HHS-OIG Compendium of Unimplemented Recommendations (2015)

This document, entitled the Compendium of Unimplemented Recommendations (Compendium), is a core publication of the Department of Health and Human Services (HHS) Office of Inspector General (OIG). With this edition, we focus on the top 25 unimplemented recommendations that, on the basis of OIG’s professional opinion, would most positively impact HHS programs in terms of cost savings and/or quality improvements and should, therefore, be prioritized for implementation. The recommendations come from OIG audits and evaluations, performed pursuant to the Inspector General Act of 1978, as amended. The Appendix of the Compendium includes a comprehensive list of OIG’s significant unimplemented recommendations, including the top 25 unimplemented recommendations as well as other open recommendations that are not in the top 25 list. The Compendium constitutes OIG’s response to a specific requirement of the Inspector General Act of 1978, as amended (section 5(a)(3)). That is, it identifies significant recommendations described in previous Semiannual Reports to Congress with respect to problems, abuses, or deficiencies for which corrective actions have not been completed. The 2015 edition also responds to a requirement associated with the Consolidated Appropriations Act of 2014 directing OIG to report its top 25 unimplemented recommendations that, on the basis of the professional opinion of OIG, would best protect the integrity of HHS programs if implemented. The recommendations represent opportunities to achieve expected impact through improvements in program effectiveness and efficiency and to better ensure quality of care and safety of beneficiaries in fiscal year (FY) 2015 and beyond. 2 The top 25 unimplemented recommendations are generally grouped by the underlying program area or operation; thus, they are not internally ranked and so do not reflect relative priority among the 25. The recommendations in the Appendix are similarly grouped and further organized by HHS operating division and program area.

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