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Nursing Homes: Federal Monitoring Surveys Demonstrate Continued Understatement of Serious Care Problems and CMS Oversight Weaknesses
A letter report issued by the Government Accountability Office with an abstract that begins "GAO reports since 1998 have demonstrated that state surveyors, who evaluate the quality of nursing home care on behalf of CMS, sometimes understate the extent of serious care problems in homes because they miss deficiencies. CMS oversees the effectiveness of state surveys through the federal monitoring survey program. In this program, federal surveyors in CMS's regional offices either independently evaluate state surveys by resurveying a home (comparative surveys) or directly observe state surveyors during a routine nursing home survey (observational surveys). GAO was asked to evaluate the information federal monitoring surveys provide on understatement and the effectiveness of CMS management and oversight of the survey program. To do this, GAO analyzed the results of federal monitoring surveys for fiscal years 2002 through 2007, reviewed CMS guidance for the survey program, and interviewed headquarters and regional office officials."
Date:
May 9, 2008
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Federal Retirement Processing: OPM Is Pursuing Incremental Information Technology Improvements after Canceling a Modernization Plagued by Management Weaknesses
Testimony issued by the Government Accountability Office with an abstract that begins "In a series of reviews, GAO found that the Office of Personnel Management's (OPM) retirement modernization efforts were hindered by weaknesses in key management practices that are essential to successful information technology (IT) modernization projects. For example, in 2005, GAO made recommendations to address weaknesses in the following areas:"
Date:
May 9, 2013
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Foreign Police Assistance: Defined Roles and Improved Information Sharing Could Enhance Interagency Collaboration
A letter report issued by the Government Accountability Office with an abstract that begins "The United States provided an estimated $13.9 billion for foreign police assistance during fiscal years 2009 through 2011. Funds provided by U.S. agencies rose and then fell between fiscal years 2009 and 2011. During fiscal years 2009 through 2011, the United States provided the greatest amount of its foreign police assistance to Afghanistan, Iraq, Pakistan, Colombia, Mexico, and the Palestinian Territories. Department of Defense (DOD) and State (State) funds constituted about 97 percent of U.S. funds for police assistance in fiscal year 2009 and 98 percent in fiscal years 2010 and 2011."
Date:
May 9, 2012
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
IRS Guidance on Economic Analyses in Investment Business Cases
Correspondence issued by the General Accounting Office with an abstract that begins "The Internal Revenue Service (IRS) plans to spend $2.9 billion to modernize its information systems. This report reviews the latest draft of IRS' Investment Decision Management Business Case Procedure, which guides the agency's information technology (IT) investments. GAO discusses changes to the guidance that would ensure that the economic analyses in IRS business cases are consistent with commonly accepted principles. IRS' draft guidance on business case documentation represents an important step toward ensuring that IRS management has relevant information on which to base its critical IT investment decisions. However, some aspects of IRS' guidance are inconsistent with commonly held principles of public sector cost-benefit analysis. Most important, the guidance does not require the computation of a comprehensive social net present value (NPV)--the standard for deciding whether a government investment can be justified on economic grounds. The two partial NPV computations that IRS' guidance requires are inappropriate because they do not incorporate the proper values for all relevant benefits and costs for investment projects with significant effects outside of IRS. In addition, IRS' two NPV's are not additive, so even if all benefits and costs were properly valued, decision …
Date:
May 9, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Federal Real Property: Corps of Engineers Needs to Improve the Reliability of Its Real Property Disposal Data
A letter report issued by the Government Accountability Office with an abstract that begins "Unreliable real property data has been a long-standing problem for federal landholding agencies. Under the President's real property initiative, agencies are being held accountable for, among other things, improving accuracy of their real property inventory and disposing of unneeded property. The U.S. Army Corps of Engineers (Corps), the fourth largest landholding agency, uses the Real Estate Management Information System (REMIS) for recording its civil works inventory. GAO was asked to determine whether REMIS could provide reliable information on the Corps' civil works land disposals from fiscal years 1996 through 2006. GAO's work involved comparison analyses of REMIS disposal data and other Corps reported disposal data, reviews of Corps' real property policies and guidance, and interviews with Corps officials at headquarters, three divisions, four districts, and the Real Estate Systems National Center (RESNC), which manages REMIS."
