Reports
Comprehensive Healthcare Inspection Summary Report: Evaluation of Breast Cancer Surveillance in Veterans Health Administration Facilities
COVID-19: Jobs for Veterans State Grants (JVSG) Program
The COVID-19 pandemic presented new challenges for VETS in its mission to: (1) prepare America’s veterans and transitioning service members for meaningful careers, (2) provide them with employment resources and expertise, (3) protect their employment rights, and (4) promote their employment opportunities. VETS’s JVSG program provides individualized career services to veterans with significant barriers to employment, especially veterans who are economically or educationally disadvantaged. The program also aims to increase employment opportunities for veterans and encourage the hiring of disabled veterans. To this end, it conducts outreach to employers and business associations and engages in advocacy efforts with hiring executives. The audit will focus on how the pandemic impacted the JVSG program as well as the effectiveness of the program during a health crisis.
COVID-19: Effectiveness of UI ARPA Grants
The American Rescue Plan Act, as amended by the Fiscal Responsibility Act of 2023, provided $1 billion in funding to DOL to prevent and detect fraud, promote equitable access, ensure timely payment of benefits, and reduce backlogs. Of these funds, DOL provided approximately $219 million in grants to improve UI claimant outreach and customer service processes, implement strategies to reduce backlog, and improve access for workers in communities that may historically experience barriers. These grants will provide funding for states to improve public awareness and service delivery. This audit will focus on determining if ETA administered these grants in accordance with ARPA and DOL’s objectives for UI access and if recipients are on target to achieve performance outcomes.
Review of Personnel Shortages in Federal Health Care Programs During the COVID-19 Pandemic
COVID-19: Employment and Training Grantee Sub-Recipients - New York
In March 2020, the COVID-19 pandemic caused many of ETA’s job training programs to cease operation. This interrupted participants’ job training, potentially preventing them from completing their training and getting a job in the areas in which they were trained. This series of audits will focus on how effectively ETA ensured workforce development grant funds were used as intended in the State of New York during the pandemic.
COVID-19: Impact of Waivers on UI Overpayments, Fraud Investigations, and Recoveries
On February 7, 2022, DOL issued Unemployment Insurance Program Letter 20-21, Change 1, regarding states’ ability to waive the recovery of certain UI overpayments under the CARES Act program. There are concerns these waivers could adversely impact the pursuit of fraud in the UI program. Also, the waivers could potentially allow for fraudulent CARES Act UI payments to go unrecovered. This audit will determine the impact of waivers on UI overpayments, fraud investigations, and recoveries.
VHA Can Improve Controls Over Its Use of Supplemental Funds
COVID-19: ETA Grant Sub-Recipient Audit - Texas
In March 2020, the COVID-19 pandemic caused many of ETA’s job training programs to cease operation. This interrupted participants’ job training, potentially preventing them from completing their training and getting a job in the areas in which they were trained. This series of audits will focus on how effectively ETA ensured workforce development grant funds were used as intended in the State of Texas during the pandemic.
Audie L. Murphy Memorial Veterans’ Hospital Missed Opportunities to Distribute Excess Ventilators during the COVID-19 Pandemic
Insights on Telehealth Use and Program Integrity Risks in DOL Workers' Compensation Programs During the Pandemic
Insights on Telehealth Use and Program Integrity Risks Across Selected Health Care Programs During the Pandemic
VHA Progressed in the Follow-Up of Canceled Appointments during the Pandemic but Could Use Additional Oversight Metrics
COVID 19 – UI Claims With Deceased Persons' Social Security Numbers
In September 2022, the Office of Inspector General (OIG) alerted U.S. Department of Labor to over $45 billion in potential fraud paid in four high-risk areas. One high-risk area was Unemployment Insurance (UI) claimants filing with Social Security numbers (SSN) of deceased persons. Through Employment and Training Administration (ETA), the OIG provided states with underlying methodology as well as specific claimant information for follow-up action. This audit will examine the extent to which ETA and states have taken action to follow up on potentially fraudulent CARES Act UI claims filed with SSNs of deceased persons identified and referred by the OIG.
COVID-19 – UI Claims with Federal Prisoners' Social Security Numbers
In September 2022, the Office of Inspector General (OIG) alerted U.S. Department of Labor to over $45 billion in potential fraud paid in four high-risk areas. One high-risk area was UI claimants filing with Social Security numbers (SSNs) of federal prisoners. Through Employment and Training Administration (ETA), the OIG provided states with underlying methodology as well as specific claimant information for follow-up action. This audit will examine the extent to which ETA and states have taken action to follow up on potentially fraudulent CARES Act Unemployment Insurance (UI)claims filed with SSNs of federal prisoners identified and referred by the OIG.
