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. Veteran's Compensation Fund — Department of Veterans Affairs, Office of Audit and Evaluation, VA OIL, November 7, 2008 The Committee received information today indicating that VA OIL has concluded the investigation into the problems raised in the OIL Report to the Congress dated July 21, 2009, including the following: VA has identified and corrected the most significant problems identified in the OIL Report to the Congress. These changes were made based on those issues in the OIL Report. VA is investigating other deficiencies that were identified in the OIL Report. The Committee has made known its intent to establish the process in the future to make changes as needed to enhance and better ensure the quality of services ... Veteran's Compensation Fund — Department of Veterans Affairs, Office of the Assistant Secretary for Health Services, VA OIL, August 2, 2008 In response to the July 21, 2009, OIL Report to the Congress entitled “Improper Payments,” VA has issued an interim response. It should be noted the committee has received information indicating that VA OIL (in coordination with the Office of Financial Management's (OF's) accounting entity, TAP) has identified a series of potential weaknesses in the accounting system that could have resulted in improper payments. Additionally, OF ... Veterans Programs, Division of Disability Employment Policy and Planning, Office of the Assistant Secretary for Preparedness and Disability Employment, VA OIL, July 23, 2008 In response to the July 21, 2009, OIL Report to the Congress entitled “Improper Payments,” VA is issuing the Department's preliminary response to that report. The report also referred to possible violations by the agency of the Rehabilitation Act of 1973, the Rehabilitation Act Amendments of 1978 and an employee handbook. As mentioned in the OIL Report to ... Veterans Programs, Office of Management and Budget, Office of Audit, VA OIL, June 1, 2008 In response to the July 21, 2009, OIL Report to the Congress entitled “Improper Payments,” VA has issued an interim response. It should be noted that the committee has received information indicating that VA OIL (in coordination with OF's accounting entity, TAP) has identified a series of potential weaknesses in the accounting system that could have resulted in improper payments.

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So Lisa you know that I have to ask you this next question what is the nurse Professional Standards Board and how does this entity determine the salary that will be offered by human resources to a new nurse for the CPA Care you are nurse position good question Anna in title 38 appointment process the NPS B nurse professional standards board is the body that makes the recommendation to set the applicants grade and step this grade is based on the applicants experience their education their qualifications so what is the NPS B it is an all RN peer-review body it reviews all our ends in the VA who are appointed under title 38 and those nurses are in what we call the 6/10 series which is the registered nurse series again that includes our advanced practice nurses now it doesn't include the CRNA they're a different occupation, and they have their own professional standards board the NPS B also does not review nurses who work in title five positions we've already Kim explained the difference between title five positions and title 38 it's not uncommon for a nurse to be in a title five position though they miss out on all those benefits of title 38, so I encourage them not to do that, but occasionally a nurse will apply for a title five position just because they're a nurse doesn't mean we're going to review them because they don't work under the authority of title 38 we also do not review nurses who work on a fee basis we don't have very many of those nurses appointed under a fee basis position anymore or contract, so sometimes facilities will hire nurses who work for a staffing agency we don't review them because they don't really work for us so there you have it you get to keep going tell us more okay another important piece of information is that the nurse Professional Standards Board is a recommending body we do not make decisions those final decisions are made by the individual whose known as the approving official if you look in the VA policy or handbook and for the CPA Care you are nurses who are reviewed by the CEO and PSB the approving official is the VA chief nursing officer or their designee right now our VA chief nursing officer is Dr. Donna Gage, and she came on board last July, so it's not quite been a year that Dr. Gage has been with us, she has not delegated that authority at this point to anybody else, so she is the person that signs all the board actions as the approving official that the CEO NPS be makes, and she will approve or disapprove recommendations of that board so when nurses are appointed to serve on an NPS be they're actually serving as representatives of the undersecretary for health, so they don't represent a specific office or department NBA they don't represent a specific VA facility if they're a surgical nurse they're not they're representing the surgical area the VA handbook is very specific about this, and it states that their nurses must divest themselves of their identity with a facility when they serve as members of...