Date:
May 9, 2008
Creator:
United States. Government Accountability Office.
Object Type:
Report
System:
The UNT Digital Library
Central and Southwest Asian Countries: Trends in U.S. Assistance and Key Economic, Governance, and Demographic Characteristics
Correspondence issued by the General Accounting Office with an abstract that begins "Following the terrorist attacks of September 2001, prosecuting the global war on terrorism became the United States' primary foreign policy priority. The United States focused its initial efforts on Afghanistan in Operation Enduring Freedom because the country harbored elements of Al Qaeda and other terrorist groups. As a result, countries in the region--Pakistan and the five Central Asian republics of Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan--became frontline states in the war on terrorism, raising the profile of U.S. relations with these countries."
Date:
May 9, 2003
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Homeland Security: DHS and TSA Face Challenges Overseeing Acquisition of Screening Technologies
Testimony issued by the Government Accountability Office with an abstract that begins "GAOs past work has found that the Department of Homeland Security (DHS) and the Transportation Security Administration (TSA) have faced challenges in developing and meeting program requirements when acquiring screening technologies. GAOs past work has demonstrated that program performance cannot be accurately assessed without valid baseline requirements established at the program start. In June 2010, GAO reported that more than half of the 15 DHS programs GAO reviewed awarded contracts to initiate acquisition activities without component or department approval of documents essential to planning acquisitions, setting operational requirements, or establishing acquisition program baselines. At the program level, in January 2012, GAO reported that TSA did not fully follow DHS acquisition policies when acquiring advanced imaging technology (AIT)commonly referred to as a full body scanner that identifies objects or anomalies on the outside of the bodywhich resulted in DHS approving full AIT deployment without full knowledge of TSAs revised specifications. In July 2011, GAO reported that in 2010 TSA revised its explosive detection systems (EDS) requirements to better address current threats and planned to implement these requirements in a phased approach; however, GAO reported that some number of the …
Date:
May 9, 2012
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Department of Health and Human Services: Opportunities for Financial Savings and Program Improvements in Medicare and Medicaid Remain
Testimony issued by the Government Accountability Office with an abstract that begins "Over the past several years, GAO has made a number of recommendations to the Centers for Medicare & Medicaid Services (CMS)an agency within the Department of Health and Human Services (HHS)to increase savings in Medicare fee-for-service and Medicare Advantage (MA), which is a private plan alternative to the traditional Medicare fee-for-service program. Open recommendations that could yield billions of dollars in savings remain in many areas, such as the following:"
Date:
May 9, 2012
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Information on Certain Illegal Aliens Arrested in the United States
Correspondence issued by the Government Accountability Office with an abstract that begins "The former Immigration and Naturalization Service estimated that as of January 2000 the total unauthorized immigrant population residing in the United States was 7 million. This total includes those who entered the United States illegally and those who entered legally but overstayed their authorized period of stay. A more recent study estimated that there were about 10 million illegal aliens living in the United States as of March 2005. The study estimated that nearly 700,000 aliens entered the United States illegally or overstayed their authorized period of stay each year between 2000 and 2004. Some illegal aliens in the United States have been arrested and incarcerated in federal and state prisons and local jails, adding to already overcrowded prisons and jails. On April 7, 2005, we issued a report on criminal aliens that were incarcerated in federal and state prisons and local jails. Our report contained information on the number of criminal aliens incarcerated, their country of citizenship or country of birth, and the cost to incarcerate them. Congress also requested that we provide information on the criminal history of aliens incarcerated in federal and state prisons or …
Date:
May 9, 2005
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Transportation Worker Identification Credential: Card Reader Pilot Results Are Unreliable; Security Benefits Should Be Reassessed
Testimony issued by the Government Accountability Office with an abstract that begins "This statement today highlights the key findings of a report GAO released yesterday on the TWIC program that addressed the extent to which the results from the TWIC reader pilot were sufficiently complete, accurate, and reliable for informing Congress and the TWIC card reader rule. For the report, among other things, GAO assessed the methods used to collect and analyze pilot data since the inception of the pilot in August 2008. GAO analyzed and compared the pilot data with the TWIC reader pilot report submitted to Congress to determine whether the findings in the report are based on sufficiently complete, accurate, and reliable data. Additionally, we interviewed officials at DHS, TSA, and USCG with responsibilities for overseeing the TWIC program, as well as pilot officials responsible for coordinating pilot efforts with TSA and the independent test agent (responsible for planning, evaluating, and reporting on all test events), about TWIC reader pilot testing approaches, results, and challenges."
