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Food-Processing Security: Voluntary Efforts Are Under Way, but Federal Agencies Cannot Fully Assess Their Implementation (open access)

Food-Processing Security: Voluntary Efforts Are Under Way, but Federal Agencies Cannot Fully Assess Their Implementation

A letter report issued by the General Accounting Office with an abstract that begins "The events of September 11, 2001, have placed added emphasis on ensuring the security of the nation's food supply. GAO examined (1) whether FDA and USDA have sufficient authority under current statutes to require that food processors adopt security measures, (2) what security guidelines FDA and USDA have provided to industry, and (3) what security measures food processors have adopted."
Date: February 14, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Bioterrorism: Information Technology Strategy Could Strengthen Federal Agencies' Abilities to Respond to Public Health Emergencies (open access)

Bioterrorism: Information Technology Strategy Could Strengthen Federal Agencies' Abilities to Respond to Public Health Emergencies

A letter report issued by the General Accounting Office with an abstract that begins "The October 2001 anthrax attacks, the recent outbreak of the virulent Severe Acute Respiratory Syndrome (SARS), and increased awareness that terrorist groups may be capable of releasing life-threatening biological agents have prompted efforts to improve our nation's preparedness for, and response to, public health emergencies--including bioterrorism. GAO was asked, among other things, to identify federal agencies information technology (IT) initiatives to support our nation's readiness to deal with bioterrorism. Specifically, we compiled an inventory of such activities, determined the range of these coordination activities with other agencies, and identified the use of health care standards in these efforts."
Date: May 30, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Defense Acquisitions: Matching Resources with Requirements Is Key to the Unmanned Combat Air Vehicle Program's Success (open access)

Defense Acquisitions: Matching Resources with Requirements Is Key to the Unmanned Combat Air Vehicle Program's Success

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense (DOD) is developing a new unmanned combat air vehicle (UCAV) that can suppress enemy air defenses and conduct other air-to-ground attacks, particularly against heavily defended targets. Because it may perform these missions at a relatively low cost, the UCAV could be used to replace some of DOD's aging tactical aircraft fleet. A key to UCAV's success will lie in DOD's ability to match users' needs, or requirements, with the developer's resources (technology and design knowledge, money, and time) when product development begins. Our work shows that doing so can prevent rework and save both time and money. Therefore, we assessed DOD's ability to make this match. GAO conducted its work on the basis of the Comptroller General's authority and addresses the report to the Subcommittee on Tactical Air and Land Forces, House Committee on Armed Services because of its interest and jurisdiction in the program."
Date: June 30, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Financial Management: Sustained Efforts Needed to Achieve FFMIA Accountability (open access)

Financial Management: Sustained Efforts Needed to Achieve FFMIA Accountability

A letter report issued by the General Accounting Office with an abstract that begins "The ability to produce the data needed to efficiently and effectively manage the day-to-day operations of the federal government and provide accountability to taxpayers has been a long-standing challenge to most federal agencies. To help address this challenge, the Federal Financial Management Improvement Act of 1996 (FFMIA) requires the 24 Chief Financial Officers Act agencies to implement and maintain financial management systems that comply substantially with (1) federal financial management systems requirements, (2) federal accounting standards, and (3) the U.S. Government Standard General Ledger (SGL). FFMIA also requires GAO to report annually on the implementation of the act."
Date: September 30, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Military Readiness: New Reporting System Is Intended to Address Long-Standing Problems, but Better Planning Is Needed (open access)

Military Readiness: New Reporting System Is Intended to Address Long-Standing Problems, but Better Planning Is Needed

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Defense's (DOD) readiness assessment system was designed to assess the ability of units and joint forces to fight and meet the demands of the national security strategy. In 1998, GAO concluded that the readiness reports provided to Congress were vague and ineffective as oversight tools. Since that time, Congress added reporting requirements to enhance its oversight of military readiness. Therefore, the Chairman asked GAO to examine (1) the progress DOD made in resolving issues raised in the 1998 GAO report on both the unit-level readiness reporting system and the lack of specificity in DOD's Quarterly Readiness Reports to the Congress, (2) the extent to which DOD has complied with legislative reporting requirements enacted since 1997, and (3) DOD's plans to improve readiness reporting."
Date: March 28, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Military Base Closures: Better Planning Needed for Future Reserve Enclaves (open access)

