Other written product issued by the Government Accountability Office with an abstract that begins "This is an e-supplement to GAO-09-347. This document presents a bibliography of a literature review conducted as part of our work on emergency department crowding (GAO-09-347). As part of our work to analyze and report on information made available since 2003 about (1) three indicators of emergency department crowding--ambulance diversion, wait times, and patient boarding, and (2) factors that contribute to emergency department crowding, we conducted a literature review of 197 articles, including articles published in peer-reviewed and other periodicals, publications from professional, research, and other organizations, and reports issued by federal and state agencies. In examining the information made available since 2003 about indicators of crowding during our literature review, we also analyzed articles for what was reported on the effect of crowding on patient quality of care and proposed strategies to address crowding. In order to obtain these articles, we conducted structured searches of 16 research databases and obtained articles identified as a result of interviews with federal officials, professional and research organizations, and subject-matter experts, and through searches of related Web sites. We reviewed 197 articles, publications, and reports (which we call articles) …

Testimony issued by the Government Accountability Office with an abstract that begins "The Department of Commerce's National Oceanic and Atmospheric Administration (NOAA), with the aid of the National Aeronautics and Space Administration (NASA), plans to procure the next generation of geostationary operational environmental satellites, called the Geostationary Operational Environmental Satellite-R series (GOES-R). GOES-R is to replace the current series of satellites, which will likely begin to reach the end of their useful lives in 2014. This series is considered critical to the United States' ability to maintain the continuity of data required for weather forecasting through the year 2028. GAO was asked to summarize its report being released today that (1) determines the status of the GOES-R program, (2) evaluates whether plans for the acquisition address problems experienced on similar programs, and (3) determines whether NOAA's plan will be adequate to support current data requirements."

Testimony issued by the Government Accountability Office with an abstract that begins "Since 2001, Department of Defense's (DOD) spending on goods and services has more than doubled to $388 billion in 2008, while the number of civilian and military acquisition personnel has remained relatively stable. To supplement its in-house workforce, DOD relies heavily on contractor personnel. If it does not maintain an adequate workforce, DOD places its billion-dollar acquisitions at an increased risk of poor outcomes and vulnerability to fraud, waste, and abuse. This testimony is based on GAO's March 2009 report and addresses DOD's efforts to assess the sufficiency of the total acquisition workforce and to improve its management and oversight of that workforce. It also discusses selected practices of leading organizations that may provide DOD with insights for its efforts."

Testimony issued by the Government Accountability Office with an abstract that begins "Despite a growing investment in space, the majority of large-scale acquisition programs in the Department of Defense's (DOD) space portfolio have experienced problems during the past two decades that have driven up cost and schedules and increased technical risks. The cost resulting from acquisition problems along with the ambitious nature of space programs have resulted in cancellations of programs that were expected to require investments of tens of billions of dollars. Along with the cost increases, many programs are experiencing significant schedule delays--as much as 7 years--resulting in potential capability gaps in areas such as positioning, navigation, and timing; missile warning; and weather monitoring. This testimony focuses on (3) the condition of space acquisitions, (1) causal factors, (2) observations on the space industrial base, and (4) recommendations for better positioning programs and industry for success. In preparing this testimony, GAO relied on its body of work in space and other programs, including previously issued GAO reports on assessments of individual space programs, common problems affecting space system acquisitions, and DOD's acquisition policies."

Testimony issued by the Government Accountability Office with an abstract that begins "The Departments of Defense (DOD) and State (State) and the U.S. Agency for International Development (USAID) have relied extensively on contractors to support troops and civilian personnel and carry out reconstruction efforts in Iraq and Afghanistan. While recognizing the benefits of using contactors, GAO and others have noted the risks and challenges associated with relying on contractors. To help increase contractor oversight, the National Defense Authorization Act for Fiscal Year 2008 directed DOD, State, and USAID to sign a memorandum of understanding (MOU) on contracting in Iraq and Afghanistan that identified a database to track information on contractor personnel and contracts performed in the two countries. In their July 2008 MOU, the agencies designated the Synchronized Pre-Deployment and Operational Tracker database (SPOT) as their system for tracking the required information. GAO's testimony addresses how contractor personnel and contract information can aid agencies in managing contracts and the status of SPOT's implementation. It is drawn from GAO's ongoing and prior contingency contracting work. This work involved meeting with agency officials, including those in Iraq, and reviewing agency documents. GAO obtained agency views on previously unreported information, which the agencies …

