Reports

Department of Defense OIG

Audit of DoD Health Care Personnel Shortages During the Coronavirus Disease–2019 Pandemic

Audit | 5/23/2024

D-2024-0086-D000AW-0001-0001.a - Open

Rec. 1.a: The DoD OIG recommended that the Defense Health Agency Director, in consultation with the Defense Civilian Personnel Advisory Service develop and implement a plan to ensure a more competitive pay rate for nursing and other hard to fill medical positions in all Defense Health Agency regions.

D-2024-0086-D000AW-0001-0001.c - Open

Rec. 1.c: The DoD OIG recommended that the Defense Health Agency Director, in consultation with the Defense Civilian Personnel Advisory Service develop and implement a plan to establish qualification requirements for nursing and other hard to fill medical positions if it is determined that it would enhance the DoD's efforts to help recruit and retain health care personnel.

D-2024-0086-D000AW-0001-0002.a - Open

Rec. 2.a: The DoD OIG recommended that the Under Secretary of Defense for Personnel and Readiness, in consultation with the Assistant Secretary of Defense for Health Affairs and the Defense Health Agency Director determine whether the DoD needs to extend waiving the authority to apply section 3326, title 5, United States Code, for appointments made to positions in medical or health profession with the DoD under the direct hire authority and, if so, provide the extension in a subsequent memo before the authority for covered positions expires on September 30, 2025.

D-2024-0086-D000AW-0001-0003.a - Open

Rec. 3.a: The DoD OIG recommended that the Defense Health Agency Director revise Defense Health Agency Administrative Instruction 5136.03 to establish approval authority for any civilian personnel extensions outside the continental United States beyond a period of 7 years.

D-2024-0086-D000AW-0001-0003.b - Open

Rec. 3.b: The DoD OIG recommended that the Defense Health Agency Director establish maximum time frames to approve civilian personnel extensions outside of the continental United States and require monitoring of extension approval timelines.

D-2024-0086-D000AW-0001-0003.d - Open

Rec. 3.d: The DoD OIG recommended that the Defense Health Agency Director develop and implement a plan to apply strategies and incentives used by other Federal agencies to hire entry-level registered nurses if it is determined the strategies and incentives would enhance the DoD's recruitment efforts.

Social Security Administration OIG

Controls over the Social Security Administration’s National 800-number Service During the COVID-19 Pandemic

Objective: To determine whether the Social Security Administration had and used management controls over the service its 800 number employees provided callers during the COVID-19 pandemic.

Full Details: Oversight.gov Report Page

Audit | 8/29/2023

Social Security Administration OIG

The Social Security Administration’s Enumeration Services During the COVID-19 Pandemic

Objective: To determine whether the Social Security Administration (SSA) complied with its enumeration policies and procedures and had adequate controls over managing evidentiary documents submitted to support Social Security number (SSN) card applications during the COVID-19 pandemic.

Full Details: Oversight.gov Report Page

Audit | 9/30/2022

1 - Closed

Develop and periodically conduct comprehensive refresher training on topics including but not limited to: - processing original Social Security Number (SSN) cards for individuals aged 12 or older and emphasize requirements and documentation of the in-person interview;- acceptable forms of evidentiary documents, and- processing new (different) and replacement SSN cards when adoption

10 - Open

Complete the privacy assessments for the WorkTrack application.

2 - Open

Update quality control reviews to include comparison of SSNAP inputs to an applicant-submitted Form SS-5 and evidentiary documents, and provide feedback to the technicians who made input errors (such as race and ethnicity) or did not use the appropriate evidentiary documents.

3 - Open

Revise enumeration policy to include clear instructions for when Form SSA-5002 is required and how to properly document the form.

4 - Closed

Update Program Operations Manual System (POMS) to provide current instructions for enumeration notices and archive outdated policy.

5 - Open

Retain enumeration notices in the Online Retrieval System for individuals with assigned SSNs.

6 - Open

Create and implement automated tools to assist staff in navigating through enumeration evidentiary document requirements.

7 - Closed

Take corrective action on all keying errors and cross-referencing errors we identified.

8 - Closed

Require managers to verify that incident reports are submitted through the Personally Identifiable Information (PII) Loss Reporting Tool before they approve reimbursement to customers for replacing lost original documents.

9 - Closed

Update the National Mail Handling Business Process to include standard Agency-wide mitigation steps for misdirected mail including original documents.

Social Security Administration OIG

The Social Security Administration’s Mail Processing During the COVID-19 Pandemic

Objective: To determine whether the Social Security Administration (SSA) had adequate controls over mail processing during the COVID-19 pandemic.

