Innovation can be a vague term. In the context of Lyme disease, one may ask, “what does innovation mean?” As part of the LymeX Innovation Accelerator (LymeX), HHS is applying an established innovation approach to bring together diverse stakeholders and advance Lyme and tick-borne disease solutions.
Through Health+ (health plus), LymeX is listening and learning from individuals living with Lyme disease and the latest scientific guidance to facilitate patient-centered innovations and improve health outcomes.
What is Health+ and how does it work?
Health+ is a series of ongoing research and rapid prototyping cycles applied to specific, high-impact health issues. Each cycle begins with putting people first by conducting interviews, focus groups and listening to the challenges they face. From the input of diverse stakeholders, we then identify common themes that intersect with federal government levers of influence. Then we frame those themes into opportunities to improve the patient experience. The process culminates in a “healthathon” innovation contest to apply human-centered, data-driven solutions to improve care. The Health+ model previously used for sickle cell disease had great success fostering technology and policy recommendations for care. HHS is taking the model with those learnings and applying it to Lyme disease in three major phases over the next several months.
Phase 1: Design, Discovery, and Definition
Through our research, we are in the process of developing a deep understanding of Lyme disease from critical stakeholders, including individuals with Lyme disease, clinicians, executive leadership, intra-agency partnerships, and our LymeX partner, the Steven & Alexandra Cohen Foundation. Human-centered design methods that engage and build trust with the Lyme and tick-borne disease community are central to this phase. By participating in listening sessions, conducting small-group workshops, and learning from individual interviews, we perform problem validation with stakeholders and identify salient user stories.
Next, we are synthesizing our learnings into patient archetypes (describing groups facing similar challenges that intersect with federal government levers of influence), journey maps (which visually illustrate the complex journeys of people involved at every step), and stakeholder-informed, prioritized opportunity areas. With opportunities in hand, we will publish and promote a LymeX Human-Centered Design report. Our discoveries will inform how we proceed with a LymeX Roundtable event with diverse stakeholders, Bridging the Trust Gap for Lyme Disease. The roundtable is crucial to discover how we will match emerging themes to agreed-upon facts, recommendations, and scientific guidance. The artifacts we develop will enable a product team to execute different strategies during the rapid prototyping phase.
Phase 2: Rapid Prototyping: LymeX Healthathon for Education and Prevention
This phase includes convening individuals with Lyme disease, policymakers, and subject matter experts across academia, nonprofits, industry, and government in a LymeX Healthathon event. The LymeX Healthathon is an innovation sprint that will take place over several weeks following Lyme Disease Awareness Month. The Healthathon will invite the public to form teams and respond to prompts to raise awareness Lyme disease risk and prevention. The Healthathon teams will then utilize research findings, facts, design, and technology to prototype creative solutions. This could include an innovative marketing campaign to draw attention to the known risks of Lyme disease and the best way to prevent tick bites, or a unique technical solution to educate Americans on the latest science on Lyme from the Centers for Disease Control and Prevention.
Phase 3: Transition
The LymeX Healthathon outcomes will include prototypes and solutions that positively affect individuals living with Lyme disease. Following the conclusion of the LymeX Healthathon, HHS will work closely with innovators to connect them to future opportunities so that we can continue driving innovation forward.
None of this would be possible without listening and learning from people with lived experience with Lyme disease. The LymeX team is excited to be incorporating Health+, a model that truly works, and involves everyone. To get involved, join the online community: https://lymex.crowdicity.com/. We welcome everyone to follow @Lyme_X on Twitter and consider joining our LymeX Roundtable, Bridging the Trust Gap for Lyme Disease.
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- Southwest Border: Schedule Considerations Drove Army Corps of Engineers’ Approaches to Awarding Construction Contracts through 2020By Sam NewsJune 18, 2021Why This Matters Following a 2019 Presidential Declaration of National Emergency, billions of dollars were made available for the U.S. Army Corps of Engineers' use on border barrier construction. This report provides information on the Corps' contracting for border barriers during fiscal years 2018–2020. Key Takeaways Some Department of Defense funding was only available for a short time before expiring, giving the Corps a tight schedule for awarding contracts. This—and the emergency declaration—led the Corps to depart from its planned acquisition approach. The Corps focused on starting construction quickly and maximizing the miles of border barrier panels it could build. To do so, it: Awarded $4.3 billion in noncompetitive contracts. Competition helps ensure the government gets a good price. Started work before agreeing to terms. The Corps awarded several contracts before terms, such as barrier specifications and cost, were finalized. By focusing on expediency in contracting, the government risks paying higher costs. Contractors completed most DOD-funded border barrier panels by the end of December 2020 as scheduled. A January 2021 Presidential Proclamation paused border barrier construction to the extent permitted by law, and called for a review. In March 2021, DOD officials said they gave input to the Office of Management and Budget, and OMB will present a plan to the President. The Corps has not developed plans to examine its overall acquisition approach and identify lessons learned. Without doing so, the Corps could miss opportunities to strengthen its contracting strategies in future border support efforts. Border Barrier Obligations, Fiscal Years 2018–2020 How GAO Did This Study We reviewed all of the border barrier construction contracts the Corps awarded for projects from fiscal years 2018 through 2020. We also reviewed relevant federal procurement data and interviewed Corps and Department of Homeland Security officials.[Read More…]
