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Centers for Disease Control and Prevention: Human Capital Planning Has Improved, but Strategic View of Contractor Workforce Is Needed
A letter report issued by the Government Accountability Office with an abstract that begins "The Centers for Disease Control and Prevention (CDC)--an agency in the Department of Health and Human Services (HHS)--has experienced an expanding workload due to emerging health threats, such as bioterrorism. Strategic planning helps agencies like CDC sustain a workforce with the necessary education, skills, and competencies--human capital--to fulfill their missions. In September 2007, CDC released its Strategic Human Capital Management Plan (CDC Plan). GAO was asked to review CDC's human capital planning. GAO determined (1) whether the CDC Plan was designed to address the human capital challenges CDC faces; (2) the extent to which the CDC Plan is strategically aligned with agency goals, plans, and budget; and (3) the extent to which CDC incorporated GAO's principles for strategic human capital planning. To do so, GAO interviewed officials and analyzed data and documents."
Date:
May 28, 2008
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
VA Health Care: Reporting of Spending and Workload for Mental Health Services Could Be Improved
A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) provides, or pays for, a range of mental health services for veterans. To effectively manage resources and ensure access to eligible veterans, VA needs complete spending and workload information for mental health services. This information is also important for congressional oversight GAO was asked to examine VA's mental health spending and workload. In this report, GAO examined for fiscal year 2009 (1) VA's spending for mental health services and (2) VA's workload for mental health services. GAO examined VA's reporting of mental health spending and workload data for fiscal year 2009 in its fiscal year 2011 congressional budget justification and whether VA reported these data in any other publicly available report. GAO analyzed additional mental health spending and workload data and interviewed VA officials."
Date:
May 28, 2010
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Review of the President's Fiscal Year 2009 Budget Request for the Defense Health Program's Private Sector Care Budget Activity Group
Correspondence issued by the Government Accountability Office with an abstract that begins "The President's budget request for the Department of Defense's (DOD) Defense Health Program has increased steadily in recent years. For example, from fiscal year 2005 to fiscal year 2009, the budget request for the program increased from about $17.6 billion to about $23.6 billion, an increase of about 34 percent. DOD has attributed a majority of this increase to growth in medical care, dental care, and pharmaceuticals provided in the private sector to active duty personnel and other eligible beneficiaries. These private sector expenses are funded through the Defense Health Program's Private Sector Care Budget Activity Group (BAG). From fiscal year 2005 to fiscal year 2009, the budget request for this BAG increased by about 36 percent--from about $9.0 billion to almost $12.2 billion. The Conference Report accompanying the Fiscal Year 2008 Department of Defense Appropriations bill directed us to review the President's fiscal year 2009 budget request for the Defense Health Program's Private Sector Care BAG. To do this, we reviewed (1) DOD's justification for the request for the Private Sector Care BAG, including the underlying estimates and the extent to which DOD considered historical information; and …
Date:
May 28, 2008
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Bureau of the Public Debt: Areas for Improvement in Computer Controls
Correspondence issued by the General Accounting Office with an abstract that begins "In connection with fulfilling our requirement to audit the financial statements of the U.S. government, we audited and reported on the Schedules of Federal Debt Managed by the Bureau of the Public Debt (BPD) for the fiscal years ended September 30, 2003 and 2002. As part of these audits, we performed a review of the general and application computer controls over key BPD financial systems."
Date:
May 28, 2004
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Warfighter Support: Observations on DOD's Ground Combat Uniforms
Correspondence issued by the Government Accountability Office with an abstract that begins "This report is in response to section 352 of Public Law 111-84, the National Defense Authorization Act for Fiscal Year 2010. The statute requires the Comptroller General to conduct an assessment of the ground combat uniforms and camouflage utility uniforms currently in use in the Department of Defense and provide the results to the congressional defense committees not later than 180 days after the date of enactment of the act."