Full Details: Oversight.gov Report Page

Audit | 5/13/2022

Department of Defense OIG

Evaluation of Department of Defense Military Medical Treatment Facility Challenges During the Coronavirus Disease-2019 (COVID-19) Pandemic in Fiscal Year 2021

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 4/05/2022

D-2022-2081-DEV0PB-0001-0001.A1a - Open

(U) Rec. A.1.a: The DoD OIG recommended that the Director of the Defense Health Agency, in conjunction with the Secretaries of the Military Departments, establish a working group to address the staffing challenges identified by Military Medical Treatment Facilities during this evaluation. The working group should establish milestones to streamline the hiring process to allow Military Medical Treatment Facilities to more quickly fill civilian staffing positions.

D-2022-2081-DEV0PB-0001-0001.A1b - Open

(U) Rec. A.1.b: The DoD OIG recommended that the Director of the Defense Health Agency, in conjunction with the Secretaries of the Military Departments, establish a working group to address the staffing challenges identified by Military Medical Treatment Facilities during this evaluation. The working group should establish milestones to determine if salaries for Military Medical Treatment Facility civilian nurses are commensurate with each facility's local market and if military treatment facilities are able to hire nurses at those salaries. For locations where military treatment facility salaries are not commensurate with the local market, take appropriate actions that will reduce the disparity in those markets.

D-2022-2081-DEV0PB-0001-0001.A1c - Open

(U) Rec. A.1.c: The DoD OIG recommended that the Director of the Defense Health Agency, in conjunction with the Secretaries of the Military Departments, establish a working group to address the staffing challenges identified by Military Medical Treatment Facilities during this evaluation. The working group should establish milestones to establish a central authority with the knowledge of the Services' requests for individual and large group deployments of medical staff coming out of Military Medical Treatment Facilities and the associated risks to health care delivery.

D-2022-2081-DEV0PB-0001-0001.A1d - Open

(U) Rec. A.1.d: The DoD OIG recommended that the Director of the Defense Health Agency, in conjunction with the Secretaries of the Military Departments, establish a working group to address the staffing challenges identified by Military Medical Treatment Facilities during this evaluation. The working group should establish milestones to assess the ability of Military Medical Treatment Facilities to rapidly receive augmentation of medical staff from the Reserve Components.

D-2022-2081-DEV0PB-0001-0002.A2a - Open

(U) Rec. A.2.a: The DoD OIG recommended that the Director of the Defense Health Agency, in coordination with the Secretaries of the Military Departments establish the manpower requirements for the coronavirus disease-2019 mission within the Military Medical Treatment Facilities for the staff required to support testing, vaccinations, contact tracing, and acute respiratory clinics.

D-2022-2081-DEV0PB-0001-0002.A2b - Open

(U) Rec. A.2.b: The DoD OIG recommended that the Director of the Defense Health Agency, in coordination with the Secretaries of the Military Departments identify the medical personnel requirements within the Military Medical Treatment Facilities, including clinicians, nurses, and support staff, needed for future long-term pandemic response and biological incidents.

D-2022-2081-DEV0PB-0002-0001.B - Open

(U) Rec. B: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) develop DoD policy for the maximum consecutive hours to be worked, maximum shifts per week, and coverage of duties when absent, for Military Health System staff (at minimum, active duty military and civilian physicians, nurses, respiratory therapists, and lab technicians) working in Military Medical Treatment Facilities to reduce the physical impacts leading to fatigue and burnout, and develop the appropriate waivers of this policy for Military Health System staff.

D-2022-2081-DEV0PB-0003-0001.C - Open

(U) Rec. C: The DoD OIG recommended that the Assistant Secretary of Defense (Health Affairs) direct a new or existing working group to develop a plan to implement the recommendations in the Military Health System COVID-19 After Action Report and to develop and monitor milestones for each recommendation.

Department of Defense OIG

Evaluation of Access to Department of Defense Information Technology and Communications During the Coronavirus Disease-2019 Pandemic

Full Details: Oversight.gov Report Page

Inspection / Evaluation | 3/30/2021

Date Range

Report Category

Submitting Agency

Agency Reviewed

Any Open Recommendations

Reports

Audit of DoD Health Care Personnel Shortages During the Coronavirus Disease–2019 Pandemic

Controls over the Social Security Administration’s National 800-number Service During the COVID-19 Pandemic

The Social Security Administration’s Enumeration Services During the COVID-19 Pandemic

The Social Security Administration’s Mail Processing During the COVID-19 Pandemic

Evaluation of Department of Defense Military Medical Treatment Facility Challenges During the Coronavirus Disease-2019 (COVID-19) Pandemic in Fiscal Year 2021

Evaluation of Access to Department of Defense Information Technology and Communications During the Coronavirus Disease-2019 Pandemic

Glossary

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