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- DHS Office of Inspector General: Preliminary Observations on Long-Standing Management and Operational ChallengesBy Sam NewsApril 21, 2021What GAO Found GAO's preliminary work has identified a number of management and operational challenges, including frequent leadership turnover, since fiscal year 2015 that have impeded the overall effectiveness of the Department of Homeland Security (DHS) Office of Inspector General (OIG). DHS OIG senior leaders have acknowledged that these challenges have contributed to organizational weaknesses, and have taken steps to begin addressing some of them. GAO's preliminary work has identified issues in the following areas, among others: Strategic planning: DHS OIG has not consistently developed strategic plans, which are a necessary input for developing the organization's other guiding documents and governance framework. Specifically, DHS OIG has operated for 4 of the past 6 years without a strategic plan, and the plan it adopted for fiscal years 2018–2019 included some, but not all, of the elements considered standard for federal entities. In 2020, DHS OIG contracted with a nonprofit academy of government experts to develop a strategic plan for fiscal years 2021–2025, with expected delivery in June 2021. Quality assurance: Internal and external reviews have reported on concerns about quality assurance in some of DHS OIG's work. In 2017 and 2018, after an internal review found that some reports issued by DHS OIG may not have adhered to the professional standards cited, DHS OIG retracted 13 audit reports that had been issued over a 5-year period. In 2018, an external review determined that DHS OIG needed to improve its system of quality control. Though DHS OIG concurred with all of the recommendations from that external review, it did not fully implement them. In addition, DHS OIG has not established roles and responsibilities for an organization-wide quality assurance program. Moreover, GAO's preliminary work indicates that current staff allocations may limit DHS OIG's quality assurance reviews to focusing on audit work and not on the other types of work it produces, including inspections, evaluations, special reviews, and management alerts. Timeliness: DHS OIG project time frames for work from its offices of Audits and Special Reviews and Evaluations have increased over the 4 fiscal years GAO assessed. For example, in fiscal year 2017, 79 of 102 Office of Audits projects were completed in 1 year or less and eight of 102 took more than 18 months. In fiscal year 2020, seven of 67 reports were completed in 1 year or less and more than half (35 of 67) took more than 18 months. In addition, DHS OIG has not assessed time frames for work completed by these offices, though timeliness in reporting is a key element of effective oversight and DHS OIG staff considered it an organizational weakness. GAO will complete its evaluation of these and other management and operational areas, and will issue a final report in the coming months. Why GAO Did This Study DHS OIG has a critical role in providing independent and objective oversight of DHS, which encompasses multiple operational and support components. OIGs are expected to maintain high standards of professionalism and integrity in light of their mission, according to quality standards developed by the community of federal Inspectors General. However, DHS OIG has faced a number of challenges that have affected its ability to carry out its oversight mission effectively. This statement is based on GAO's draft report on DHS OIG's management and operations, which is currently at the agency for comment. It provides preliminary observations on DHS OIG's strategic planning processes; quality assurance processes; and reporting time frames for work from DHS OIG's offices of Audits and Special Reviews and Evaluations. To develop these preliminary observations, GAO reviewed relevant federal laws and quality standards for federal OIGs as well as DHS OIG documentation, including organizational policies; internal communications such as emails and memoranda; and DHS OIG's semiannual reports to Congress and published reports. GAO also analyzed DHS OIG project data from fiscal years 2015 through 2020, and interviewed DHS OIG leaders and other staff.[Read More…]
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- Military Lodging: DOD Should Provide Congress with More Information on Army’s Privatization and Better Guidance to the Military ServicesBy Sam NewsJune 9, 2021What GAO Found Since privatizing its domestic on-base hotels, referred to as lodging, the Army has made a variety of improvements, including the replacement of lodging facilities with newly constructed hotels (see fig.). However, improvements have taken longer than initially anticipated, development plans have changed, and the Office of the Secretary of Defense (OSD) has not included key information about these delays and changes in reports to Congress. If OSD were to provide this additional information, Congress would be better able to determine whether the Privatized Army Lodging (PAL) program has achieved its intended objectives or fully consider whether the other military services should privatize their respective lodging programs. Room at an Army Lodging Facility before Privatizing and Room at the New Candlewood Suites Hotel Built at Yuma Proving Ground, AZ, in 2013 The Army does not estimate cost savings from the PAL program, but instead produces an annual cost avoidance estimate to demonstrate some of the financial benefits resulting from the privatization of its lodging program. Army officials stated that they calculate cost avoidance by comparing the room rate it charges for its lodging—which is limited to 75 percent of the average local lodging per diem rate across its installations—to the maximum lodging per diem that could be charged for that location. However, by using this approach, the Army is likely overstating its cost avoidance, because off-base hotels do not always charge 100 percent of per diem. Until the Army evaluates the methodology it uses to calculate its cost avoidance, decision makers in the Department of Defense (DOD) and Congress cannot be sure that the reported financial benefits of privatization have actually been achieved. OSD's oversight of lodging programs has been limited in some cases. First, OSD and the military services lack standardized data that would be useful for making informed decisions about the lodging programs. Second, DOD requires both servicemembers and civilian employees to stay in on-base lodging when on official travel, with some exceptions. Yet, according