Military Base Closures: Better Planning Needed for Future Reserve Enclaves

A letter report issued by the General Accounting Office with an abstract that begins "While four previous base closure rounds have afforded the Department of Defense (DOD) the opportunity to divest itself of unneeded property, it has, at the same time, retained more than 350,000 acres and nearly 20 million square feet of facilities on enclaves at closed or realigned bases for use by the reserve components. In view of the upcoming 2005 base closure round, GAO undertook this review to ascertain if opportunities exist to improve the decision-making processes used to establish reserve enclaves. Specifically, GAO determined to what extent (1)specific infrastructure needs for reserve enclaves were identified as part of base realignment and closure decision making and (2) estimated costs to operate and maintain enclaves were considered in deriving net estimated savings for realigning or closing bases."
Date: June 27, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Distance Education: More Data Could Improve Education's Ability to Track Technology at Minority Serving Institutions (open access)

Distance Education: More Data Could Improve Education's Ability to Track Technology at Minority Serving Institutions

A letter report issued by the General Accounting Office with an abstract that begins "Distance education--offering courses by Internet, video, or other forms outside the classroom--is a fast growing part of postsecondary education. GAO was asked to review the state of distance education at Minority Serving Institutions, which are schools that serve high percentages of minority students, including Blacks, Hispanics, and American Indians. Under Titles III and V of the Higher Education Act, these schools are eligible for grants that can be used for expanding their technology, including distance education. GAO's review focused on (1) the use of distance education at Minority Serving Institutions, (2) key factors influencing these schools' decisions about whether or not to offer distance education, and (3) steps the Department of Education could take, if any, to improve monitoring efforts of technological progress under Titles III and V programs."
Date: September 12, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Information Technology: Benefits Realized for Selected Health Care Functions (open access)

Information Technology: Benefits Realized for Selected Health Care Functions

A letter report issued by the General Accounting Office with an abstract that begins "The rapidly rising costs of health care, along with an increasing concern for the quality of care and the safety of patients, are driving health care organizations to use information technology (IT) to automate clinical care operations and their associated administrative functions. Among its other functions, IT is now being used for electronic medical records, order management and results reporting, patient care management, and Internet access for patient and provider communications. It also provides automated billing and financial management. The Ranking Minority Member of the Senate Committee on Health, Education, Labor, and Pensions asked GAO to identify cost savings and other benefits realized by health care organizations that have implemented IT both in providing clinical health care and in the administrative functions associated with health care delivery. GAO analyzed information from 10 private and public health care delivery organizations, 3 health care insurers, and 1 community data network."
Date: October 31, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Insurance Regulation: Common Standards and Improved Coordination Needed to Strengthen Market Regulation (open access)

Insurance Regulation: Common Standards and Improved Coordination Needed to Strengthen Market Regulation

A letter report issued by the General Accounting Office with an abstract that begins "Consumers of insurance depend on state regulators to ensure that insurance companies are behaving fairly and in accordance with the law. This report evaluates the states' use of market analysis (information gathering to determine issues and identify companies that may need attention) and on-site examinations in market regulation and the progress the National Association of Insurance Commissioners (NAIC) has made in creating more uniformity in the regulation of market conduct."
Date: September 30, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
National Airspace System: Better Cost Data Could Improve FAA's Management of the Standard Terminal Automation Replacement System (open access)

National Airspace System: Better Cost Data Could Improve FAA's Management of the Standard Terminal Automation Replacement System

A letter report issued by the General Accounting Office with an abstract that begins "To enhance the capacity and safety of the national airspace system, the Federal Aviation Administration (FAA), within the Department of Transportation, is acquiring 74 Standard Terminal Automation Replacement Systems (STARS). STARS will replace some outdated air traffic control equipment. Since 1996, when FAA initiated this major computer hardware and software acquisition, the scope and estimated costs of STARS have changed many times. FAA now estimates that STARS's remaining costs will total about $2.54 billion. GAO was asked to assess the reliability of FAA's life-cycle cost estimate for STARS, determine the impact of STARS's estimated costs on future FAA budgets, and identify any alternatives to STARS that FAA is considering. GAO based its analysis on published FAA cost data and the guidance FAA uses for managing major acquisitions."
Date: January 31, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Prescription Drug Discount Cards: Savings Depend on Pharmacy and Type of Card Used (open access)

