recommendation Status
Bureau of Prisons The Director of BOP should assess the effectiveness of the bureau's policies and procedures for facilitating enrollment in Medicaid or other health care coverage for inmates nearing reentry, and for helping ensure continuity of care upon release from BOP custody. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

VA Health Care: VHA Lacks Reliable Onboarding Data for New Clinical Staff
GAO-23-105706
Feb 24, 2023
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2 Open Recommendations
Agency Affected Recommendation Status
Department of Veterans Affairs The Under Secretary for Health should require all offices involved in onboarding to use USA Staffing to monitor onboarding tasks and completion dates. (Recommendation 1)
Open
VA concurred with our recommendation and identified actions VHA is taking, such as developing an implementation plan that includes drafting and issuing an Under Secretary for Health memorandum mandating relevant staff use USA Staffing. VHA estimated that it will complete these efforts in August 2023.
Department of Veterans Affairs The Under Secretary for Health should ensure that Veterans Integrated Services Networks and medical facilities have clear and comprehensive guidance on entering data into USA Staffing, including data-level definitions. (Recommendation 2)
Open
VA concurred with our recommendation and identified actions it is taking, such as beginning to develop data-level definitions for upcoming user guides for USA Staffing. VHA estimated that it will complete these efforts in August 2023.
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