to OSD, many travelers are staying in off-base lodging, and OSD has not done the in-depth analysis needed to determine why and how much it is costing the government. Without an analysis that assesses the extent to which travelers are inappropriately using off-base lodging and why it is occurring, as well as a plan to address any issues identified, neither DOD nor Congress can be sure that the department is making the most cost-effective use of taxpayer funds. Why GAO Did This Study In 2009, the Army began to privatize its lodging with the goal of addressing the poor condition of facilities more quickly than could be achieved under continued Army operation. The Navy, Marine Corps, and Air Force currently have no plans to privatize their lodging programs. The Senate Armed Services Committee report accompanying a bill for the Fiscal Year 2020 National Defense Authorization Act included a provision for GAO to review improvements made to Army lodging, among other things. This report examines the extent to which (1) the Army has improved its lodging facilities since privatizing; (2) OSD reported complete information about the Army's development plans to Congress; (3) the Army has reliably determined any cost savings or cost avoidance as a result of its privatized lodging program; and (4) there are limitations in OSD's oversight of the military services' lodging programs. GAO reviewed policies and guidance; analyzed lodging program data for fiscal years 2017 through 2019 (the 3 most recent years of complete and available information); and interviewed DOD officials.[Read More…]
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- Priority Open Recommendations: General Services AdministrationBy Sam NewsMay 26, 2021What GAO Found In May 2020, GAO identified eight priority recommendations for the General Services Administration (GSA). Since then, GSA has implemented four of those recommendations by, among other things, seeking authority to loan agencies funds for tenant improvement costs that would otherwise be financed as part of new leases, developing a tool to evaluate design choices, and taking steps to ensure consistent implementation and oversight of cybersecurity risk-management activities and ensure an effective agency-wide view for managing risk. In May 2021, GAO noted four remaining priority recommendations for GSA, which fall into the Federal Real Property Management area. These recommendations involve: improving decision-making related to the Department of Homeland Security's headquarters consolidation by completing a comprehensive needs assessment and cost and benefits analysis and updating cost and schedule estimates for the remaining portions of the consolidation project and viable alternatives, addressing the accuracy of publicly available street address information in GSA's real-property database, and addressing the reliability of information used to calculate reported cost savings for GSA's broker program. GSA's continued attention to these issues could lead to significant improvements in federal real property management—a high-risk area that GAO has identified as needing transformation to address economy, efficiency, or effectiveness challenges. Why GAO Did This Study Priority open recommendations are the GAO recommendations that warrant priority attention from heads of key departments or agencies because their implementation could save large amounts of money; improve congressional and/or executive branch decision-making on major issues; eliminate mismanagement, fraud, and abuse; or ensure that programs comply with laws and funds are legally spent, among other benefits. Since 2015 GAO has sent letters to selected agencies to highlight the importance of implementing such recommendations. For more information, contact David Trimble at (202) 512-2834 or firstname.lastname@example.org.[Read More…]
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- Drug Pricing Program: HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B RequirementsBy Sam NewsDecember 14, 2020The 340B Drug Pricing Program (340B Program) requires drug manufacturers to sell outpatient drugs at a discount to covered entities—eligible hospitals and other entities participating in the program—in order for their drugs to be covered by Medicaid. Participation in the 340B Program has grown from nearly 9,700 covered entities in 2010 to 12,700 in 2020. The Department of Health and Human Services' (HHS) Health Resources and Services Administration (HRSA) administers the program and oversees covered entities' compliance with 340B Program requirements through annual audits, among other efforts. If audits identify noncompliance with program requirements, HRSA issues findings to covered entities and requires them to take corrective action to continue participating in the 340B Program (see table). Audit Findings Issued to Covered Entities by the Health Resources and Services Administration (HRSA) for Fiscal Years 2012-2019, as of September 2020 340B Program findings of noncompliance Number Eligibility of covered entities. Failure to maintain eligibility-related requirements (e.g., covered entities' oversight of their contract pharmacies). 561 Diversion of 340B drugs to ineligible patients. 340B drugs distributed to individuals who are not eligible patients of a covered entity (e.g., patients' health records are not maintained by the covered entity). 546 Duplicate discounts. Prescribed drugs that may have been subject to both the 340B price and a Medicaid rebate. 429 Total 1,536 Source: GAO analysis of information received from HRSA. | GAO-21-107 HRSA officials told GAO that, beginning in fall 2019, the agency started issuing findings only when audit information presents a clear and direct violation of the requirements outlined in the 340B Program statute. HRSA officials explained that guidance, which is used to interpret provisions of the 340B statute for the purposes of promoting program compliance among covered entities, does not provide the agency with appropriate enforcement capability. For example, HRSA officials reported that there were instances among fiscal year 2019 audits in which the agency did not issue findings for a failure to comply with guidance related to contract pharmacies in part because the 340B statute does not address contract pharmacy use and, therefore, there may not have been a clear statutory violation. In addition to audits, HRSA provides education to covered entities about 340B Program requirements and has implemented other efforts to identify noncompliance. For example, HRSA requires all covered entities to recertify their eligibility to participate in the 340B Program annually (e.g., self-attesting