Department of Veterans Affairs

Decrease costs and waste

At the VA Medical Center, we recently switched from having catheter bags that we attach to the indwelling catheter or Texas catheter, and now have these kits. Our facility doesn't have any of the stand-alone catheter bags anymore, so whenever we need a urine specimen and use a Texas catheter, or use a Texas catheter on someone who is incontinent, we have to open a whole CAUTI kit. It seems like the solution would be ...more »

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Department of Defense

Improving Quality and Reducing Costs in Military Health System

In the US, 10% of patients account for 70% of health expenditures. Patients with chronic medical conditions account for >80% of all health care spending. In the Military Health System (MHS), 25% have a chronic medical condition and account for nearly 50% of the health care costs. Care management (CM) has emerged as a successful intervention that improves quality and reduces cost among the highest health care utilizers ...more »

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Department of Agriculture

Eliminate On Hold Music

I thought of this idea when at a conference, during the introductory instructions when they mentioned not putting the phone on hold due to possible music. I’m sure everyone’s had this experience – someone puts the call on hold and music starts playing. This could be considered a nicety if it’s just you, but is problematic during a conference call as those still actively on can no longer hear each other. I don’t think ...more »

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Nuclear Regulatory Commission

Consolidate Electronic Journal Subscriptions

Government agencies subscribe to hundreds (maybe thousands) of electronic journals (e.g. physical sciences, economics and business, law, military, medicine, art, social sciences, etc.). As far as I know, there has been no attempt to consolidate these subscriptions. Instead, each agency does this on its own. The result is that the federal government pays for multiple subscriptions to the same electronic journal (at ...more »

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Legislative Branch

Ceiling Fans !

Ceiling fans are an inexpensive way to help circulate air in buildings. They will significantly help reduce heating and cooling costs. Imagine how much money will be saved if all government buildings change their thermostat by one degree .. let alone two or three.

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Department of Veterans Affairs

Creating a VA Regional office training dept

I would suggest the Dept of VA, stop conducting centralized challenge training across the U.S. I would instead suggest each RO having a training dept to give out all new, and updated training. This department would be established with certified VSRs and RVSRS. I would suggest these individuals certified and have certain educational backgrounds. This way the cost associated with travel costs, per diem, hotel costs, ...more »

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National Aeronautics and Space Administration

Provide $50 Subsidy For Employees Using Personal Smartphones/Tab

Provide a $50 per month subsidy for employees choosing to use their personal smartphone in lieu of a government provided device. The employee will be responsible for purchasing the device, for maintaining the device, and for paying for all service charges associated with device use. The government would pay the employee a flat $50 per month allowance to use their personal smartphone, tablet, or laptop computer and would ...more »

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Legislative Branch

Virtualized Infrastructure for Software Development

Implement virtual software development environments for agency employees and contractors. Proven technology is available for this solution, and it saves money, encourages telework, increases security of the organization network, and decreases the loss of software work product. 1. Saves money: Virtual environments allow thrifty use of computer hardware. The virtualization software allocates centralized resources as necessary, ...more »

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Department of the Treasury

Publications on initial contact

Currently, policy requires that Publication 1 and Notice 609 are sent with the initial contact letter and the appointment confirmation letter during an examination. If these letters were rewritten to include the highlights from the Publication 1 and Notice 609, and then add a reference to the IRS website and the publications online. This would eliminate about four pages of material in every exam, and would only require ...more »

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Department of Commerce

Eliminate GSA Schedules and Reform Government Procurement

Currently the GSA Schedules is a joke at best and a total waste at worst in terms of price discount for the goods and services purchased by the federal, state, and local governments. Most of the pricing on the GSA Schedules are only 10-30% off the vendors’ list prices. The U.S. federal government agencies have consistently failed to realize any cost savings in its procurement practice based on the useless GSA Schedules. ...more »

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Department of Homeland Security

Reduce/ Eliminate the National Debt - Not so Common Sense

My idea is for the "powers that be" to develop the ability for any monies left in the budget at the end of the year to be applied directly to the National Debt. Meaning that a local office can press a button and the monies go directly to the National Debt, they are not funneled back to parent agencies where the monies will be spent so they don't loose out the following year. Additionally I would like to add that being ...more »

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Government Accountability Office

Project award process and cost overrun control.

The government has a problem with project cost overruns. Many times a project is awarded for a fixed cost. Then the contractor has cost overruns during the project that the government has to pay to close the project. The purposed plan is to use @Risk decision process for predicting the total cost of the project with cost overrun precentage factored in the total cost. This process will give the government a risk assement ...more »

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