Date:
May 28, 2010
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Campaign Finance Reform: Experiences of Two States That Offered Full Public Funding for Political Candidates
A letter report issued by the Government Accountability Office with an abstract that begins "The 2000 elections in Maine and Arizona were the first in the nation's history where candidates seeking state legislative seats had the option to fully fund their campaigns with public moneys. In 2003, GAO reviewed the public financing programs in Maine and Arizona and found the programs' goals were to (1) increase electoral competition; (2) increase voter choice; (3) curb increases in campaign costs; (4) reduce interest group influence; and (5) increase voter participation. GAO reported that while the number of candidates who participated in the programs increased from 2000 to 2002, it was too soon to determine the extent to which these five goals of the programs were being met. Senate Report 110-129 directed GAO to update its 2003 report. This report: (1) provides data on candidate participation and (2) describes changes in five goals of Maine's and Arizona's programs in the 2000 through 2008 elections and the extent to which changes could be attributed to the programs. To address its objectives, GAO analyzed available data about candidate participation, election outcomes, and campaign spending for the 1996 through 2008 legislative elections in both states, reviewed …
Date:
May 28, 2010
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Defense Health Care: Department of Defense Needs a Strategic Approach to Contracting for Health Care Professionals
A letter report issued by the Government Accountability Office with an abstract that begins "The military departments--the Army, Navy, and Air Force--generally use competition and fixed-price contracts when contracting for medical professionals. These practices can provide lower prices or reduced risk for the government. The military departments use a number of contract arrangements, including contracts awarded to multiple health care staffing companies, for health care professionals. Military department analyses indicate that multiple-award contracts result in lower prices compared to other contract arrangements."
Date:
May 28, 2013
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
DOD Business Systems Modernization: Billions Continue to Be Invested with Inadequate Management Oversight and Accountability
A letter report issued by the General Accounting Office with an abstract that begins "Despite its significant investment in business systems, the Department of Defense (DOD) continues to have long-standing financial and inventory management problems that prevent it from producing reliable and timely information for making decisions and for accurately reporting on its billions of dollars of inventory. GAO was asked to (1) identify DOD's fiscal year 2004 estimated funding for its business systems, (2) determine if DOD has effective control and accountability over its business systems investments, and (3) determine whether selected business systems will help resolve some of DOD's long-standing problems and whether they are being effectively managed."
Date:
May 28, 2004
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Department of Veterans Affairs: Agency Has Exceeded Contracting Goals for Veteran-Owned Small Businesses, but It Faces Challenges with Its Verification Program
A letter report issued by the Government Accountability Office with an abstract that begins "The Veterans Benefits, Health Care, and Information Technology Act of 2006 (the 2006 Act) requires the Department of Veterans Affairs (VA) to give priority to veteran-owned and service-disabled veteran-owned small businesses (VOSB and SDVOSB) when awarding contracts to small businesses. The 2006 Act also requires GAO to conduct a 3-year study of VA's implementation of the act. GAO evaluated (1) the extent to which VA met its prime contracting goals for VOSBs and SDVOSBs in fiscal years 2007-2009; (2) VA's progress in implementing procedures to verify the ownership, control, and status of VOSBs and SDVOSBs in its mandated database; and (3) VA's progress in establishing a review mechanism of prime contractors' subcontracts with VOSBs and SDVOSBs. GAO obtained and analyzed data on VA's prime and subcontracting accomplishments, and reviewed a sample of verified businesses to identify any deficiencies in VA's verification program."