Prescription Drug Discount Cards: Savings Depend on Pharmacy and Type of Card Used

A letter report issued by the General Accounting Office with an abstract that begins "While prescription drugs have become an increasingly important part of health care for the elderly, more than one-quarter of all Medicare beneficiaries have no prescription drug coverage. Over the past decade, private companies and not-for-profit organizations have sponsored prescription drug discount cards that offer discounts from the prices the elderly would otherwise have to pay for their prescriptions. These cards are typically administered by pharmacy benefit managers (PBM). Pharmaceutical manufacturers also sponsor and administer their own discount cards. The Administration has been interested in endorsing specific drug cards for Medicare beneficiaries to make the discounts more widely available. Legislative proposals in the Senate and House of Representatives have included drug cards as a means to lower prescription drug prices for Medicare beneficiaries. GAO was asked to examine how existing drug discount cards work and the prices available to card holders. Specifically, GAO evaluated the extent to which PBM-administered drug discount cards offer savings off non-card prices at 40 pharmacies in California, North Dakota, and Washington, D.C., and the differences between PBM-administered cards and cards sponsored by pharmaceutical manufacturers."
Date: September 3, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Aviation Infrastructure: Challenges Related to Building Runways and Actions to Address Them (open access)

Aviation Infrastructure: Challenges Related to Building Runways and Actions to Address Them

A letter report issued by the General Accounting Office with an abstract that begins "Aviation experts believe that building runways is one key way to address airport capacity issues and prevent delays that can affect the entire U.S. economy, but runway projects are often controversial and time-consuming. GAO was asked to examine how much time airports spend completing runways, what challenges airports and other stakeholders experience during this process, and what airports and other stakeholders have done to address challenges related to runway projects. GAO analyzed the results of surveys from 30 airports on 32 runway projects and visited 5 airports in order to interview numerous runway project stakeholders. The Department of Transportation agreed with GAO's characterization of the challenges associated with building runways and some of the initiatives taken to address these challenges. They did express some concerns related to GAO's analysis of the time airports spent or estimated spending in developing runways, and suggested that GAO acknowledge additional FAA efforts to improve the runway process. We believe that our approach was a reasonable assessment of the amount of time taken to build runways; however, we clarified our discussion about the length of time. We also added information regarding …
Date: January 30, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Child Welfare: Most States Are Developing Statewide Information Systems, but the Reliability of Child Welfare Data Could Be Improved (open access)

Child Welfare: Most States Are Developing Statewide Information Systems, but the Reliability of Child Welfare Data Could Be Improved

A letter report issued by the General Accounting Office with an abstract that begins "To better monitor children and families served by state child welfare agencies, Congress authorized matching funds for the development of statewide automated child welfare information systems (SACWIS) and required that the Department of Health and Human Services (HHS) compile information on the children served by state agencies. This report reviews (1) states' experiences in developing child welfare information systems and HHS's role in assisting in their development, (2) factors that affect the reliability of data that states collect and report on children served by their child welfare agencies and HHS's role in ensuring the reliability of those data, and (3) practices that child welfare agencies use to overcome challenges associated with SACWIS development and data reliability."
Date: July 31, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Radiation Exposure Compensation: Funding to Pay Claims May Be Inadequate to Meet Projected Needs (open access)

Radiation Exposure Compensation: Funding to Pay Claims May Be Inadequate to Meet Projected Needs

A letter report issued by the General Accounting Office with an abstract that begins "On October 15, 1990, the Radiation Exposure Compensation Act (RECA) was enacted providing for payments to individuals who contracted certain cancers and other serious diseases presumably as a result of their exposure to radiation released during aboveground nuclear weapons tests or as a result of their employment associated with the uranium mining industry during the Cold War era. The RECA Amendments of 2000 required that GAO report to the Congress on the Department of Justice's administration of RECA not later than 18 months after the enactment of the amendments and every 18 months thereafter. GAO originally reported on the status of the program in September 2001. The objectives of this report are to update information on claims processing, payments from the Trust Fund, and administrative expenses."
Date: April 10, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Electronic Rulemaking: Efforts to Facilitate Public Participation Can Be Improved (open access)

Electronic Rulemaking: Efforts to Facilitate Public Participation Can Be Improved

