Sure. There are really two ways in which you have accountability. The first is within the department. The secretary of VA wants to close out all the open recommendations. Remember, these are recommendations that the department is committed to implementing. It reflects on the secretary if they're not implemented. Second, Congress has been very active in looking at the open recommendations. Again, they control the purse, so they have significant leverage over the department to ensure that recommendations are implemented.
On June 5th, 2017. See this statement in context.