Date:
May 9, 2013
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Joint Strike Fighter Acquisition: Development Schedule Should Be Changed to Reduce Risks
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO reviewed the Department of Defense's (DOD) Joint Strike Fighter (JSF) Program, focusing on: (1) the program's acquisition strategy; and (2) whether the strategy is being implemented in a manner that will ensure that the acquisition strategy objectives will be achieved."
Date:
May 9, 2000
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Anthrax: Federal Agencies Have Taken Some Steps to Validate Sampling Methods and to Develop a Next-Generation Anthrax Vaccine
Testimony issued by the Government Accountability Office with an abstract that begins "GAO has done many studies over the past 7 years on anthrax vaccine safety and anthrax detection methods. GAO has reported the lack of validated methods for detecting anthrax contamination and has recommended a coordinated approach to improving the overall process for detecting anthrax that included a probability-based sampling strategy. GAO also reported that the vaccine has not been adequately tested on humans; no studies have been done to determine the optimum number of doses; the long-term safety has not been studied and data on short-term reactions are limited; however, women report higher rates of reactions than do men. Given these problems, GAO recommended the development, of a better, alternative vaccine."
Date:
May 9, 2006
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Federal Emergency Management Agency: Factors for Future Success and Issues to Consider for Organizational Placement
Testimony issued by the Government Accountability Office with an abstract that begins "The size and strength of hurricane Katrina resulted in one of the largest natural disasters in our nation's history and raised major questions about our nation's readiness and ability to respond to catastrophic disasters. GAO has a large body of completed and ongoing work on a range of issues relating to all phases of the preparation, response, recovery, and rebuilding efforts related to hurricane Katrina as well as a wealth of historical experience in reviewing the federal government's response to disasters and catastrophic events. A great deal of attention has been focused on lessons learned from the 2005 hurricane season and many recommendations have been advanced on how to improve the nation's preparedness and ability to effectively respond to catastrophic disasters. GAO's testimony today describes some factors for success and other issues that Congress may wish to consider as it determines what changes to make, including those of the Federal Emergency Management Agency's (FEMA) organizational placement, to improve the nation's readiness and ability to respond effectively to major disasters, including catastrophic disasters, regardless of cause."
Date:
May 9, 2006
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Energy Markets: Understanding Current Gasoline Prices and Potential Future Trends
Testimony issued by the Government Accountability Office with an abstract that begins "Gasoline prices have increased dramatically in recent weeks and currently, California has the highest gasoline prices in the nation. Consequently, consumers are expected to spend significantly more on gasoline this year than last. Specifically, EIA recently projected that, because of higher expected gasoline prices, the average American household will spend about $350 more on gasoline in 2005 than they did in 2004. Understandably, the public and the press have focused on these higher gasoline prices and some have questioned why this is happening. Moreover, people are concerned about the future, with some analysts projecting prices of crude oil--the primary raw material from which gasoline is produced--to remain at current high levels or even increase. Other analysts expect prices to fall as new oil supplies are developed and as consumers adjust to the current high prices and adopt more energy-efficient practices. This testimony, as requested, address factors that help explain today's high gasoline prices in the nation as a whole and specifically in California. In addition, potential trends that may impact future prices of crude oil and gasoline are addressed."
Date:
May 9, 2005
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Social Security: Use of the Social Security Number is Widespread
Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the usage of the social security number (SSN), focusing on: (1) federal laws and regulations directing the number's use; (2) the non-federal purposes for which the number is used; and (3) what businesses and state governments believe the impact would be if federal laws limiting the use of SSNs were passed."