Date:
May 28, 2010
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Highway Safety: Federal and State Efforts to Address Rural Road Safety Challenges
A letter report issued by the General Accounting Office with an abstract that begins "Traffic crashes are a major cause of death and injury in the United States. In 2002, there were 42,815 fatalities and over 2.9 million injuries on the nation's highways. Crashes on rural roads (roads in areas with populations of less than 5,000) account for over 60 percent of the deaths nationwide, or about 70 deaths each day. Further, the rate of fatalities per vehicle mile traveled on rural roads was over twice the urban fatality rate. GAO identified (1) the factors contributing to rural road fatalities, (2) federal and state efforts to improve safety on the nation's rural roads, and (3) the challenges that may hinder making improvements in rural road safety. GAO obtained information from the Federal Highway Administration (FHWA), the National Highway Traffic Safety Administration (NHTSA), and other organizations with knowledge of these issues. In addition, GAO analyzed fatal crash data on rural roads from Department of Transportation databases and visited five states that account for about 20 percent of the nation's rural road mileage. GAO also contacted academic experts and examined legislative proposals for improving rural road safety. We provided copies of a …
Date:
May 28, 2004
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
VA Health Care: Facilities Have Taken Action to Provide Language Access Services and Culturally Appropriate Care to a Diverse Veteran Population
A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) faces challenges in bridging language and cultural barriers as it seeks to provide quality health care services to an increasingly diverse veteran population in terms of race, ethnicity, sex, and age. To meet the needs of veterans with limited English proficiency (LEP), VA issued an LEP Directive that provides guidance for medical centers in assessing language needs and, if needed, developing language access services designed to ensure effective communication between English-speaking providers and those with LEP. In addition, VA is also challenged to deliver health care services in ways that are culturally appropriate--that is, respectful of and responsive to the cultural values of a diverse veteran population. In light of these challenges, GAO was asked to discuss the (1) actions VA has taken to implement its LEP Directive and the status of veterans' utilization of language access services, and (2) efforts VA has made to provide culturally appropriate health care services. GAO reviewed VA's policies and the LEP Directive, interviewed VA officials and reviewed efforts by 6 VA medical centers and 10 other VA facilities to implement VA's LEP Directive …
Date:
May 28, 2008
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Defense Infrastructure: Impact of Purchasing from Local Distributors All Alcoholic Beverages for Resale on Military Installations on Guam
Correspondence issued by the Government Accountability Office with an abstract that begins "The military exchange services purchase alcoholic beverages for resale on military installations as part of their mission to provide quality goods and services at competitive low prices to their customers--primarily military service members and their families. The revenue generated from the retail sale of products, including alcoholic beverages, supports most of the operating costs of the exchanges and military package stores as well as Morale, Welfare, and Recreation programs. Such programs generally provide for the physical, cultural, and social needs of service members and their families, and include fitness centers, child development services, libraries, and recreation centers. As primarily self-supporting enterprises, military exchanges and package stores are funded predominantly with nonappropriated funds, such as cash and other assets generated through business operations and sales to Department of Defense (DOD) authorized patrons, but certain administrative and support costs of the exchanges are paid by DOD using appropriated funds. In Guam, the Navy Exchange Service Command (NEXCOM) operates exchange activities on Naval Base Guam and the Army and Air Force Exchange Service (AAFES) operates exchange activities on Andersen Air Force Base. Section 652 of the National Defense Authorization Act for …
Date:
May 28, 2010
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Energy Employees Compensation: Even with Needed Improvements in Case Processing, Program Structure May Result in Inconsistent Benefit Outcomes
A letter report issued by the General Accounting Office with an abstract that begins "Subtitle D of the Energy Employees Occupational Illness Compensation Program Act of 2000 allows the Department of Energy (Energy) to help its contractors' employees file state workers' compensation claims for illnesses determined by a panel of physicians to be caused by exposure to toxic substances while employed at an Energy facility. Congress mandated that GAO study the effectiveness of the benefit program under Subtitle D. GAO focused on four key areas: (1) the number, status, and characteristics of claims filed with Energy; (2) the extent to which Energy policies and procedures help employees file timely claims for these state benefits; (3) the extent to which there will be a "willing payer" of workers' compensation benefits, that is, an insurer that--by order from or agreement with Energy--will not contest these claims; and (4) a framework that could be used for evaluating possible options for changing the program."
Date:
May 28, 2004
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Coast Guard: Station Spending Requirements Met, but Better Processes Needed to Track Designated Funds
A letter report issued by the General Accounting Office with an abstract that begins "The Coast Guard conducts homeland security and search and rescue operations from nearly 200 shoreside stations along the nation's coasts and waterways. After several rescue mishaps that resulted in the deaths of civilians and station personnel, Congress recognized a need to improve performance at stations and appropriated additional funds to increase stations' readiness levels. For fiscal year 2003, the Coast Guard received designated funds of $15.7 million specifically to increase spending for stations' staffing, personal protection equipment (such as life vests and cold weather protection suits), personnel retention, and training needs. Congress directed GAO to determine if the Coast Guard's fiscal year 2003 outlays for stations increased by this amount over fiscal year 2002 expenditure levels. GAO also assessed the adequacy of the processes used by the Coast Guard to account for the expenditure of designated funds."
