OIG identified underlying issues that are hindering the Indian Health Service (IHS) from improving its management of its hospitals, and recommends strategies for IHS as it implements new improvement plans. The issues represent core organizational challenges that, if not addressed, could continue to limit IHS’s ability to improve hospital operations and quality of care.
“The IHS hospitals we reviewed did not always follow the Indian Health Manual when prescribing and dispensing opioids. Specifically, through our patient record review, we found that hospitals did not always review the course of patient treatment and causes of pain within required timeframes, perform the required urine drug screenings within recommended time intervals, review …
“This report, consisting of the following narrative and the attached tables with fiscal year (FY) 2018 data, is prepared in response to section 106(c) of the Indian Self-Determination and Education Assistance Act (ISDEAA), Public Law (P.L.) No. 93-638, as amended. 25 U.S.C. § 5325. This report is based on FY 2018 funds provided to a …
This evaluation focuses on the Office of Indian Services and the Office of Self Governance, two organizations within the Office of the Assistant Secretary for Indian Affairs (AS-IA) that manage aspects of funding for American Indian and Alaska Native tribes. We reviewed the roles of these offices in distributing moneys to tribes for funding social …
