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Open Recommendations

Defense Health Care: DOD Should Monitor Mental Health Screenings for Prenatal and Postpartum TRICARE Beneficiaries

GAO-25-107163
Apr 22, 2025
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2 Open Recommendations
Agency Affected Recommendation Status
Defense Health Agency The Director of DHA should routinely monitor the frequency of perinatal mental health screening in direct care and take corrective action as appropriate if deficiencies are identified to help ensure provider adherence to DHA's screening recommendations. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Defense Health Agency The Director of DHA should routinely monitor through its contractors the frequency of perinatal mental health screening in private sector care and take corrective action if deficiencies are identified to help ensure provider adherence to evidence-based screening practices. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Defense Health Care: Actions Needed to Address Long-Standing Management Challenges with Medical Facilities

GAO-25-107432
Apr 10, 2025
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7 Open Recommendations
Agency Affected Recommendation Status
Department of Defense The Secretary of Defense should ensure that the DHA Director provides information to Congress to clarify how the network structure meets the intent of section 712 of the John S. McCain National Defense Authorization Act for Fiscal Year 2019. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should ensure that the DHA Director issues guidance detailing the processes needed to determine and validate the number of personnel required to manage and support its medical facilities. This guidance should also include processes for conducting workload analyses and address the frequency with which these analyses should be conducted. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should ensure that the DHA Director develops a plan with timelines and key milestones and deliverables to implement its guidance, once issued, to establish personnel requirements and that tracks its progress in determining and validating the number of personnel required, including analyzing workload, to manage and support its medical facilities. (Recommendation 3)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should ensure that the DHA Director studies DHA's business functions to determine which ones it will consolidate to manage and support its medical facilities. (Recommendation 4)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should ensure that the DHA Director develops an implementation plan with timelines and key milestones and deliverables to track its progress consolidating business functions, once studied, to manage and support its medical facilities. (Recommendation 5)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Defense The Secretary of Defense should ensure that the DHA Director further leverages collaborative mechanisms to continuously involve all key stakeholders and consider their input as DHA develops and implements the network structure to manage its medical facilities. (Recommendation 6)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Drug Shortages: HHS Should Implement a Mechanism to Coordinate Its Activities

GAO-25-107110
Apr 09, 2025
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2 Open Recommendations
Agency Affected Recommendation Status
Department of Health and Human Services The Secretary of Health and Human Services should identify and implement a mechanism to formally coordinate HHS strategies to address drug shortages and collaborate with other federal stakeholders, as needed. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Department of Health and Human Services The Secretary of Health and Human Services should ensure this mechanism takes into consideration GAO's Leading Practices to Enhance Interagency Collaboration and Address Crosscutting Challenges as it carries out its activities to address drug shortages. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

Public Health Preparedness: Reliable Information Needed to Inform Situational Awareness of the Medical Reserve Corps

GAO-25-106899
Apr 03, 2025
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2 Open Recommendations
Agency Affected Recommendation Status
Administration for Strategic Preparedness and Response The Assistant Secretary for Strategic Preparedness and Response should develop and implement a mechanism or mechanisms to ensure MRC units regularly update volunteer counts and activity data as required. This could include additional training and guidance for the MRC regional liaisons and unit leaders, automated reminders to help ensure updates are made to the reporting system, and incentives. (Recommendation 1)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.
Administration for Strategic Preparedness and Response The Assistant Secretary for Strategic Preparedness and Response should ensure that its MRC regional liaisons complete technical assistance assessments of the MRC network as required. (Recommendation 2)
Open
When we confirm what actions the agency has taken in response to this recommendation, we will provide updated information.

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