Date:
May 28, 2004
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Medicare: Recent CMS Reforms Address Carrier Scrutiny of Physicians' Claims for Payment
A letter report issued by the General Accounting Office with an abstract that begins "In 1990, GAO designated the Medicare program to be at high-risk for waste, fraud, and abuse. More than a decade later, Medicare remains on GAO's high-risk list. This report examines Medicare's claims review process, which is designed to detect improper billing or payments. GAO found that most physicians who bill Medicare are largely unaffected by carriers' medical reviews, with 90 percent of physician claims going unreviewed in fiscal year 2001. At the three carriers GAO studied, implementation of the progressive corrective action initiative has reduced medical reviews of claims and has increased carrier education to individual physicians. The carriers in the study generally made appropriate payment determinations in examining physician claims selected for a medical review. By targeting claims that are more likely to have errors, carriers could improve the efficiency of their own operations and reduce administrative demands on the small proportion of physician practices with claims selected for review. The Centers for Medicare and Medicaid Services (CMS) is refocusing its oversight of carrier performance in processing and reviewing claims. The agency intends to hold carriers accountable for the overall level of payment errors in …
Date:
May 28, 2002
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Nuclear Waste: Preliminary Observations on the Quality Assurance Program at the Yucca Mountain Repository
Testimony issued by the General Accounting Office with an abstract that begins "A quality assurance program is required by the Nuclear Regulatory Commission (NRC) to ensure that the Department of Energy (DOE) can safely construct and operate a high-level radioactive waste repository. DOE is currently preparing an application to NRC for authorization to construct the repository. The quality assurance program includes procedures to assure NRC that the information DOE provides is verifiable and well documented. DOE will use the results of a computer simulation to demonstrate that the repository can be safely operated over the 10,000-year period required by the Environmental Protection Agency's health and safety standards. This testimony is based on ongoing and published GAO work. The testimony provides the history of DOE's actions to correct quality assurance problems, the status of DOE's efforts to improve the quality assurance program, and preliminary observations on the effect of quality assurance problems on DOE's ability to successfully meet its 2004 milestone for submitting an application to NRC requesting authorization to construct the repository."
Date:
May 28, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Technology Assessment: Cybersecurity for Critical Infrastructure Protection
A chapter report issued by the General Accounting Office with an abstract that begins "Computers are crucial to the operations of government and business. Computers and networks essentially run the critical infrastructures that are vital to our national defense, economic security, and public health and safety. Unfortunately, many computer systems and networks were not designed with security in mind. As a result, the core of our critical infrastructure is riddled with vulnerabilities that could enable an attacker to disrupt operations or cause damage to these infrastructures. Critical infrastructure protection (CIP) involves activities that enhance the security of our nation's cyber and physical infrastructure. Defending against attacks on our information technology infrastructure-- cybersecurity--is a major concern of both the government and the private sector. Consistent with guidance provided by the Senate's Fiscal Year 2003 Legislative Branch Appropriations Report (S. Rpt. 107-209), GAO conducted this technology assessment on the use of cybersecurity technologies for CIP in response to a request from congressional committees. This assessment addresses the following questions: (1) What are the key cybersecurity requirements in each of the CIP sectors? (2) What cybersecurity technologies can be applied to CIP? (3) What are the implementation issues associated with using cybersecurity technologies …
Date:
May 28, 2004
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Federal Debt: Answers to Frequently Asked Questions--An Update
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO updated its report on frequently asked questions on the federal debt, focusing on: (1) how debt is defined and measured; (2) who holds federal debt; (3) how much it has grown in recent years; and (4) its significance to the national economy."
