Reports

The purpose of this audit was to compare D.C. nursing homes to surrounding jurisdictions and national rates to summarize how D.C. nursing homes responded to the COVID-19 pandemic. When compared to the national average, D.C. nursing homes experienced lower resident case and death rates in the late summer and early fall of 2020 relative to the national average during that same time. D.C. also experienced lower staff case rates than the national average prior to the Alpha wave and similar staff case rates after the Alpha wave.

This informational brief describes changes to the Department of Children and Family Services’ (DCFS) Supplemental Nutrition Assistance Program, including how COVID-19 impacted participation, benefit amounts, and program administration. This brief is intended to provide timely information related to an area of interest to the legislature or based on a legislative request. Among other findings, this brief highlights that the number of SNAP recipients increased 27.5%, from 769,768 prior to the COVID-19 pandemic in February 2020 to a high of 981,751 in January 2021. According to DCFS, the increase...

In this performance audit of the State of Illinois's response to the management of the COVID-19 outbreak at the LaSalle Veterans' Home, the Illinois Office of the Auditor General identified that while the Illinois Department of Public Health (IDPH) was notified of the increasing number of COVID-19 cases at the LaSalle Veterans’ Home beginning on November 1, 2020, they did not identify and respond to the seriousness of the outbreak despite it being a responsibility of the department to provide guidance and monitoring to protect the residents at the LaSalle Veterans’ Home.

Management advisory memorandum detailing the growth of community telehealth claims and the associated risks.

The COVID-19 pandemic had wide-ranging impacts within King County. County leaders and staff worked hard to shift practices to meet the needs of the changing environment. Our analysis and survey results indicate that employee experience and confidence in safety measures varied across the county, potentially indicating increased exposure risk for some employees.

HUD OIG will summarize the conclusions/findings and recommendations reported by seven participating OIGs and the General Accountability Office related to natural disaster preparedness.  Our objective is to inform Federal agencies and the OIG community of the reported conclusions/findings and recommendations regarding preparing for and responding to natural disasters.
 

The purpose of this audit was to provide information on the Department of Public Safety and Corrections’ (DOC) response to the COVID-19 pandemic in the correctional facilities it oversees. Overall, DOC faced multiple issues and challenges in addressing the COVID-19 pandemic. DOC protocols complied with CDC guidance in the areas of testing, medical isolation, screening, visitation, personal protective equipment, social distancing, and transfers. However, it did not have processes to verify that correctional facilities implemented these protocols.

Representative John Barker requested this limited-scope audit, which was authorized by the Legislative Post Audit Committee at its February 24, 2021 meeting. Our audit objective was to answer the following question: How did causes of death during the COVID-19 pandemic compare to those before the pandemic? To answer this question, we reviewed death record data from 2019 and 2020 for the last third of each year (September 1 – December 31).

The purpose of this audit was to provide information on the Office of Juvenile Justice’s (OJJ) response to the COVID-19 pandemic in its secure care facilities. Overall, OJJ faced multiple issues and challenges in addressing the pandemic. We found the agency’s protocols generally complied with guidance from the U.S. Centers for Disease Control and Prevention (CDC) for medical isolation, screening, visitation, personal protective equipment, and social distancing. However, agency officials were unable to verify whether the facilities consistently followed the protocols because of the suspension...

This report will provide (1) a descriptive evaluation of Veterans Integrated Service Network facilities’ pandemic readiness and response as determined by recent Comprehensive Healthcare Inspection Program inspections.
 

This special report examines and assesses the State of Delaware’s preparation of long-term care facilities (LTCFs) for the COVID-19 pandemic, both in the early stages of the pandemic and again six months later. Our goal was to determine if the state was adequately supporting and resolving pandemic-related issues inside LTCFs and if trends or opportunities for improvement existed. To reach our conclusions, we reviewed publicly available applicable federal and state guidance, agency policies and procedures, and information provided by Delaware’s emergency support function State Health Operations...

This report builds on prior analyses and the results of a body of work published since the beginning of the pandemic to assess the role of the COVID-19 mitigation policy in reducing the impacts of COVID-19 on different populations across the United States and, specifically, in Washington D.C., Maryland, and Virginia.

The purpose of this audit was to provide information on Louisiana’s response to COVID-19 in nursing facilities. We found that nursing facilities in Louisiana faced staffing challenges throughout the COVID-19 pandemic because of staff exposure to COVID-19, illness, or the need to care for family members.

We found that the State has met or exceeded targets for testing individuals for COVID‑19, but contact tracing throughout the State has lagged behind case surges that have far exceeded Public Health’s initial planning

Identifying patients who are at-risk of overdose or abuse is key to addressing this crisis. The COVID-19 pandemic has made this need even more pressing. The National Institutes of Health recently warned that individuals with opioiduse disorder could be particularly hard hit by COVID-19, which is a respiratory virus that attacks the lungs. Respiratory disease is known to increase mortality risks among people taking opioids. This data brief would provide information on opioid utilization among beneficiaries enrolled in Medicare Part D in 2020. 

This advisory report suggests actions the Oregon Department of Human Services (ODHS), Oregon Health Authority (OHA), and the Legislature can take to reduce illness and death from communicable diseases in nursing homes, assisted living, and residential care facilities, now and in the future.

