A letter report issued by the Government Accountability Office with an abstract that begins "The National Mediation Board (NMB) recently updated its strategic plan but is not meeting some federal strategic planning and performance measurement requirements. NMB missed deadlines for updating its strategic plan and lacks performance measures to assess its progress in meeting its goals, even though an agency's strategic plan should form the basis for everything an agency does."

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Health and Human Services' (HHS) Health Resources and Services Administration (HRSA) has mechanisms in place to share information important for supporting the agency's mission across its various organizational components and levels of staff--a practice that is consistent with internal control standards for the federal government. These communication methods include an annual operational planning process for allocating agency resources, workgroups that involve staff from across the agency to work on issues of a cross-cutting nature, and regular meetings between the Office of the Administrator and leaders of the agency's various organizational components."

Correspondence issued by the Government Accountability Office with an abstract that begins "From the September 11, 2001, attack on the World Trade Center (WTC) through fiscal year 2010, approximately $475 million in federal funds was made available for screening, monitoring, or treating responders for illnesses and conditions--such as asthma and depression--related to the WTC disaster. Within the Department of Health and Human Services, the Centers for Disease Control and Prevention's (CDC) National Institute for Occupational Safety and Health (NIOSH) awards funds to and oversees the programs that provide screening, monitoring, and treatment services for responders to the WTC attack. The two largest programs, which we refer to here as the WTC health programs, are the New York City Fire Department's (FDNY) WTC Medical Monitoring and Treatment Program, and the New York/New Jersey (NY/NJ) WTC Consortium. These programs began as screening and monitoring programs, tracking the health status of responders related to the WTC disaster. In December 2005, the Congress first appropriated funds that were specifically available for treatment programs for certain responders with health conditions related to the WTC disaster, and in fall 2006, NIOSH began awarding funds for outpatient and inpatient treatment. According to NIOSH, as of June 30, …

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Homeland Security (DHS) has taken some relatively recent steps to enhance strategic workforce planning across the department. These steps are generally consistent with leading principles, but the department has not yet implemented an effective oversight approach for monitoring and evaluating components' progress. Specifically, recent steps DHS has taken to develop and implement strategic workforce planning efforts are consistent with the leading principles GAO has reported that include involving management and stakeholders, identifying skills and competencies, developing strategies to fill gaps, and building capability through training. For example, the department demonstrated stakeholder involvement by including component-level stakeholders in the development of the DHS Workforce Strategy. Though DHS has taken steps to implement strategic workforce planning, recent internal audits, as well as GAO's previous work, identified challenges related to workforce planning at the component level that could impair the continued implementation of recently initiated strategic workforce planning efforts. For example, GAO reported in July 2009 that the Federal Protective Service's (FPS) workforce planning was limited because FPS headquarters did not collect data on its workforce's knowledge, skills, and abilities and subsequently could not determine optimal …

A letter report issued by the Government Accountability Office with an abstract that begins "Ferries are a vital component of the U.S. transportation system and 2008 data show that U.S. ferries carried more than 82 million passengers and over 25 million vehicles. Ferries are also potential targets for terrorism in the United States and have been terrorist targets overseas. GAO was asked to review ferry security, and this report addresses the extent to which (1) the Coast Guard, the lead federal agency for maritime security, assessed risk in accordance with the Department of Homeland Security's (DHS) guidance and what risks it identified; and (2) federal agencies, ferry and facility operators, and law enforcement entities have taken actions to protect ferries and their facilities. GAO reviewed relevant requirements, analyzed 2006 through 2009 security operations data, interviewed federal and industry officials, and made observations at five domestic and one international locations with varying passenger volumes and relative risk profiles. Site visits provided information on security, but were not projectable to all ports. This is the public version of a sensitive report that GAO issued in October 2010. Information that DHS deemed sensitive has been redacted."

A letter report issued by the Government Accountability Office with an abstract that begins "The Department of Veterans Affairs (VA) medical centers GAO visited did not adhere to certain policy elements of the protected peer review process, and monitoring by VA's Veterans Health Administration (VHA) is limited. According to policy issued by VHA, protected peer review may be used by VA medical centers (VAMC) when there is a need to determine whether a provider's actions associated with an adverse event were clinically appropriate--that is, whether another provider with similar expertise would have taken similar action. Despite VAMC officials' general understanding of the protected peer review process, none of the VAMCs GAO visited adhered to all four protected peer review policy elements selected for review, including the timely completion of reviews, and the timely development of peer review triggers that signal the need for further review of a provider's care. Failure of VAMCs to adhere to the protected peer review policy elements may result in missed opportunities to identify providers who pose a risk to patient safety. Veterans Integrated Service Networks (VISN), responsible for oversight of VAMCs, monitor VAMCs' protected peer review processes through quarterly data submissions and annual site visits. …

Other written product issued by the Government Accountability Office with an abstract that begins "GAO's simulations continue to illustrate that the federal government is on an unsustainable long-term fiscal path. In both the Baseline Extended and Alternative simulations, debt held by the public grows as a share of gross domestic product (GDP) over the long term. While the timing and pace of growth varies depending on the assumptions used, neither set of assumptions achieves a sustainable path. In the Baseline Extended simulation, which assumes current law, including the discretionary spending limits and other spending reductions contained in the Budget Control Act (BCA) of 2011 and expiration of certain tax cuts enacted in 2001 and 2003, debt as a share of GDP declines in the short term before turning up again. In the Alternative simulation, in which these laws are assumed to not take full effect, federal debt as a share of GDP grows throughout the period. Discretionary spending limits alone do not address the fundamental imbalance between estimated revenue and spending, which is driven largely by the aging of the population and rising health care costs. The Patient Protection and Affordable Care Act (PPACA) slows the growth of health care …

A letter report issued by the Government Accountability Office with an abstract that begins "The National Aeronautics and Space Administration (NASA) has provided significantly more time and money to the James Webb Space Telescope (JWST) than previously planned and expressed high confidence in the project's new baselines. Its current cost estimate reflects some features of best practices for developing reliable and credible estimates. For example, the estimate substantially meets one of four cost characteristics--comprehensive--that GAO looks for in a reliable cost estimate, in part because all life cycle costs were included. The estimate, however, only partially met the other three characteristics--well documented, accurate, and credible--which detracts from its reliability. For example, the estimate's accuracy, and therefore the confidence level assigned to the estimate, was lessened by the summary schedule used for the joint cost and schedule risk analysis because it did not provide enough detail to determine how risks were applied to critical project activities. The estimate's credibility was also lessened because officials did not perform a sensitivity analysis that would have identified key drivers of costs, such as workforce size. Program officials believe that it would have been difficult to fully address all best practice characteristics. GAO believes there …