Date:
May 28, 1999
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Campaign Finance Reform: Additional Information Related to Program Goals in Two States Offering Full Public Funding for Political Candidates (GAO-10-391SP), an E-supplement to GAO-10-390
Other written product issued by the Government Accountability Office with an abstract that begins "This document is an E-supplement to GAO-10-390. The 2000 elections in Maine and Arizona were the first in the nation's history where candidates seeking state legislative seats had the option to fully fund their campaigns with public moneys. In 2003, GAO reviewed the public financing programs in Maine and Arizona and found the programs' goals were to (1) increase electoral competition; (2) increase voter choice; (3) curb increases in campaign costs; (4) reduce interest group influence; and (5) increase voter participation. GAO reported that while the number of candidates who participated in the programs increased from 2000 to 2002, it was too soon to determine the extent to which these five goals of the programs were being met. Senate Report 110-129 directed GAO to update its 2003 report. This report: (1) provides data on candidate participation and (2) describes changes in five goals of Maine's and Arizona's programs in the 2000 through 2008 elections and the extent to which changes could be attributed to the programs. To address its objectives, GAO analyzed available data about candidate participation, election outcomes, and campaign spending for the 1996 through …
Date:
May 28, 2010
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Rural Water Projects: Identifying the Benefits of the Proposed Lewis and Clark Project
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on the benefits of constructing the Lewis and Clark Rural Water Project, focusing on: (1) what benefits could derive from the Lewis and Clark project; (2) who could receive these benefits; and (3) how these benefits are valued."
Date:
May 28, 1999
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Medicare: Using Education and Claims Scrutiny to Minimize Physician Billing Errors
Testimony issued by the General Accounting Office with an abstract that begins "In its audit for year 2001, the Department of Health and Human Services' Office of Inspector General found that $12.1 billion was improperly paid to Medicare providers. GAO's February report (GAO-02-249) showed that physicians often do not receive complete, accurate, clear, or timely guidance on Medicare billing and payment policies. At the carriers studied, GAO found significant shortcomings in printed material, web sites, and telephone help lines used to provide information and respond to physicians' questions. GAO concluded the Centers for Medicare and Medicaid Services (CMS) needed to initiate a more centralized and coordinated approach and provide technical assistance to carriers to improve provider communications. In fiscal year 2001, CMS revised its policy on conducting medical reviews. The policy directs carriers to differentiate among levels of billing problems and tailor corrective actions accordingly. As a result of this and other medical review modifications, the highest overpayment amounts assessed a physician practice by a carrier dropped substantially."
Date:
May 28, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Cooperative research in coal liquefaction
Significant progress was made in the May 1990--May 1991 contract period in three primary coal liquefaction research areas: catalysis, structure-reactivity studies, and novel liquefaction processes. A brief summary of the accomplishments in the past year in each of these areas is given.
Date:
May 28, 1991
Creator:
Huffman, G. P. & Sendlein, L. V. A. (eds.)
Object Type:
Report
System:
The UNT Digital Library
Model for H/sup -/, D/sup -/ production by hydrogen backscattering from alkali and alkali/transition-metal surfaces
A model for H/sup -/, D/sup -/ production by energetic particles reflecting from metal surfaces is discussed. The model employs the energy and angular distribution data derived from the Marlowe code. The model is applied to particles incident normally upon Cs, Ni, and Cs/Ni surfaces.
Date:
May 28, 1980
Creator:
Hiskes, J.R. & Schneider, P.J.
Object Type:
Article
System:
The UNT Digital Library
DC CICC retrofit magnet preliminary design, software development and analysis report
The January 1992 quarterly progress report discusses a two-dimensional finite element analysis (FEA) of the proposed retrofit MHD coil. The superconducting Cable-in-Conduit Conductor (CICC) winding pack has a smooth, semi-elliptical cross section and is supported by a similarly shaped strap which resists the electromagnetic forces tending to separate the coils on each side of the channel. The coils are designed to produce a peak on-axis field of 4.5 tesla with a nominal current density of 13.05{times}10{sup 6} A/m{sup 2}. A sketch of the magnet system and structure is shown in Fig. 1.0-1. The objective of this analysis is to quantify the highly 3-D characteristics of the proposed superconductivity magnet system, and develop an appropriate support concept. A fully paramatized 3-D finite element model of the coil and structure is developed as a means of obtaining the field and stress solutions. The flexibility of FEA and a model built using design parameters allows variations in the coil end turn bend radius, strap thickness, support details and positions to be studied. The preliminary results show the calculated stresses as a result of this iterative design process.
Date:
May 28, 1992
Creator:
Myatt, R. L. & Marston, P. G.
Object Type:
Report
System:
The UNT Digital Library