to compliance); and uses a self-disclosure process through which covered entities can disclose and correct self-identified instances of noncompliance. Covered entities can realize substantial savings through 340B Program price discounts, enabling them to stretch federal resources to reach more eligible patients and provide more comprehensive services. GAO was asked to provide information on HRSA's efforts to oversee covered entities' compliance with 340B Program requirements. This report describes (1) the audit findings that HRSA issued to address covered entity noncompliance with 340B Program requirements; and (2) other efforts HRSA uses to help ensure that covered entities comply with 340B Program requirements. GAO reviewed documentation, including relevant federal laws and regulations and HRSA's policies, procedures, and guidance, related to 340B Program oversight. GAO also reviewed HRSA data on the number and type of audit findings made from audits finalized during fiscal years 2012 through 2019 as of September 2020—the latest data available at the time of the audit. GAO also interviewed officials from HRSA, agency contractors, and 340B Program stakeholders. GAO provided a draft of this report to HHS for review. The agency provided written and technical comments on the draft, both of which were incorporated as appropriate. For more information, contact Debra A. Draper at (202) 512-7114 or email@example.com.[Read More…]
- Countering Violent Extremism: DHS Can Further Enhance Its Strategic Planning and Data Governance EffortsBy Sam NewsJuly 21, 2021What GAO Found DHS's 2019 Strategic Framework for Countering Terrorism and Targeted Violence and the related plans—collectively referred to as the strategy—outline the department's vision for all DHS counterterrorism activities. In prior work, GAO has identified seven elements of a comprehensive strategy. GAO found that DHS's strategy contains some but not all of the key elements (see figure). For example, GAO found that DHS's strategy included a mission statement, and a set of goals that were in turn linked to objectives and priority actions. However, the strategy did not include a discussion of external factors such as how the economy, demographics, or emerging technologies may affect the department in meeting its goals. By identifying and assessing such external factors, DHS would be better positioned to proactively mitigate such factors or plan for contingencies, if needed. Extent to Which DHS's Strategy for Countering Terrorism and Targeted Violence Included the Seven Elements of a Comprehensive Strategy DHS has taken some steps to establish a data governance framework, which helps ensure that an agency's data assets are transparent, accessible, and of sufficient quality to support its mission. For example, DHS established a data governance council to manage various data priority areas, however it has not yet completed actions to include targeted violence and terrorism prevention data into its department-wide framework. DHS has already identified some data challenges, such as the lack of comprehensive, national-level statistics on terrorism and targeted violence that underscore the need for a data governance framework. By incorporating targeted violence and terrorism prevention data into its broader data governance framework, DHS would be better able to leverage data to support and inform its prevention efforts, including building effective policy to address the threats and trends it identifies in the data. Why GAO Did This Study Data collected through the Extremist Crime Database show that there were 81 fatal violent extremist attacks in the United States from 2010 through 2020, resulting in 240 deaths. Since 2010, DHS has developed strategic initiatives that address targeted violence and terrorism prevention, which include efforts to counter violent extremism, among other things. GAO was asked to review DHS's longer-term efforts to prevent terrorism and targeted violence. This report examines the extent to which (1) DHS's 2019 strategy to address targeted violence and terrorism prevention includes key elements of a comprehensive strategy, and (2) DHS has developed a data governance framework to help implement its strategy. GAO reviewed DHS documentation and compared DHS's strategy to identified elements of a comprehensive strategy, and compared DHS's efforts to develop a data governance framework to federal requirements for implementing data governance.[Read More…]
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- Financial Services Industry: Factors Affecting Careers for Women with STEM DegreesBy Sam NewsJune 16, 2021What GAO Found Several factors affect women's participation in Science, Technology, Engineering, and Math (STEM) degree programs and subsequent careers in the financial services industry, according to research and stakeholders GAO interviewed. These factors include young girls' early exposure to STEM topics, access to resources such as computers and high-speed internet, and a sense of whether they belong in STEM degree programs. Women's interest in a financial services career also may be affected by the presence of role models and awareness of job opportunities. In recent years, women have represented roughly 30 percent of financial services industry workers with STEM degrees (see figure). Financial Services Industry Workers with Degrees in Science, Technology, Engineering, and Math (STEM) by Gender, Fiscal Years 2014-2019 To encourage elementary and high school girls to learn about STEM, selected financial services firms provide funding and other support to nonprofit organizations that focus on increasing girls' participation in STEM. With this support, nonprofit organizations introduce girls to coding, basic programming, and other activities that may inspire interest in STEM education. Similarly, to encourage college women to pursue STEM degrees, selected firms sponsor conferences for women in STEM, offer scholarships to women studying STEM, and work with nonprofit organizations to help increase students' awareness of careers in the financial services industry. Selected financial services firms recruit women with STEM degrees by collaborating with organizations that work with women STEM majors and sponsoring conferences for women in technology, among other efforts. Some firms have employee retention practices that are tailored to women with STEM expertise. For example, selected firms offer leadership training or employee resource groups for women in technology. Why GAO Did This Study The financial services industry is highly dependent on technology and more than one-fifth of industry employees have STEM