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Open Recommendations

Electronic Health Records: VA Needs to Address Management Challenges with New System

GAO-23-106731
May 18, 2023
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10 Open Recommendations
10 Priority
Agency Affected Recommendation Status
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should ensure that VA documents a VA-specific change management strategy to formalize its approach to drive user adoption. (Recommendation 1)
Open
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should ensure that the department's planned improvements to communication of system changes meet users' needs for the frequency of the updates provided. (Recommendation 2)
Open
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should take steps to improve change readiness scores prior to future system deployments. (Recommendation 3)
Open
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should ensure steps taken by the EHRM program and Oracle Cerner to increase workforce skills and competencies through improved training and related change management activities have been effective. (Recommendation 4)
Open
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should address users' barriers to change, by ensuring planned completion of all actions identified in the Secretary's Strategic Review. (Recommendation 5)
Open
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should develop a plan, including a timeline, for establishing (1) targets for measuring the adoption of changes and (2) metrics and targets to measure the resulting outcomes of the change. (Recommendation 6)
Open
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation

Information and Communications Technology: DOD Needs to Fully Implement Foundational Practices to Manage Supply Chain Risks

GAO-23-105612
May 18, 2023
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3 Open Recommendations
Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should direct the DOD CIO to commit to a time frame to fully implement an agency-wide ICT SCRM strategy, including how the department will assess, respond to, or monitor ICT supply chain risks across the life cycle of ICT products and services. (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 Undersecretary of Defense for Acquisition and Sustainment and the DOD CIO to commit to a time frame to fully implement a process to conduct SCRM reviews of potential suppliers. (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 Undersecretary of Defense for Acquisition and Sustainment and the DOD CIO to commit to a time frame to fully implement organizational counterfeit detection procedures for products prior to deployment. In doing so, the department should take into consideration the results of its pilot efforts of applicable tools. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Software Acquisition: Additional Actions Needed to Help DOD Implement Future Modernization Efforts

GAO-23-105611
Apr 05, 2023
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7 Open Recommendations
Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should ensure that, as the Software Modernization SSG and other relevant entities develop performance measures for future software modernization efforts, these measures incorporate GAO's key attributes of successful performance measures, to the extent appropriate, to track progress towards achieving agency goals. (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 USD(A&S), USD(R&E), and DOD CIO to identify the resources needed, such as staffing and funding, to lead DOD's software acquisition and development reform efforts, and to address any related deficiencies these officials identify. (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 fully identify roles and responsibilities for leaders throughout the department for carrying out reforms included in key software strategies. (Recommendation 3)
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 ensure the USD(A&S), USD(R&E), and DOD CIO finalize an implementation plan that includes key milestones and deliverables to track progress on implementing the Software Modernization Strategy. (Recommendation 4)
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 ensure the USD(R&E) finalizes an implementation plan that includes key milestones and deliverables to track progress on implementing the Software Science and Technology Strategy. (Recommendation 5)
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 USD(A&S), USD(R&E), and DOD CIO to establish processes to collect the data necessary to effectively measure progress against outcome-oriented goals related to software modernization efforts. (Recommendation 6)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

IT Management: VA Needs to Improve CIO Oversight of Procurements

GAO-23-105719
Mar 30, 2023
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1 Open Recommendations
Agency Affected Recommendation Status
Department of Veterans Affairs The Secretary of VA should direct the Chief Information Officer and Chief Acquisition Officer to implement automated controls into relevant contracting systems to help ensure that IT and IT-related assets and activities are appropriately identified for VA's FITARA approval process. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
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