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Agency for International Development OIG

Audit of Data Quality in Selected in USAID PEPFAR Programs in Africa

This audit will look at the quality of data reported in selected President’s Emergency Plan for AIDS Relief (PEPFAR) programs to determine if weaknesses exist that may lead to inaccurate results reporting. The objectives of this audit are to assess the extent to which USAID has: (1) designed and implemented internal controls over collecting, verifying, and reporting PEPFAR data; and (2) identified and mitigated the effects of the COVID-19 pandemic on its internal controls over PEPFAR data quality.  
Department of Health and Human Services OIG

Audit of Foundational Cybersecurity Controls for the U.S. Healthcare COVID-19 Portal and Protect.HHS.gov

The Protect.HHS.gov ecosystem and the U.S. Healthcare COVID-19 portal are both critically important systems contributing to the Federal pandemic response. The data collected by these systems are utilized in the response to COVID-19 by, for example, tracking the movement of the virus, identifying potential stresses in the health care delivery system, and provide information about the distribution of supplies. Without proper cybersecurity, the integrity and availability of the data are at risk and the impact to public health efforts could be significant if decisionmakers cannot rely on COVID-19 data from States, communities, and hospitals. We will determine whether HHS has implemented foundational cybersecurity controls to ensure the integrity and availability of Protect.HHS.gov and the U.S. Healthcare COVID-19 portal.
Department of Health and Human Services OIG

Infection Control and Emergency Preparedness at Dialysis Centers During the COVID-19 Pandemic

CDC has stated that beneficiaries with serious underlying medical conditions, such as end-stage renal disease (ESRD), are at higher risk for severe illness from COVID-19. Regardless of the current pandemic, dialysis patients are at high risk of infection because of weakened immune systems, coexisting conditions such as diabetes, and treatments requiring frequent use of catheters or insertions of needles to access the bloodstream. ESRD facility conditions for coverage regarding infection control and emergency preparedness are defined in 42 CFR 494 Subpart B. On March 30, 2020, CMS issued a revised memorandum providing guidance for infection control and prevention of COVID-19 in dialysis facilities. We will interview corporate officers from the three ESRD service companies covering more than 75 percent of CY 2018 Medicare reimbursements and 71 percent of dialysis clinics. Our objective is to determine whether ESRD facilities implemented additional infection control and emergency preparedness procedures in accordance with CMS and CDC guidance to safeguard high risk ESRD beneficiaries during the COVID-19 pandemic.
Department of Health and Human Services OIG

Audit of CARES Act Provider Relief Funds—General and Targeted Distributions to Hospitals

The Coronavirus Aid, Relief, and Economic Security (CARES) Act and the Paycheck Protection Program and Health Care Enhancement Act appropriated $175 billion for the Provider Relief Fund (PRF) to support health care providers affected by the COVID-19 pandemic. In April 2020, the Health Resources and Services Administration began distributing the funds through general distributions to Medicare providers based on 2018 net patient revenue and targeted distributions for certain provider types (e.g., providers in areas particularly impacted by COVID-19, skilled nursing providers, and providers in rural areas). Providers such as hospitals may be eligible for PRF payments from the general and targeted distributions. We will select for audit a statistical sample of providers that received general and/or targeted distributions. Our objective is to determine whether providers that received PRF payments complied with certain Federal requirements, and the terms and conditions for reporting and expending PRF funds.
Department of Health and Human Services OIG

Audit of Medicare Payments for Inpatient Discharges Billed by Hospitals for Beneficiaries Diagnosed With COVID-19

Section 3710 of the Coronavirus Aid, Relief, and Economic Security Act directs the Secretary to increase the weighting factor that would otherwise apply to the assigned diagnosis-related group by 20 percent for an individual who is diagnosed with COVID-19 and discharged during the COVID-19 public health emergency period. We will audit whether payments made by Medicare for COVID-19 inpatient discharges billed by hospitals complied with Federal requirements.
Agency for International Development OIG

Audit of the Role of Ventilators in USAID’s COVID-19 Response

USAID’s activities to assess need and identify appropriate interventions are key in shaping how it responds to public health emergencies.  The primary role of ventilators has been one of the most controversial aspects of USAID’s COVID-19 response, attracting both media and Congressional scrutiny.  The objectives of this audit are to answer the following questions: (1) What are USAID’s practices for assessing needs and prioritizing interventions during public health emergencies? (2) To what extent, if any, did the practices employed to determine the use and allocation of ventilators during the COVID-19 pandemic differ from these practices?
Department of Homeland Security OIG

Medical Vacancies at U.S. Immigration and Customs Enforcement (ICE) Detention Facilities

The OIG is conducting a remote evaluation following prior fieldwork for unannounced inspections to ICE facilities whereas SRE flagged medical vacancies in ICE detention facilities as a potential issue for future review and drafted an engagement proposal to address this concern. Recognizing that inadequate staffing could exacerbate the effect of COVID-19 on detainees and facility personnel, the project was initiated in August 2020. 
Department of Labor OIG

Audit of COVID-19 Dislocated Worker Grants

Department of Labor OIG

Audit of WHD’s Implementation of the Families First Coronavirus Response Act (Phase 2)

Department of Labor OIG

Audit of OWCP’s Response to the COVID-19 Pandemic (Phase 2)