Q2 2024 HS Audit Deficiencies Line 11 Line 74.pdf
PDF 45 KB Posted
- Solicitation number
- 27-87787
- Issued by
- Hendricks County, Indiana
About this file
This is a Quality Assurance Audit Deficiencies report documenting performance measure failures identified by the Indiana Department of Correction Health Services Division during the second quarter of 2024 (April-June). The audit assessed health care services compliance across correctional facilities using established performance measures requiring a minimum 90% passing score. Facilities failing to meet this threshold were given a 14-day rebuttal period to present corrective information; however, deficiencies remaining after this single correction opportunity resulted in financial penalties. The report identifies audit failures across three performance measure categories—Chronic Care, Infection Control, and Medication Management—distributed among nine facilities including Miami Correctional Facility, Plainfield Correctional Facility, Heritage Trail Correctional Facility, Branchville Correctional Facility, Putnamville Correctional Facility, Wabash Valley Correctional Facility, Indiana State Prison, and Reception-Diagnostic Center.
The audit deficiencies triggered a minimum reimbursement requirement of $5,000 per failed audit measure per facility, with fourteen documented failures across facilities resulting in a total financial penalty of $70,000 to be credited against the health services vendor's next invoice. Under the Department's contract with the incumbent health services vendor, all quality assurance audits are conducted through ad hoc site visits, interviews, inspections, and electronic medical record reviews to assess contract compliance, adherence to departmental policy, and performance measure compliance. The audit process and corresponding financial penalties serve as mechanisms to enforce accountability and fund Department administrative costs associated with investigating and responding to identified deficiencies.
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Text version
Per contract and amendment:
All Performance Measures have been included in the Department's audit tools. The Department's Health Services Division will conduct audits of health care services through ad hoc site visits, interviews, inspections, and review of health records to assess and monitor contract compliance, adherence to Department policy and procedure, and compliance with Performance Measures. As a part of such audit quality assurance staff will pull an adequate number of medical record packets and review the Electronic Medical Record (EMR). Each audit of one or more performance measure requires a passing score of 90% or better per category that has an available assessment penalty per facility. Less than 90% is considered a fail. If an audit measure does not meet the passing score, a fourteen ( 14) day rebuttal period will begin. The Department and Health Services Vendor will discuss the failed audit scores and the Health Services Vendor may present information to correct the failed measures. At the end of the 14-day period, the Department will make the final decision as to whether the information provided successfully corrected the deficiencies and therefore no financial penalty would apply. There shall be only one opportunity given to correct a deficiency.
On a quarterly basis, the Health Services Vendor will be provided with a summary of all quality assurance activities completed during that Quarter. Any audit under 90% found at a facility will require the Health Services Vendor to reimburse the Department for additional action, oversight and review expended by the Department in responding administratively to the deficiency. The minimum cost to the Department of such additional action, oversight and review shall be $5,000 per audit under 90% at each facility. Each audit under 90% found during an audit shall be subject to this reimbursement. This reimbursement shall be paid as a credit on the next invoice to the Department after notification.
After a review and found to be in non-compliance, audits not meeting the 90% threshold for the 2nd quarter of2024 (April, May, June) after the rebuttals are:
Chronic Care
• Miami Correctional Facility
• Plainfield Correctional Facility
• Branchville Correctional Facility
• Heritage Trail Correctional Facility
• Putnamville Correctional Facility
Infection Control
• Miami Correctional Facility
• Plainfield Correctional Facility
• Heritage Trail Correctional Facility
• Wabash Valley Correctional Facility
Medication Management
• Miami Correctional Facility
• Indiana State Prison
• Plainfield Correctional Facility
• Reception-Diagnostic Center
• Heritage Trail Correctional Facility
' AndyD gan Executive irector, Healthcare Services
Date
14 facilities x $5,000.00 = $70,000.00
File details come from the government source that posted it. Updated .