Q3 2024 HS Audit Deficiences Line 11 Line 74.pdf
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- Attached to
- RFP DOC Correctional Health ServicesBid Documents State and local contract opportunity
- Solicitation number
- 27-87787
- Issued by
- Hendricks County, Indiana
About this file
This is a Third Quarter 2024 Audit Deficiencies Report from the Indiana Department of Correction (IDOC) Health Services Division documenting performance measure compliance failures for correctional health services across multiple facilities. The report identifies eight facilities that failed to meet the required 90 percent passing score threshold during the July through September 2024 audit period across four performance categories: Chronic Care Hypertension/Cardiac (Indiana State Prison and Branchville Correctional Facility), Sick Call/Nursing Protocols (Plainfield and Putnamville Correctional Facilities), Mental Health Specialized Units (New Castle and Pendleton Correctional Facilities), and Infirmary/Inpatient Units (Plainfield and New Castle Correctional Facilities). The IDOC Health Services Division conducts compliance audits through ad hoc site visits, interviews, inspections, and medical record reviews to assess adherence to Department policy, procedure, and established Performance Measures. Vendors receive a fourteen-day rebuttal period following failed audits to present corrective information; however, only one opportunity is provided to remedy deficiencies.
The audit deficiencies resulted in financial penalties totaling $40,000 ($5,000 per failed audit per facility) to be credited against the vendor's next invoice to the Department. These reimbursements cover the Department's additional administrative action, oversight, and review costs expended in responding to non-compliance findings. The report reflects the contract performance expectations outlined in the related RFP for DOC Correctional Health Services, which requires vendors to maintain 90 percent or better pass rates across 485 established quality assurance measures, with minimum reimbursement of $10,000 per deficiency per facility if performance standards are not corrected within a 30-day cure period. The incumbent vendor for these services is Centurion Health of Indiana, LLC, operating under a contract expiring March 31, 2027.
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Text version
Third Quarter 2024 Audit Deficiencies
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 3rd quarter 2024 (July, August, September) after the rebuttals are:
1. Chronic Care Hypertension/ Cardiac: Indiana State Prison, Branchville Correctional Facility
2. Sick Call/ Nursing Protocols: Plainfield Correctional Facility, Putnamville Correctional Facility
3. Mental Health Specialized Units: New Castle Correctional Facility, Pendleton Correctional Facility
4. Infirmary/ Inpatient Units: Plainfield Correctional Facility, New Castle Correctional Facility
Andy Duni Executive Di ctor Healthcare Operations
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8 facilities x $5,000.00 = $40,000.00
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