degrees. Women continue to be underrepresented in management positions in the financial services industry and in STEM degree programs. As a result, some financial services firms have made efforts to promote interest among women in both STEM and financial services. GAO was asked to review factors affecting financial services careers for women with STEM degrees. This report examines (1) factors that affect the participation of women in STEM degree programs and subsequent participation in financial services careers, (2) how selected financial services firms encourage girls and women to participate in STEM education programs, and (3) how selected financial services firms recruit and retain women with STEM backgrounds. GAO analyzed Equal Employment Opportunity Commission (EEOC) and Department of Education data from 2014 through 2018 and Census Bureau data from 2014 through 2019. At the time of analysis, these were the most recent data available. GAO also reviewed studies on financial services and STEM education. GAO interviewed representatives of financial services firms, industry associations, and nonprofit organizations. GAO selected organizations and representatives based on their participation in previous work and a literature review. EEOC and the Board of Governors of the Federal Reserve System provided technical comments on a draft that GAO incorporated as appropriate. For more information, contact Alicia Puente Cackley at (202) 512-8678 or CackleyA@gao.gov.[Read More…]
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- Science & Tech Spotlight: Contact Tracing AppsBy Sam NewsJuly 30, 2020Why This Matters Contact tracing can help reduce transmission rates for infectious diseases like COVID-19 by identifying and notifying people who may have been exposed. Contact tracing apps, notably those using proximity tracing, could expedite such efforts. However, there are challenges, including accuracy, adoption rates, and privacy concerns. The Technology What is it? Contact tracing is a process in which public health officials attempt to limit disease transmission by identifying infected individuals, notifying their "contacts"—all the people they may have transmitted the disease to—and asking infected individuals and their contacts to quarantine, if appropriate (see fig. 1). For a highly contagious respiratory disease such as COVID-19, a contact could be anyone who has been nearby. Proximity tracing applications (apps) can expedite contact tracing, using smartphones to rapidly identify and notify contacts. Figure 1. A simplified depiction of disease transmission. Through contact tracing, an infected individual’s contacts are notified and may be asked to quarantine. (In reality, some contacts may not become infected, and some of those infected may not show symptoms.) How does it work? In traditional contact tracing, public health officials begin by identifying an infected individual. They then interview the individual to identify recent contacts, ask the individual and their contacts to take containment measures, if appropriate (e.g., a 14-day quarantine for COVID-19), and coordinate any needed care and testing. Proximity tracing apps may accelerate the process by replacing the time-consuming interviews needed to identify contacts. Apps may also identify more contacts than interviews, which rely on interviewees' recall and on their being acquainted with their contacts. Public health authorities provide the apps, often using systems developed by companies or research groups. Users voluntarily download the app for their country or region and opt in to contact tracing. In the U.S., state or local public health authorities would likely implement proximity tracing apps. Proximity tracing apps detect contacts using Bluetooth, GPS, or a combination of both. Bluetooth-based apps rely on anonymous codes shared between smartphones during close encounters. These codes contain no information about location or user identity, helping safeguard privacy. The apps allow public health authorities to set a minimum time and distance threshold for someone to count as a contact. Contact tracing can be centralized or decentralized. With a centralized approach, contacts identified by the app are often saved to a government server, and an official notifies contacts of possible exposure. For a decentralized approach, contact data are typically stored on the user's device at first. When a user voluntarily reports infection, the user's codes are uploaded to a database that other app users' phones search. Users who have encountered the infected person then receive notifications through the app (see fig. 2). Figure 2. Bluetooth-based proximity tracing apps exchange information, notify contacts exposed to an infected person, and provide follow-up information. How mature is it? Traditional contact tracing is well established and has been an effective infectious disease response strategy for decades. Proximity tracing apps are relatively new and not as well established. Their contact identifications could become more accurate as developers improve app technology, for example by improving Bluetooth signal interpretation or using information from other phone sensors. Opportunities Reach more people. For accurate COVID-19 contact tracing using traditional methods, public health experts have estimated that the U.S. would require hundreds of thousands of trained contact tracers because of the large number of infections. Proximity tracing apps can expedite and automate identification and notification of the contacts, reducing this need. Faster response. Proximity tracing apps could slow the spread of disease more effectively because they can identify and notify contacts as soon as a user reports they are infected. More complete identification of contacts. Proximity tracing apps, unlike traditional contact tracing, do not require users to recall or be acquainted with people they have recently encountered. Challenges Technology. Technological limitations may lead to missed contacts or false identification of contacts. For example, GPS-based apps may not identify precise locations, and Bluetooth apps may ignore barriers preventing exposure, such as walls or protective equipment. In addition, apps may overlook exposure if two people were not in close enough proximity long enough for it to count as a contact. Adoption. Lower adoption rates make the apps less effective. In the U.S., some states may choose not to use proximity tracing apps. In addition, the public may hesitate to opt in because of concerns about privacy and uncertainty as to how the data may be used. Recent scams using fake contact tracing to steal information may also erode trust