A letter report issued by the General Accounting Office with an abstract that begins "Information technology can greatly facilitate the public's ability to comment on proposed rules that affect them. The E-Government Act of 2002 made the Office of Management and Budget (OMB) responsible for overseeing electronic government initiatives. We examined the extent to which agency-specific Web sites and the new governmentwide Regulations.gov Web site permit the public to electronically (1) identify proposed rules that are open for comment, (2) comment on proposed rules, and (3) access regulatory supporting materials (e.g., economic analyses) and the comments of others."
Date: September 17, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Medicare Provider Enrollment: Opportunities to Enhance Program Integrity Efforts (open access)

Medicare Provider Enrollment: Opportunities to Enhance Program Integrity Efforts

A letter report issued by the General Accounting Office with an abstract that begins "Staffing companies that contract with physicians to staff hospital departments--including emergency departments--are not permitted to bill Medicare. In the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000, Congress directed GAO to assess the program integrity implications of enrolling these companies and allowing them to bill Medicare. GAO reviewed about 2.8 million emergency department claims for 2000 from five states and assessed whether contractor physicians retained by staffing companies billed Medicare comparably to other emergency department physicians. GAO also evaluated how the lack of information on staffing companies affects efforts to assure Medicare program integrity."
Date: March 17, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
VA Health Care: Adequacy of Resident Supervision Is Not Assured, but Plans Could Improve Oversight (open access)

VA Health Care: Adequacy of Resident Supervision Is Not Assured, but Plans Could Improve Oversight

A letter report issued by the General Accounting Office with an abstract that begins "The Department of Veterans Affairs (VA) provides graduate medical education (GME) to as many as one-third of U.S. resident physicians, but oversight responsibilities spread across VA's organizational components and multiple affiliated hospitals and medical schools could allow supervision problems to go undetected or uncorrected. GAO was asked to examine VA's procedures for (1) monitoring VA medical centers' adherence to VA's requirements for resident supervision, (2) using evaluations of supervision by GME accrediting bodies and residents, and (3) using information about resident supervision drawn from VA's programs for monitoring the quality and outcomes of patient care."
Date: July 2, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Tobacco Exports: USDA's Foreign Agriculture Service Lacks Specific Guidance for Congressional Restrictions on Promoting Tobacco (open access)

Tobacco Exports: USDA's Foreign Agriculture Service Lacks Specific Guidance for Congressional Restrictions on Promoting Tobacco

A letter report issued by the General Accounting Office with an abstract that begins "Since 1994, the Agriculture Appropriations Act has prohibited the funding of tobacco export programs and restricted the U.S. Department of Agriculture's (USDA) tobacco-related activities. Since 1998, the Commerce, Justice, and State Appropriations Act has placed similar restrictions on the Departments of Commerce and State and the Office of the U.S. Trade Representative (USTR), although it has not prohibited them from addressing foreign discriminatory trade practices. Congressional requesters asked GAO to (1) assess the agencies' guidance on the restrictions to their overseas personnel, (2) describe how the agencies' activities changed in response to the restrictions, and (3) identify the mechanisms that the agencies use to monitor compliance."
Date: May 30, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Hospital Emergency Departments: Crowded Conditions Vary among Hospitals and Communities (open access)

Hospital Emergency Departments: Crowded Conditions Vary among Hospitals and Communities

A letter report issued by the General Accounting Office with an abstract that begins "Hospital emergency departments are a major part of the nation's health care safety net. Emergency departments report being under increasing pressure, with the number of visits nationwide increasing from an estimated 95 million in 1997 to an estimated 108 million in 2000. GAO was asked to provide information on emergency department crowding, including the extent hospitals located in metropolitan areas are experiencing crowding, the factors contributing to crowding, and the actions hospitals and communities have taken to address crowding. To conduct this work, GAO surveyed over 2,000 hospitals and about 74 percent responded. The survey collected information on crowding, such as data on diversion--that is, the extent to which hospitals asked ambulances that would normally bring patients to their hospitals to go instead to other hospitals that were presumably less crowded."
Date: March 14, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
H-1B Foreign Workers: Better Tracking Needed to Help Determine H-1B Program's Effects on U.S. Workforce (open access)

H-1B Foreign Workers: Better Tracking Needed to Help Determine H-1B Program's Effects on U.S. Workforce