Date:
May 9, 2000
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Department of Defense: Progress in Financial Management Reform
Testimony issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO discussed the Department of Defense's (DOD) financial management reform, focusing on the challenges and initiatives that are in place or planned."
Date:
May 9, 2000
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
On-Line Trading: Better Investor Protection Information Needed on Brokers' Web Sites
A letter report issued by the General Accounting Office with an abstract that begins "Pursuant to a congressional request, GAO provided information on on-line trading, focusing on: (1) the growth in on-line trading; (2) the extent to which on-line broker-dealers had experienced trading system delays and outages, including the causes of these problems and their reported effect on investors; and (3) how on-line broker-dealers address investor protection issues related to margin, privacy of information, risk disclosures, best execution, suitability, and advertising."
Date:
May 9, 2000
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Campaign Finance Reform: Early Experiences of Two States That Offer Full Public Funding for Political Candidates
A letter report issued by the General Accounting Office with an abstract that begins "In 2000 and 2002, Maine and Arizona held the nation's first elections under voluntary programs that offered full state funding for political candidates who ran for legislative and certain statewide offices. The goals of these programs, passed as ballot initiatives by citizens in these states, included increasing electoral competition and curbing increases in the cost of campaigns. Congress has considered legislation for public financing of congressional elections nearly every session since 1956, although no law has been enacted. In the Bipartisan Campaign Reform Act (P.L. 107-155 (2002)), Congress mandated that GAO study the results of the unique public financing programs in Maine and Arizona. For the 2000 and 2002 elections in Maine and Arizona, this report provides: (1) statistics on the number of candidates who chose to campaign with public funds and the number who were elected; and (2) observations, based on limited data, regarding the extent to which the goals of the public funding programs were met."
Date:
May 9, 2003
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Next Generation Air Transportation System: Status of the Transition to the Future Air Traffic Control System
Testimony issued by the Government Accountability Office with an abstract that begins "The nation's current air traffic control system is reaching its capacity limits as demand for air transportation grows. The Next Generation Air Transportation System (NextGen) represents a new system that will use state-of-the-art technologies and procedures. Transitioning to NextGen will require the Federal Aviation Administration (FAA) to continue to sustain the current air traffic control system while acquiring new systems on schedule and on budget. In 2003, Congress authorized the creation of the Joint Planning and Development Office (JPDO), housed within FAA, to plan NextGen and coordinate the transition. GAO's testimony focuses on the progress FAA is making in implementing businesslike operations that could provide a foundation for managing the transition to NextGen, the status of JPDO's planning and facilitation of NextGen, and some key challenges that FAA and JPDO need to address in moving toward NextGen. This statement is based on GAO's November 2006 report and recent testimonies as well as ongoing work. GAO's November report recommended that FAA study its technical and contract management expertise and that JPDO take actions to institutionalize its collaborative practices. FAA and JPDO said they would consider our recommendations."
Date:
May 9, 2007
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Drug Safety: Further Actions Needed to Improve FDA's Postmarket Decision-making Process
Testimony issued by the Government Accountability Office with an abstract that begins "In 2004, several high-profile drug safety cases raised concerns about the Food and Drug Administration's (FDA) ability to manage postmarket drug safety issues. In some cases there were disagreements within FDA about how to address these issues. GAO was asked to testify on FDA's oversight of drug safety. This testimony is based on Drug Safety: Improvement Needed in FDA's Postmarket Decision-making and Oversight Process, GAO-06-402 (Mar. 31, 2006). The report focused on the complex interaction between two offices within FDA that are involved in postmarket drug safety activities: the Office of New Drugs (OND), and the Office of Drug Safety (ODS). OND's primary responsibility is to review new drug applications, but it is also involved in monitoring the safety of marketed drugs. ODS is focused primarily on postmarket drug safety issues. ODS is now called the Office of Surveillance and Epidemiology. For its report, GAO reviewed FDA policies, interviewed FDA staff, and conducted case studies of four drugs with safety issues: Arava, Baycol, Bextra, and Propulsid. To gather information on FDA's initiatives since March 2006 to improve its decision-making process for this testimony, GAO interviewed FDA officials in …
Date:
May 9, 2007
Creator:
United States. Government Accountability Office.