in the apps. Interoperability. Divergent app designs may lead to the inability to exchange data between apps, states, and countries, which could be a problem as travel restrictions are relaxed. Access. Proximity tracing apps require regular access to smartphones and knowledge about how to install and use apps. Some vulnerable populations, including seniors, are less likely to own smartphones and use apps, possibly affecting adoption. Policy Context and Questions Although proximity tracing apps are relatively new, they have the potential to help slow disease transmission. But policymakers will need to consider how great the benefits are likely to be, given the challenges. If policymakers decide to use proximity tracing apps, they will need to integrate them into the larger public health response and consider the following questions, among others: What steps can policymakers take to build public trust and encourage communities to support and use proximity tracing apps, and mitigate lack of adoption by some populations? What legal, procedural, privacy, security, and technical safeguards could protect data collected through proximity tracing apps? What can policymakers do to improve coordination of contact tracing efforts across local, state, and international jurisdictions? What can policymakers do to expedite testing and communication of test results to maximize the benefits of proximity tracing apps? What can policymakers do to ensure that contact identification is accurate and that its criteria are based on scientific evidence? For more information, contact Karen Howard at (202) 512-6888 or HowardK@gao.gov.[Read More…]
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- Justice Department and Federal Maritime Commission Sign Memorandum of Understanding to Support Interagency CollaborationBy Sam NewsJuly 12, 2021The Department of Justice’s Antitrust Division and the Federal Maritime Commission (FMC) have signed the first interagency Memorandum of Understanding (MOU) to foster cooperation and communication between the agencies to enhance competition in the maritime industry. Acting Assistant Attorney General Richard A. Powers and FMC Chairman Daniel Maffei signed the MOU between the Antitrust Division and the FMC effective this afternoon following Friday’s announcement of the Executive Order on Promoting Competition in the American Economy.[Read More…]
- How We Transformed Public Health Data for COVID-19 and the FuturBy Sam NewsJanuary 19, 2021Data is the lifeblood of [Read More…]
- Alleged Leaders of Gangster Disciples Indicted on Federal Racketeering ChargesBy Sam NewsJanuary 25, 2021Seven alleged members of the violent Gangster Disciples gang, including top national and state leaders, are in custody after multiple arrests this morning for their alleged participation in a years-long interstate racketeering conspiracy involving multiple murders, drug trafficking, and other crimes.[Read More…]
- Ensuring a Transparent, Thorough Investigation of COVID-19’s OriginBy Sam NewsJanuary 16, 2021
- Financial Company Bankruptcies: Congress and Regulators Have Updated Resolution Planning RequirementsBy Sam NewsJuly 30, 2020Since 2015, Congress has not changed parts of the U.S. Bankruptcy Code (Code) related to financial companies or the Orderly Liquidation Authority (OLA). However, the Federal Deposit Insurance Corporation (FDIC) and the Board of Governors of the Federal Reserve System (Federal Reserve) have updated the resolution planning process to better match resolution planning requirements to the risks of companies. OLA is a regulatory alternative to bankruptcy for resolving failed, systemically important financial institutions, and resolution plans describe how a financial company may be resolved in an orderly manner if it fails. In November 2019, FDIC and the Federal Reserve finalized amendments to the Resolution Plans Required rule, establishing different filing cycles and content requirements for resolution plans based on the asset size and risk profile of companies. Regulators also finalized other rules related to OLA and resolution planning and proposed several additional rules. The 2007–2009 financial crisis and the failures of large, complex financial companies led some financial and legal experts to question the adequacy of the U.S. Bankruptcy Code for effectively reorganizing or liquidating these companies. These experts, government officials, and members of Congress responded by proposing changes to the Code and the supervisory process leading to a bankruptcy filing. The Dodd-Frank Wall Street Reform and Consumer Protection Act (Dodd-Frank Act) established OLA as a regulatory alternative to bankruptcy. Under OLA, the Secretary of the Treasury may appoint FDIC as a receiver to resolve systemically important financial institutions. In addition to OLA, the Dodd-Frank Act requires financial companies to file periodic resolution plans with the Financial Stability Oversight Council, Federal Reserve and FDIC describing how they could be resolved in an orderly manner in the event of material financial distress or failure. The Dodd-Frank Act also includes a provision for GAO to study, at specified intervals, the effectiveness of the Code in facilitating the orderly liquidation or reorganization of financial companies and ways to make the orderly liquidation process under the Code more effective. This report examines (1) proposed or enacted changes to the Code related to financial companies and OLA since 2015, and (2) regulatory actions related to resolution planning and OLA. GAO reviewed proposed legislation, regulations, prior GAO reports, and agency reports and presentations on financial company bankruptcies, OLA, and resolution planning. GAO also reviewed comment letters to the 2019 proposed Resolution Plans Required rulemaking. GAO interviewed officials from the Administrative Office of the United States Courts, FDIC, and the Federal Reserve. GAO also interviewed six industry stakeholders, including academics, a consumer group, industry associations, and former regulatory officials, about the 2019 Resolution Plans Required Rule. For more information, contact Michael Clements at (202) 512-8678 or ClementsM@gao.gov.[Read More…]
- Justice Department Files Lawsuit Against Tampa, Florida, Towing Company for Unlawfully Selling Car Belonging to Deployed ServicememberBy Sam NewsAugust 18, 2020The Justice Department today filed a lawsuit in the Middle District of Florida alleging that Target Recovery Towing Inc. and Target Recovery & Transport Inc. (together “Target”) violated the Servicemembers Civil Relief Act (SCRA), by failing to obtain a court order before auctioning off a car belonging to a U.s. Marine Corps Sergeant who was deployed overseas.[Read More…]