CDC Immunization and Vaccines for Children Cooperative Agreement awardees, which are typically State and large metropolitan area public health departments, plan for and oversee the vaccine distribution and administration process. Stakeholders have acknowledged challenges early in Phase 1 distribution and dispensing, and note that these challenges will likely span all three phases identified in the CDC's COVID-19 Vaccine Playbook. We will interview all awardees to identify the reported challenges they are facing while distributing and dispensing vaccines. We will also ask awardees about effective strategies to mitigate those challenges, new challenges they anticipate, and how HHS can best support them in distributing and dispensing COVID-19 vaccines. In doing so, this review will provide HHS with timely and actionable information to address challenges associated with the COVID-19 vaccination efforts.

We conducted this audit to support transparent and accountable government operations during this unprecedented time. We focused our work on determining steps the county took to ensure that vital services could continue safely and equitably during the pandemic; whether those steps were in line with guidance from the Centers for Disease Control and Prevention and other health authorities to reduce health risks; and what improvements can be made moving forward.

In the early days of the COVID-19 pandemic, decision makers across the world created policies to curb the spread of the disease. These policies influenced many aspects of society in an effort to reduce COVID-19 caseload and deaths and limit economic impacts. There is now a growing set of data capturing policies, the effects on the policy environment, and the ongoing impacts of the pandemic itself on different regions and populations, as measured by these different impacts. Together, these data provide a basis to better understand how and whether policies achieved their intended outcomes and...

Telehealth is playing an important role during the public health emergency (PHE), and CMS is exploring how telehealth services can be expanded beyond the PHE to provide care for Medicare beneficiaries. Because of telehealth's changing role, we will conduct a series of audits of Medicare Part B telehealth services in two phases. Phase one audits will focus on making an early assessment of whether services such as evaluation and management, opioid use order, end-stage renal disease, and psychotherapy (Work Plan number W-00-21-35801) meet Medicare requirements. Phase two audits will include additional audits of Medicare Part B telehealth services related to distant and originating site locations, virtual check-in services, electronic visits, remote patient monitoring, use of telehealth technology, and annual wellness visits to determine whether Medicare requirements are met.

President Trump declared a national emergency in response to the COVID-19 pandemic, which allowed the Centers for Medicare & Medicaid Services (CMS) to take proactive steps to support the response to COVID-19 through the use of section 1135 waivers. By means of this authority, CMS waived certain requirements in order to expand Medicare telehealth benefits to health care professionals who were previously ineligible, including physical therapists, occupational therapists, speech language pathologists, and others. CMS also amended regulations to allow home health agencies to use telecommunications systems in conjunction with in-person visits. We will evaluate home health services provided by agencies during the COVID-19 public health emergency to determine which types of skilled services were furnished via telehealth, and whether those services were administered and billed in accordance with Medicare requirements. We will report as overpayments any services that were improperly billed. 
 

This review will assess VHA’s response, readiness, implementation, and outcomes with the administration of the COVID-19 vaccines to employees and veterans. 
 

The goal of this report is to highlight and put into context scientific findings that currently exist around school reopening's, detail key policy measures undertaken within the United States and globally, and bring together the impacts that school closures have had on students and parents in the context of the COVID-19 pandemic.

The analysis presented here establishes a baseline of policies that were implemented in the National Capital Region (NCR)1 , aligned with the intent of the policy, and the data sources available to provide context, including population and demographic, mobility, COVID-19 caseload and death, economic, and geographic data.

Economic and health impacts caused by the COVID-19 pandemic have left States facing increases in new applications for health insurance through the Medicaid and ACA Marketplace programs. Responding to the pandemic, including meeting the new enrollment and oversight demands, has taxed State health care systems. This evaluation will assess efforts by the States and CMS to effectively enroll residents impacted by the COVID-19 pandemic in Medicaid and ACA Marketplace plans. By identifying effective practices or any breakdowns in enrollment and oversight systems, this review would help improve the efficiency of State health insurance enrollment processes under both emergency and more typical conditions.

The OIG is conducting a survey of inmates in BOP-managed federal prisons regarding BOP's COVID-19 pandemic response.

The City has established and implemented several disaster management plans – including a Pandemic Influenza Preparedness Plan. Still, additional considerations in these plans would ensure the City is more prepared for potential future pandemics.

We intended to report on DOH’s contact tracing process, primarily to filter through the varying, confusing, and often conflicting information and to provide a clearer, objective, and up-to-date understanding of the department’s efforts. However, instead of cooperation and assistance, we encountered barriers, delays, and ultimately were denied access to those responsible for leading the department’s contact tracing: the Disease Outbreak Control Division (DOCD) Chief and the Disease Investigation Branch (DIB) Chief, who recently took over that task.

In this report, we specifically discuss DOE’s policies and procedures regarding department employees and students who are confirmed positive for COVID-19. We intended this report to provide clearer, consolidated, and current information about those policies and procedures.

This report was initiated due to state and county level employees reaching out to the Auditor of State’s Office to discuss reporting delays related to Test Iowa. The reporting delays mentioned could have a negative impact on the pandemic response by hindering contact tracing and decision-making at both governmental and individual levels..

HUD OIG is researching Public and Indian Housing and Multifamily use of vacant units during previously Presidentially Declared Disasters and the COVID-19 declared Disaster, as well as PIH and Multifamily’s ability to place a waitlist preference for the homeless and how many homeless individuals had a 50058 or 50059 new move-in during the COVID pandemic.  Since the introduction of the CARES act, there has been an emphasis to review how HUD has reacted to the COVID-19 disaster.  HUD allocated $1 billion to keep America's homeless population safe.  The purpose of this research is to issue memorandums for both PIH and Multifamily addressing the research topics.