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses GAO's recently issued report on the North American Aerospace Defense Command's (NORAD) and the Department of Defense's (DOD) air sovereignty alert (ASA) operations. According to the National Strategy for Aviation Security, issued in March 2007, and officials from U.S. intelligence agencies with whom we met, air attacks are still a threat to the United States and its people. To address this threat, NORAD and DOD have fully fueled, fully armed aircraft and trained personnel on alert 24 hours a day, 365 days a year, at 18 ASA sites across the United States. Of the 18 sites, 16 are maintained by Air National Guard (ANG) units and 2 are maintained by active duty Air Force units. If warranted, NORAD can increase personnel, aircraft, and the number of ASA sites based on changes in threat conditions. The Air Force provides NORAD with personnel and equipment, including F-15 and F-16 aircraft, for these operations. ASA units are tasked to conduct and train for both expeditionary missions (e.g., military operations in Iraq) and ASA operations. This testimony will discuss whether (1) NORAD routinely conducts risk assessments to determine the …

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discuss the U.S. Government Accountability Office's (GAO) budget request for fiscal year 2010. In fiscal year 2008 GAO delivered advice and analyses to the Congress in response to requests from all of the standing committees of the House and the Senate and over 80 percent of their subcommittees. The hard work of our staff yielded significant results across the government, including expert testimony at over 300 congressional hearings, hundreds of improvements in government operations, and billions in financial benefits. While we will strive to make progress in responding to new congressional requests sooner with our fiscal year 2009 funding level, our fiscal year 2010 request would enable GAO to make more progress in addressing the issues of greatest interest to the Congress and the American public during these challenging times."

Testimony issued by the Government Accountability Office with an abstract that begins "This testimony discusses GAO's work examining the uses and planning by selected states and localities for funds made available by the American Recovery and Reinvestment Act of 2009 (Recovery Act). The Recovery Act is estimated to cost about $787 billion over the next several years, of which about $280 billion will be administered through states and localities. Funds made available under the Recovery Act are being distributed to states, localities, and other entities and individuals through a combination of grants and direct assistance. As Congress may know, the stated purposes of the Recovery Act are to: (1) preserve and create jobs and promote economic recovery; (2) assist those most impacted by the recession; (3) provide investments needed to increase economic efficiency by spurring technological advances in science and health; (4) invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits; and (5) stabilize state and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive state and local tax increases. As described in GAO's March testimony, the Recovery Act specifies several roles for GAO including conducting bimonthly reviews of …

Correspondence issued by the Government Accountability Office with an abstract that begins "The detonation of a nuclear weapon or radiological dispersal device (RDD) in the United States or elsewhere would cause decision makers to immediately demand information on the nature of the device--including its design, the materials used to build it, and the materials' source--as well as the identification of the perpetrators. Technical nuclear forensics--the analysis of nuclear or radiological materials that are intercepted or the radioactive debris and prompt output signals (such as gamma rays) produced by a nuclear event--can contribute to the identification of the sources of these materials and the processes used to create them. Analytical techniques developed to determine the nature of nuclear tests can be used if terrorists were to detonate a nuclear device or RDD and radioactive debris samples were recovered (known as "postdetonation" nuclear forensics). Nuclear forensic techniques also could potentially be used to determine the origin of nuclear or radiological materials or devices seized prior to their use in a weapon (known as "predetonation" nuclear forensics). The U.S. government's predetonation nuclear forensics capabilities have been demonstrated in investigations on seized nuclear material from illicit smuggling operations. In addition, it is important to …

A letter report issued by the Government Accountability Office with an abstract that begins "The Internal Revenue Service (IRS) collects the revenues that fund the federal government and issues billions of dollars in refunds. Consequently, IRS's ability to demonstrate agility and speed in restoring its functions after a disruption is vital to the government and the economy. GAO (1) identified the definition and attributes of organizational resilience; (2) examined the extent to which these attributes are exhibited within IRS; and (3) reviewed the challenges and opportunities faced by the IRS in becoming more resilient. GAO gathered and analyzed the attributes of resilience based on discussions with academic and practitioner experts in the field. GAO then reviewed IRS human capital and emergency preparedness policies and strategic plans, observed campus operations and emergency working group meetings, and interviewed officials from headquarters and each of the four business units."

