LEGEND
= Met
= Not Met
= No Data Available
= FY 2000
D = Deferred
P = Progress

FY 1999 Performance Report
Appendices

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U.S. Office of Personnel Management

Appendix N
Office of the Inspector General (OIG)

FY 1999 Performance Report
Goal & Performance Indicators Checklist

OPM Strategic Goal II
Protect and promote the merit-based civil service and the employee earned benefit programs through an effective oversight and evaluation program.

OIG Goal 1

Independent oversight of agency programs, operations, functions, and activities is provided.

Number of audits, investigations, evaluations, or reviews completed. New databases established in FY 1999 will provide baseline data for performance measures where results are not currently reported.

Number of audit reports issued = 64

Number of investigations closed = 47

Number of evaluations and inspection reports issued = 2

Dollars saved, recovery rate, and return on investment.

Positive financial impact (PFI) = $51.9 million (PFI = actual recoveries plus management commitment to collect findings.) In addition, $56.1 million ($45.7 million in program office and $10.4 million at DOJ) in recommended recoveries are still pending final decision at the end of FY 1999.

Return on investment = $5.92 of PFI per direct program dollar spent. Assuming that 74% (FY 1999 actual ratio) of recommended recoveries still pending a decision by the program office are factored into the calculation, the return on investment increases to $9.77.

Audit cycle, average number of unaudited years, and lost audit years for FEHBP carriers.

Federal Employees Health Benefits Program (FEHBP) audit cycle = 5.8 years

Average FEHBP unaudited years = 5.4 years

Lost FEHBP audit years due to carrier records retention schedules) = 2.6 years

Meet Inspector General Act reporting requirements.

Two Semiannual Reports to Congress produced for periods October 1, 1998 - March 31, 1999, and April 1, 1999 - September 30, 1999.

OIG Goal 2

Assist and work with our customers and stakeholders in a spirit of cooperation.

Percent of recommendations agreed to and implemented by OPM management

74% of determinations made by OPM program office concur with FEHBP audit findings.

Number of audit issues or concerns regarding OPM's financial statements, programs, and administrative activity identified.

91 issues were identified.

Number of issues addressed and/or resolved by the Quality Improvement Teams.

9 issues were addressed and/or resolved by QITs.

Number of times OIG participated in joint investigations or multi-agency task forces.

The OIG participated in 147 joint investigations / multi-agency task forces which equates to 73% of all FEHBP and retirement investigations.

Number of debarment inquiries.

Number of investigative hotline contacts and complaint activity

The OIG responded to 1,101 debarment inquiries.

Investigative hotline contacts and complaint activity = 1,822

OIG Goal 3

Fraud against OPM programs is detected and prevented.

Number of investigations resulting in a positive disposition for the agency.

Investigations resulting in a positive disposition = 41

This number includes all convictions, administrative actions, monetary recoveries, and cases where an investigation determines that no wrongdoing occurred.

P Number of debarments and amount of fines.

Number of debarments = 2,743

Amount of fines assessed = $0

We will be able to assess fines when P.L. 105-266, Federal Employees Health Care Protection Act of 1998, is fully implemented.

Number of referrals to the DOJ and number of cases accepted for prosecution by an Assistant United States Attorney (AUSA)

Number of referrals to DOJ = 40

Number of cases accepted for prosecution by the AUSA = 13

Percentage of carriers in compliance with debarment guidelines, and the percent that have a debarment implementation plan in place.

99.1% of carriers are in compliance for both measures (2 out of 215 carriers not in compliance)

Percentage of debarments and contested proposed debarments processed within established time requirements.

99% processed within established time limits

The 1% not meeting time requirements were due to events such as judicial stays in bankruptcy or licensure cases which are out of the control of the OIG.

OIG Goal 4

Overall quality assurance and oversight of OPM's programs is improved.

Monitor the use of IPAs.

No adequate methodology to report results. OIG will drop measure for FY 2001.

Change in number of material weaknesses for Agency.

Agency material weaknesses were reduced by 10 in FY 1999.

9/30/98 = 16

8/31/99 = 6

OTHER INITIATIVES

The Office of the Inspector General is in the process of drafting regulations and designing an administrative sanctions process to implement the Federal Employees Health Care Protection Act of 1998, P.L. 105-266. The new statute gives OPM an effective enforcement device against provider fraud and an efficient means of addressing the integrity interests of the FEHBP, the financial interests of the taxpayer who share in the costs of the program, and the rights of beneficiaries to participate in a program that actively seeks to protect their health and safety. We anticipate the first administrative sanctions under the Act in FY 2000, with full implementation in FY 2001.