- Ambassador at Large for International Religious Freedom Samuel D. Brownback On the 2020 Ministerial to Advance Freedom of Religion or Belief and the International Religious Freedom or Belief Alliance Ministers’ ForumBy Sam NewsNovember 17, 2020Samuel D. Brownback, [Read More…]
- U.S. Law Enforcement Assists Brazilian Law Enforcement Takedown of Numerous Digital Piracy Sites and Apps Alleged to Have Caused Millions of Dollars in Losses to U.S. Media CompaniesBy Sam NewsNovember 5, 2020Seizure warrants have been executed against three domain names of commercial websites engaged in the illegal reproduction and distribution of copyrighted works in support of a Brazilian-led takedown of digital piracy sites there, dubbed “Operation 404”.[Read More…]
- Secretary Michael R. Pompeo With Mark Levin of The Mark Levin ShowBy Sam NewsDecember 19, 2020
- Title X Family Planning Program Turns 50By Sam NewsDecember 18, 2020Title X of the Public [Read More…]
- HHS Leverages Public Feedback to Advance Landscape Analysis on Emerging Technologies for Aging, Underserved PopulationsBy Sam NewsFebruary 3, 2021February 3, 2021 By: [Read More…]
- USAJOBS Website: OPM Has Taken Actions to Assess and Enhance the User ExperienceBy Sam NewsOctober 13, 2020The Office of Personnel Management (OPM) uses a variety of sources to assess the user experience with USAJOBS, the central website for posting federal job openings. GAO found that OPM's assessments generally track key measures in accordance with selected government-wide guidance. Specifically, OPM collects data on most of the website performance measures recommended by selected guidance from Digital.gov, including the number of times pages were viewed, the percentage of users who use the USAJOBS search box, and overall customer experience. Additionally, consistent with guidance from the Office of Management and Budget (OMB), OPM surveys USAJOBS users about their experiences with the site. OPM also assesses user experience through usability testing, focus groups, and analysis of data on questions submitted to the USAJOBS help desk. Through these assessments, OPM found variations in user experience across the job search and application process, including variations in how people find job announcements and how long it takes them to complete job applications. Since the agency's redesign of USAJOBS in 2016, OPM has taken a number of actions in an effort to address feedback from these assessments and improve the USAJOBS user experience. For example, in 2017, OPM created a set of categories, called Hiring Paths, that describe who is eligible to apply for specific federal jobs and guide job seekers to positions for which they are eligible. Other OPM actions taken from 2016 to 2020 include implementing a new process for logging in to the system to improve website security; updating job search filters and adding a keyword autocomplete function, which suggests search terms as a job seeker types in the search box; revising its job announcement template for hiring agencies to help eliminate duplicative language, increase clarity, and avoid jargon; adding guidance to help job seekers complete federal applications and understand federal hiring authorities; and highlighting jobs related to COVID-19 response. OPM continues to update and refine these efforts. OPM also expects to take a number of additional actions intended to help enhance the USAJOBS website. For example, according to OPM officials, in early fiscal year 2021 they expect to add a “job status” indicator for each job announcement posted on USAJOBS. The job status indicator would provide information such as the number of applicants and when the job has been filled. According to OPM, this would improve transparency and accountability and also provide applicants with updates at each stage of the hiring process. GAO provided a draft of this report to OPM for review and comment. OPM stated that it did not have comments. The USAJOBS website, which is managed by OPM, is the entry point to the federal hiring process for most agencies. It facilitates hiring of new employees as well as the movement of talent across government through merit-based promotions and transfers. OPM uses USAJOBS to help achieve the agency's mission to recruit and retain a world-class government workforce. OPM is responsible for ensuring the usability of USAJOBS and collecting feedback on the user experience. Hiring agencies are responsible for the content of job opportunity announcements. Report language accompanying the Financial Services and General Government Appropriations Bill, 2020, and the Consolidated Appropriations Act of 2020 included provisions for GAO to review the user experience on USAJOBS. This report examines (1) the extent to which OPM assesses the user experience with USAJOBS and the results of OPM's assessments; and (2) actions OPM has taken to improve the user experience with USAJOBS. GAO reviewed OPM data and documentation, interviewed OPM officials, and compared OPM's assessments of user experience to OMB guidance for federal service providers and selected guidance from Digital.gov on performance measures for federal websites. For more information, contact Michelle B. Rosenberg at (202) 512-6806 or firstname.lastname@example.org.[Read More…]
- Wrongful Detention by the Houthis of Levi Salem Musa Marhabi By Sam NewsNovember 11, 2020
- Justice Department Reaches Agreement with Newton County, Arkansas and its Board of Election Commissioners to Ensure Polling Place Accessibility for Voters with DisabilitiesBy Sam NewsJune 16, 2021The Justice Department yesterday reached a settlement under Title II of the Americans with Disabilities Act (ADA) with Newton County, Arkansas, and its Board of Election Commissioners to ensure that the County provides an accessible voting program, including accessible polling places, to voters with disabilities.[Read More…]
- Customs officer admits to helping undocumented nanny enter the countryBy Sam NewsMay 14, 2021A 40-year-old Laredo [Read More…]
- Eighth Circuit Reverses Tax Court in Case Involving Statute of Limitations and Bona Fide ResidencyBy Sam NewsDecember 17, 2020The Eighth Circuit Court of Appeals issued a published opinion on Tuesday, Dec. 15, 2020, holding for the government in a case involving the statute of limitations on assessment in the context of bona fide residency in the U.S. Virgin Islands (USVI), announced Principal Deputy Assistant Attorney General Richard E. Zuckerman of the Justice Department’s Tax Division.[Read More…]