Object Type:
Text
System:
The UNT Digital Library
Financial Audit: Federal Deposit Insurance Corporation's 2000 and 1999 Financial Statements
A letter report issued by the General Accounting Office with an abstract that begins "GAO audited the financial statements for the Federal Deposit Insurance Corporation's (FDIC) Bank Insurance Fund, Savings Association Insurance Fund, and FSLIC Resolution Fund for 2000 and 1999. GAO found that (1) the financial statements of each fund are presented fairly in conformity with U.S. generally accepted accounting principles; (2) although certain internal controls should be improved, FDIC had effective internal control over financial reporting and compliance with laws and regulations; and (3) there was no reportable noncompliance with the laws and regulations."
Date:
May 9, 2001
Creator:
United States. General Accounting Office.
Object Type:
Report
System:
The UNT Digital Library
Elections: Issues Affecting Military and Overseas Absentee Voters
Testimony issued by the General Accounting Office with an abstract that begins "The extent and quality of federal voter assistance for military personnel and overseas citizens varied considerably during the November 2000 election. The Department of Defense (DOD) has developed some useful information tools, but many overseas military personnel were unaware of them. Moreover, the military services did not always comply with DOD requirements to appoint and train Voting Assistance Officers, brief military personnel on how to go about voting, or maintain enough supplies of voting materials. Lack of emphasis by commanders and limited oversight by service Inspectors General and installation commanders appear to be the chief reasons why some military installations did not fully comply with DOD guidance on how voting assistance programs should be carried out. Many states have worked with DOD's Federal Voting Assistance Program to make it easier for military personnel and overseas citizens to register, obtain ballots, and vote; however, voters continue to face challenges. Information on the precise number of military and overseas absentee votes that local jurisdictions disqualified nationwide in the November 2000 election and the reasons for the disqualification is not available. Many local officials said that they did not track data …
Date:
May 9, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
Office of Workers' Compensation Programs: Further Actions Are Needed to Improve Claims Review
Testimony issued by the General Accounting Office with an abstract that begins "The Department of Labor's Office of Workers' Compensation Programs (OWCP) paid $2.1 billion in medical and death benefits and received 174,000 new injury claims during fiscal year 2000. GAO found that (1) one in four appealed claims' decisions are reversed or remanded to OWCP district offices for additional consideration and a new decision because of questions about or problems with the initial claims decision; (2) OWCP set a goal of informing 96 percent of claimants within 110 days of the date of the hearing; (3) nearly all doctors used by OWCP to provide opinions on injuries claimed were board certified and state licensed and were specialists in areas consistent with the injuries they evaluated; and (4) OWCP has used mailed surveys, telephone surveys, and focus groups to measure customer satisfaction. The Labor inspector general is monitoring fraud within OWCP's workers compensation program and using the claims examiners as one source to identify potentially fraudulent claims. This testimony is based on a May report (GAO-02-637)."
Date:
May 9, 2002
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library
The Federal Workforce: Observations on Protections From Discrimination and Reprisal for Whistleblowing
Testimony issued by the General Accounting Office with an abstract that begins "Federal employees who report waste, fraud, and abuse shouldn't have to fear discrimination and retaliation. Despite laws designed to protect whistleblowers, some have experienced or believed that they have experienced reprisals. Proposed legislation--the Notification and Federal Employee Antidiscrimination and Retaliation Act of 2001--would provide additional protections for federal employees and would provide important data to decisionmakers. First, the act would require agencies to report the number of discrimination and whistleblower reprisal cases. Because of a lack of data, the federal government currently doesn't have a clear picture of the volume of discrimination and whistleblowing reprisal cases involving federal employees. Such data could be a starting point for agency managers to understand the nature and scope of issues in the workplace involving reprisals and discrimination. Second, the act would make agencies and their leaders accountable for providing fair and equitable workplaces. In addition, individuals would be held accountable for their actions in cases in which discrimination has occurred. Finally, the act would require agencies to notify employees in writing of their rights and protections. This provision reinforces existing requirements that employees be notified of the rights and remedies concerning …
Date:
May 9, 2001
Creator:
United States. General Accounting Office.
Object Type:
Text
System:
The UNT Digital Library