A letter report issued by the General Accounting Office with an abstract that begins "The continuing use of H-1B visas, which allow employers to fill specialty occupations with highly skilled foreign workers, has been a contentious issue between U.S. workers and employers during the recent economic downturn. The H- 1B program is of particular concern to these groups because employment has substantially decreased within information technology occupations, for which employers often requested H-1B workers. In light of these concerns, GAO sought to determine (1) what major occupational categories H- 1B beneficiaries were approved to fill and what is known about H-1B petition approvals and U.S. citizen employment from 2000-2002; (2) what factors affect employers' decisions about the employment of H-1B workers and U.S. workers; and (3) what is known about H-1B workers' entries, departures, and changes in visa status."
Date: September 10, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Nuclear Nonproliferation: U.S. and International Assistance Efforts to Control Sealed Radioactive Sources Need Strengthening (open access)

Nuclear Nonproliferation: U.S. and International Assistance Efforts to Control Sealed Radioactive Sources Need Strengthening

A letter report issued by the General Accounting Office with an abstract that begins "Sealed radioactive sources, radioactive material encapsulated in stainless steel or other metal, are used worldwide in medicine, industry, and research. These sealed sources pose a threat to national security because terrorists could use them to make "dirty bombs." GAO was asked to determine (1) the number of sealed sources worldwide and how many have been reported lost, stolen, or abandoned; (2) the controls, both legislative and regulatory, used by countries that possess sealed sources; and (3) the assistance provided by the Department of Energy (DOE) and other U.S. federal agencies to strengthen other countries' control over sealed sources and the extent to which these efforts are believed to be effectively implemented."
Date: May 16, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Contract Management: No Reliable Data to Measure Benefits of the Simplified Acquisition Test Program (open access)

Contract Management: No Reliable Data to Measure Benefits of the Simplified Acquisition Test Program

A letter report issued by the General Accounting Office with an abstract that begins "In recent years, the federal government has introduced new ways to streamline the acquisition process. One of those vehicles is the simplified acquisition procedures test program, which removes some of the procedural requirements for buying commercial goods and services. Using the test program, federal procurement officials can make purchases faster than they have in the past for procurements not exceeding $5 million. Congress mandated that GAO determine the extent to which federal executive agencies--at a minimum, the Department of Defense (DOD)--have taken advantage of the test program and any benefits realized. One way to measure use is to examine test program data from the Federal Procurement Data System (FPDS). It is the central repository of contracting information. In addition to examining FPDS data, GAO looked at data from DOD's data system."
Date: September 30, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Debt Collection: Opportunities Exist for Improving FMS's Cross-Servicing Program (open access)

Debt Collection: Opportunities Exist for Improving FMS's Cross-Servicing Program

A letter report issued by the General Accounting Office with an abstract that begins "GAO has previously reviewed facets of Treasury's Financial Management Service's (FMS) cross-servicing efforts. These reviews did not include FMS's handling of nontax debts that were returned to FMS uncollected by its private collection agency (PCA) contractors because FMS officials did not consider the cross-servicing program to be fully mature. During fiscal years 2000, 2001, and 2002, FMS's PCA contractors returned about $3.9 billion of uncollected debts to FMS. This report focuses primarily on (1) actions taken by FMS on uncollected nontax debts returned from its PCA contractors and (2) actions taken, if any, by FMS and the Office of Management and Budget (OMB) to ensure that federal agencies are reporting their eligible uncollectible nontax debts to IRS as income to debtors."
Date: October 31, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library
Nuclear Weapons: Opportunities Exist to Improve the Budgeting, Cost Accounting, and Management Associated with the Stockpile Life Extension Program (open access)

Nuclear Weapons: Opportunities Exist to Improve the Budgeting, Cost Accounting, and Management Associated with the Stockpile Life Extension Program

A letter report issued by the General Accounting Office with an abstract that begins "As a separately organized agency within the Department of Energy (DOE), the National Nuclear Security Administration (NNSA) administers the Stockpile Life Extension Program, whose purpose is to extend, through refurbishment, the operational lives of the weapons in the nuclear stockpile. NNSA encountered significant management problems with its first refurbishment. NNSA has begun three additional life extensions. This study was undertaken to determine the extent to which budgetary, cost accounting, and other management issues that contributed to problems with the first refurbishment have been adequately addressed."
Date: July 28, 2003
Creator: United States. General Accounting Office.
System: The UNT Digital Library