- Jeffrey Lowe and Tiger King LLC Ordered to Relinquish Big Cat Cubs to United States for Placement in Suitable FacilitiesBy Sam NewsJanuary 19, 2021On Jan. 15, 2021, a federal court issued a preliminary injunction in favor of the United States and against Jeffrey and Lauren Lowe, Greater Wynnewood Exotic Animal Park LLC, and Tiger King LLC based on claimed violations of the Endangered Species Act and the Animal Welfare Act.[Read More…]
- Guinea’s National DayBy Sam NewsOctober 2, 2020
- Justice Department Announces National Response Center and Offer to Bring Assistance to Minneapolis Police Department to Support Law Enforcement and Safe Communities Through Fair PolicingBy Sam NewsOctober 20, 2020The Justice Department, in an announcement by Assistant Attorney General for the Civil Rights Division Eric S. Dreiband, Principal Deputy Assistant Attorney General of the Office of Justice Programs (OJP) Katharine T. Sullivan, and U.S. Attorney for the District of Minnesota Erica H. MacDonald, unveiled a new National Response Center Initiative and offered the assistance to the Minneapolis Police Department (MPD) to support law enforcement, and review, enhance and reform policies and practices to prevent the use of excessive force. The BJA Law Enforcement Training and Technical Assistance Response Center will be a national resource for all state, local, and tribal law enforcement agencies.[Read More…]
- Secretary Blinken’s Call with Czech Prime Minister BabišBy Sam NewsMay 2, 2021
- Justice Department Files Lawsuit Against Village of Airmont, New York, for Zoning Restrictions that Target the Orthodox Jewish CommunityBy Sam NewsDecember 2, 2020The Justice Department today announced that it filed a lawsuit against the Village of Airmont, New York, alleging that it violated the Religious Land Use and Institutionalized Persons Act (RLUIPA) by targeting the Orthodox Jewish community through zoning ordinances restricting religious schools and home synagogues, and by enforcing its zoning code in a discriminatory manner to prevent Orthodox Jews from using their property consistent with their faith.[Read More…]
- Veterans Affairs: VA Needs to Address Persistent IT Modernization and Cybersecurity ChallengesBy Sam NewsSeptember 16, 2020The Department of Veterans Affairs (VA) has faced challenges in its efforts to accomplish three critical information technology (IT) modernization initiatives: the department's health information system, known as the Veterans Health Information Systems and Technology Architecture (VistA); a system for the Family Caregiver Program, which is to support family caregivers of seriously injured post-9/11 veterans; and the Veterans Benefits Management System (VBMS) that collects and stores information and is used for processing disability benefit claims. Specifically, GAO has reported on the challenges in the department's three previous unsuccessful attempts to modernize VistA over the past 20 years. However, VA has recently deployed a new scheduling system as part of its fourth effort to modernize VistA and the next deployment of the system, including additional capabilities, is planned in October 2020. VA had taken steps to address GAO's recommendations from its 2014 report to implement a replacement system for the Family Caregiver Program. However, in September 2019, GAO reported that VA had yet to implement a new IT system that fully supports the Family Caregiver Program and that it had not yet fully committed to a date by which it will certify that the new IT system fully supports the program. In September 2015, GAO reported that VA had made progress in developing and implementing VBMS, but also noted that additional actions could improve efforts to develop and use the system. For example, VBMS was not able to fully support disability and pension claims, as well as appeals processing. GAO made five recommendations aimed at improving VA's efforts to effectively complete the development and implementation of VBMS; however, as of September 2020, VA implemented only one recommendation. VA's progress in implementing key provisions of the Federal Information Technology Acquisition Reform Act (commonly referred to as FITARA) has been uneven. Specifically, VA has made progress toward improving its licensing of software and achieving its goals for closing unneeded data centers. However, the department has made limited progress toward addressing requirements related to IT investment risk management and Chief Information Officer authority enhancement. Until the department implements the act's provisions, Congress' ability to effectively monitor VA's progress and hold it fully accountable for reducing duplication and achieving cost savings will be hindered. In addition, since fiscal year 2016, GAO has reported that VA faces challenges related to effectively implementing the federal approach to, and strategy for, securing information systems; effectively implementing information security controls and mitigating known security deficiencies; and establishing elements of its cybersecurity risk management program. GAO's work stressed the need for VA to address these challenges as well as manage IT supply chain risks. As VA continues to pursue modernization efforts, it is critical that the department take steps to adequately secure its systems. The use of IT is crucial to helping VA effectively serve the nation's veterans. The department annually spends billions of dollars on its information systems and assets—VA's budget for IT now exceeds $4 billion annually. However, over many years, VA has experienced challenges in managing its IT projects and programs, which could jeopardize its ability to effectively support key programs such as the Forever GI Bill. GAO has previously reported on these IT management challenges at VA. GAO was asked to testify on its prior IT work at VA. Specifically, this testimony summarizes results and recommendations from GAO's issued reports that examined VA's efforts in (1) modernizing VistA, a system for the Family Caregiver Program, and VBMS; (2) implementing FITARA; and (3) addressing cybersecurity issues. In developing this testimony, GAO reviewed its recently issued reports that addressed IT management issues at VA and GAO's biannual high-risk series. GAO also incorporated information on the department's actions in response to recommendations. GAO has made numerous recommendations in recent years aimed at improving VA's IT system modernization efforts, implementation of key FITARA provisions, and cybersecurity program. VA has generally agreed with the recommendations and has begun to address them. For more information, contact Carol C. Harris at (202) 512-4456 or email@example.com.[Read More…]
- On the 32nd Anniversary of Tiananmen SquareBy Sam NewsJune 5, 2021