A letter report issued by the Government Accountability Office with an abstract that begins "The turmoil in financial markets and the economic downturn has brought significant financial stress to the auto manufacturing industry. The economic reach of the auto industry in the United States is broad, affecting autoworkers, auto suppliers, stock and bondholders, dealers, and certain states. To help stabilize the U.S. auto industry and avoid disruptions that could pose systemic risk to the nation's economy, in December 2008 the Department of the Treasury established the Automotive Industry Financing Program (AIFP) under the Troubled Asset Relief Program (TARP). From December 2008 through March 2009, Treasury has allocated about $36 billion to this program, including loans to Chrysler Holding LLC (Chrysler) and General Motors (GM). GAO has previously identified three principles to guide federal assistance to large firms: define the problem, determine the national interests and set goals and objectives, and protect the government's interests. As part of GAO's statutorily mandated responsibilities to provide timely oversight of TARP activities, this report discusses the (1) nature and purpose of assistance to the auto industry, (2) how the assistance addresses the three principles, and (3) important factors for Chrysler and GM to address …

This report reviews the history and trends of oil spills in the United States; identifies the legal authorities governing oil spill prevention, response, and cleanup; and examines the threats of future oil spills in U.S. coastal waters.

Report of the Texas State Auditor's Office related to determining whether the state's basic financial statements accurately reflect the balances and activities for the State of Texas for the fiscal year ended August 31, 2008.

Report of the Texas State Auditor's Office related to determining how the Lamar higher education institutions calculated and supported expenditure and revenue losses attributable to Hurricane Katrina and Hurricane Rita, and how the Texas State University System approved and allocated emergency funds.

Report of the Texas State Auditor's Office related to determining whether the Board of Tax Professional Examiners accurately reports selected key performance measures to the Automated Budget and Evaluation System of Texas (ABEST), and has adequate control systems in place over the collecting, calculating, and reporting of selected key performance measures.

Report of the Texas State Auditor's Office related to determining whether the Veterans Commission is accurately reporting selected key performance measures to ABEST and has adequate control systems over the collection, calculation, and reporting of selected key performance measures.

Report of the Texas State Auditor's Office related to examining the University of Texas Medical Branch at Galveston's (Medical Branch) hurricane-related expenditures to determine whether the expenditures were supported and documented; examining the Medical Branch's hurricane-related impact and costs to determine whether they were developed using reasonable methodologies; determining whether there are any indications of fraud, waste, or abuse with respect to the Medical Branch's hurricane-related expenditures; and identifying the Medical Branch's estimates for reimbursement by the Federal Emergency Management Agency (FEMA) and other non-state funding sources.

Report of the Texas State Auditor's Office related to determining whether the Office of Public Insurance Counsel (OPIC) accurately reported selected key performance measures to ABEST and had adequate control systems in place over the collecting, calculating, and reporting of selected key performance measures.

Report of the Texas State Auditor's Office related to examining the General Land Office's (Land Office) hurricane-related expenditures to determine whether the expenditures were supported and documented; examining the Land Offices' hurricane-related impact and costs to determine whether they were developed using reasonable methodologies; determining whether there are any indications of fraud, waste, or abuse with respect to the Land Office's hurricane-related expenditures; and identifying which cost estimates were subject to reimbursement by the Federal Emergency Management Agency (FEMA) and other non-state funding sources.

Report of the Texas State Auditor's Office related to the ethics policies for trustee investing practices of the Employees Retirement System, the Teacher Retirement System, and The University of Texas Investment Management Company (investing entities), which must be consistent with applicable statutory requirements.

Report of the Texas State Auditor's Office related to determining whether the Bond Review Board accurately reported selected key performance measures to the Automated Budget and Evaluation System of Texas (ABEST), and had adequate control systems in place over the collecting, calculating, and reporting of selected key performance measures.

Report of the Texas State Auditor's Office related to determining whether the Court of Criminal Appeals has processes that provide reasonable assurance that grant funds from the Judiciary and Court Personnel Training Fund are being awarded and used in accordance with Texas Government Code requirements, the terms of grant agreements, administrative and Court rules, and Court policy; and determining the status of implementation of recommendations made by MTG Management Consultants, L.L.C.

This report discusses the Safe Drinking Water Act (SDWA) Amendments of 1996, which authorized a drinking water state revolving loan fund (DWSRF) program. The program was intended to help public water systems finance infrastructure projects that were needed to comply with federal drinking water regulations and to meet the Act's health objectives. It includes an overview of funding, allotments and set-asides, drinking water infrastructure needs, program issues, and legislative activity.

Bill introduced by the Texas Senate relating to the definition of an agricultural business for the purposes of the Texas Agricultural Finance Authority.