COVID-19 – Multi-State UI Claimants
In September 2022, the Office of Inspector General (OIG) alerted the U.S. Department of Labor to over $45 billion in potential fraud paid in four high-risk areas. Multistate claimants were the largest high-risk area. Through Employment and Training Administration (ETA) the OIG provided states with underlying methodology as well as specific claimant information for follow-up action. This audit will examine the extent to which ETA and states have taken action to follow up on potentially fraudulent CARES Act Unemployment Insurance (UI) claims identified and referred by the OIG.
COVID-19 – UI Claims with Suspicious Email Accounts
In September 2022, the Office of Inspector General (OIG) alerted U.S. Department of Labor to over $45 billion in potential fraud paid in four high-risk areas. One high-risk area was Unemployment Insurance (UI) claimants filing with suspicious email accounts. Through Employment and Training Administration (ETA), the OIG provided states with underlying methodology as well as specific claimant information for follow-up action. This audit will examine the extent to which ETA and states have taken action to follow up on potentially fraudulent CARES Act UI claims filed with suspicious email accounts identified and referred by the OIG.
Comprehensive Healthcare Inspection Summary Report: Evaluation of Medication Management in Veterans Health Administration Facilities, Fiscal Year 2021
The Veterans Health Administration Needs to Do More to Promote Emotional Well-Being Supports Amid the COVID-19 Pandemic
Purchases of Smartphones and Tablets for Veterans’ Use during the COVID-19 Pandemic
Comprehensive Healthcare Inspection of Facilities’ COVID-19 Pandemic Readiness and Response in Veterans Integrated Service Networks 2, 5, and 6
VA’s Compliance with the VA Transparency & Trust Act of 2021
Care in the Community Consult Management During the COVID-19 Pandemic at the Martinsburg VA Medical Center in West Virginia
Audit of Community Care Consults during COVID-19
Systems and Tools Implemented to Track COVID-19 Vaccine Data
Comprehensive Healthcare Inspection of Facilities' COVID-19 Pandemic Readiness and Response in Veterans Integrated Service Networks 1 and 8
Deficiencies in Select Community Care Consult (Stat) Processes During the COVID-19 Pandemic
Failure to Mitigate Risk of and Manage a COVID-19 Outbreak at a Community Living Center at VA Illiana Health Care System in Danville, Illinois
Care Concerns and the Impact of COVID-19 on a Patient at the Fayetteville VA Coastal Health Care System in North Carolina
Deficiencies in COVID-19 Screening and Facility Response for a Patient Who Died at the Michael E. DeBakey VA Medical Center in Houston, Texas
Review of VHA’s Telehealth Billing Practices for Community Care during the COVID-19 Pandemic
Management advisory memorandum detailing the growth of community telehealth claims and the associated risks.
The U.S. Department of Labor Complied with The Payment Integrity Information Act for FY 2020, but Reported Unemployment Insurance Information Did Not Represent Total Program Year Expenses
Comprehensive Healthcare Inspection of Facilities' COVID-19 Pandemic Readiness and Response in Veterans Integrated Service Network 19
Medical/Surgical Prime Vendor Contract Emergency Supply Strategies Available Before the COVID-19 Pandemic
Review of VHA’s Financial Oversight of COVID-19 Supplemental Funds
Use and Oversight of the Emergency Caches Were Limited during the First Wave of the COVID-19 Pandemic
Inadequate Resident Supervision and Documentation of an Ophthalmology Procedure at the Oklahoma City VA Health Care System in Oklahoma
Comprehensive Healthcare Inspection Program (virtual reviews) Reports VISN 6 & 2
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.
Inconsistent Documentation and Management of COVID-19 Vaccinations for Community Living Center Residents
Review of Community-Based Outpatient Clinics Closed Due to the COVID-19 Pandemic
Comprehensive Healthcare Inspection of Facilities' COVID-19 Pandemic Readiness and Response in Veterans Integrated Service Networks 10 and 20
Potential Risks Associated with Expedited Hiring in Response to COVID-19
Review of Veterans Health Administration’s Virtual Primary Care Response to the COVID-19 Pandemic
Reporting and Monitoring Personal Protective Equipment Inventory during the Pandemic
Medication Delivery Delays Prior to and During the COVID-19 Pandemic at the Manila Outpatient Clinic in Pasay City, Philippines
VHA’s COVID-19 Vaccine Planning and Implementation
This review will assess VHA’s response, readiness, implementation, and outcomes with the administration of the COVID-19 vaccines to employees and veterans.