Archive for the ‘management’ Category

HHS OIG — Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals

January 28, 2015 Comments off

Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals
Source: U.S. Department of Health and Human Services, Office of Inspector General

A 2012 nationwide meningitis outbreak caused by contaminated injections, which were produced by a standalone compounding pharmacy, raised concerns about compounded sterile preparations (CSPs). Subsequent OIG work found that almost all acute-care hospitals use CSPs and most contract with standalone compounding pharmacies to provide at least some of these products. CMS oversees the safety of CSPs prepared and used in Medicare-participating hospitals through the hospital certification process, in which State survey agencies or CMS-approved accreditors assess hospital compliance with requirements for drug compounding. This study provides information about the extent to which Medicare’s oversight of hospitals addresses recommended practices for CSPs. In 2013, Congress passed the Drug Quality and Security Act, which clarifies the Food and Drug Administration’s authority over standalone compounding pharmacies.

We reviewed the practices of the five entities that oversee hospitals that participate in Medicare-namely, CMS and the four hospital accreditors approved by CMS. Through consultation with experts in CSP oversight, OIG identified 55 recommended practices for CSP oversight in acute-care hospitals. Representatives from each oversight entity participated in a structured interview and completed a questionnaire about how their respective surveys of hospitals incorporate these recommended practices. We analyzed the data from the interviews and the questionnaire to determine the extent to which Medicare’s oversight addresses recommended practices for CSP oversight.

Oversight entities address most of the recommended CSP-related practices at least some of the time. However, only one oversight entity always reviews hospital contracts with standalone compounding pharmacies. Oversight entities may also lack the human capital required to thoroughly review hospitals’ preparation and use of CSPs. Surveyors receive limited training specific to compounding, and most oversight entities do not routinely include pharmacists on hospital surveys. Finally, although most oversight entities are considering changes to how they oversee hospitals’ preparation and use of CSPs, none of them are considering changes to how they oversee hospitals’ contracts with standalone compounding pharmacies.

CMS should (1) ensure that hospital surveyors receive training on standards from nationally recognized organizations related to safe compounding practices and (2) amend its interpretive guidelines to address hospitals’ contracts with standalone compounding pharmacies. CMS concurred with both recommendations.

How Head Start Grantees Set and Use School Readiness Goals – Highlights from a Research Study

January 28, 2015 Comments off

How Head Start Grantees Set and Use School Readiness Goals – Highlights from a Research Study
Source: U.S. Department of Health and Human Services, Administration for Children & Families

This brief presents highlights from a similarly named full report: How Head Start Grantees Set and Use School Readiness Goals, which describes how local Head Start grantees set school readiness goals, how they collect and analyze data to track progress toward goals, and how they use these data in program planning and practice to improve program functioning. The findings are based on data that was collected during the 2013-2014 school year from 73 Head Start and Early Head Start grantees.

New From the GAO

January 27, 2015 Comments off

New GAO Reports
Source: Government Accountability Office

1. Defense Logistics: DOD Has a Strategy and Has Taken Steps to Improve Its Asset Visibility, but Further Actions Are Needed. GAO-15-148, January 27.
Highlights –

2. Depot Maintenance: Status of the Public-Private Partnership for Repair of the Dual-Mode Transmitter in the F-16 Fire-Control Radar. GAO-15-249R, January 27.

3. Supply Chain Security: CBP Needs to Enhance Its Guidance and Oversight of High-Risk Maritime Cargo Shipments. GAO-15-294, January 27.
Highlights –

Resource Package for Paroling Authorities on Sex Offenders

January 26, 2015 Comments off

Resource Package for Paroling Authorities on Sex Offenders
Source: National Parole Resource Center

Effectively managing sex offenders is among the top criminal justice policy concerns nationwide, and preventing sexual victimization is a key goal for professionals at all stages of the criminal justice system, including those who are responsible for parole decisionmaking. The following resource package has been developed to assist paroling authorities to consider their current practices with adult sex offenders and the degree to which these practices align with the Parole Resource Center’s practices targets to support risk reduction. It is one in a series of three resource packets on special populations (i.e., justice involved-women, persons with mental health issues, and sex offenders) designed to provide representatives of paroling entities with preliminary insights to consider their practices within the context of research-supported and other promising practices, and identify areas in which additional attention may help strengthen their future practices with respect to this special offender population. Research shows that adults who commit sex offenses differ from juveniles who engage in sexually abusive behavior in a number of ways and, as such, policies and practices should reflect these developmental and other differences and not simply mirror strategies developed for adults. This resource packet focuses only on the adult sex offender population.

USPS OIG — The “First and Last Mile” Strategy: A Critical Assessment

January 23, 2015 Comments off

The “First and Last Mile” Strategy: A Critical Assessment (PDF)
Source: U.S. Postal Service, Office of Inspector General
From Summary:

As the Postal Service continues to address its difficult financial situation, some have argued that overall efficiency would improve if the Postal Service were to focus exclusively on the first and last mile (collection and delivery). While the introduction of workshare discounts has led to private industry taking over a portion of the middle mile – mail processing and transportation – allowing private industry to take over the entire middle mile warrants close examination. We therefore asked Dr. John Panzar, an expert in postal economics, to look at the economic implications of the Postal Service abandoning the middle mile completely and focusing exclusively on the first and last mile for the letter and flat market.

Dr. Panzar finds that the Postal Service’s mail processing plays a vital role in ensuring the efficiency of the postal sector, even in the absence of economies of scale in mail processing. In other words, Dr. Panzar maintains that if the Postal Service abandons all mail processing and transportation of letters and flats, overall efficiency will decrease. Worse, the Postal Service would experience a loss in profits, and mailers would have to pay higher prices. In fact, the only parties benefiting would be the private providers of mail processing, but their benefit would be less than the combined loss to the Postal Service and mailers.

The parcel market, which is different and requires its own focused attention and stylized model, will be addressed in a future white paper.

New From the GAO

January 22, 2015 Comments off

New From the GAO
Source: Government Accountability Office


1. Job Corps: Assessment of Internal Guidance Could Improve Communications with Contractors. GAO-15-93, January 22.
Highlights –

2. African Growth and Opportunity Act: USAID Could Enhance Utilization by Working with More Countries to Develop Export Strategies. GAO-15-218, January 22.
Highlights –


1. Higher Education: Education Should Strengthen Oversight of Schools and Accreditors. GAO-15-59, December 22.
Highlights –

On January 22, 2015, GAO reissued this report to revise the first sentence of footnote 11, page 49.

New From the GAO

January 21, 2015 Comments off

New From the GAO
Source: Government Accountability Office


1. Defense Headquarters: DOD Needs to Reassess Personnel Requirements for the Office of Secretary of Defense, Joint Staff, and Military Service Secretariats. GAO-15-10, January 21.
Highlights –


1. Aviation Safety: Issues Related to Domestic Certification and Foreign Approval of U.S. Aviation Products, by Gerald L. Dillingham, Ph.D., director, physical infrastructure issues, before the House Committee on Transportation and Infrastructure. GAO-15-327T, January 21.
Highlights –

2. VA Construction: VA’s Actions to Address Cost Increases and Schedule Delays at Major Medical-Facility Projects, by David Wise, director, physical infrastructure team, before the House Committee on Veterans’ Affairs. GAO-15-332T, January 21.
Highlights –


1. Polar Weather Satellites: NOAA Needs To Prepare for Near-term Data Gaps. GAO-15-47, December 16.
Highlights –
Podcast –

On January 16, 2015, this report was reissued to include the Highlights page that was inadvertently missing from the previously posted report.



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