Q4 2024 HS Audit Deficiencies Line 11Line 74.pdf
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- Solicitation number
- 27-87787
- Issued by
- Hendricks County, Indiana
About this file
This file is a Fourth Quarter 2024 audit deficiencies report from the Indiana Department of Correction Health Services Division documenting performance measure compliance failures identified during quality assurance reviews across multiple correctional facilities. The report details audit results for four performance measure categories—Dental, Diabetes, Restricted Housing, and Mental Health-Incarcerated Adults—conducted at eighteen adult facilities and three juvenile facilities serving approximately 25,000-28,000 incarcerated individuals. Per the related RFP contract requirements, all performance measures must achieve a passing score of 90 percent or better per category to meet compliance standards. Facilities failing to meet this threshold are subject to a fourteen-day rebuttal period during which the health services vendor may present corrective information; failure to remediate deficiencies after this period results in financial penalties. The audit covers the fourth quarter of 2024 (October, November, December) and identifies specific facilities with deficiencies in each performance category.
The document establishes that each audit failure under the 90 percent threshold triggers a minimum reimbursement requirement of $5,000 per deficiency per facility to cover the Department's additional action, oversight, and administrative review costs. The Fourth Quarter 2024 audit results identified a total of 31 individual facility-level deficiencies across the four performance measure categories, resulting in a cumulative financial penalty of $155,000 ($5,000 per deficiency multiplied by 31 deficiencies). These penalties are applied as credits against the vendor's next invoice to the Department following notification of non-compliance. The audit deficiency structure described in this document reflects the performance monitoring and financial accountability mechanisms established in the active correctional health services contract with the incumbent vendor, Centurion Health of Indiana, LLC, which operates under terms requiring ongoing compliance with the Department's established performance standards and quality assurance protocols.
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Text version
Fourth Quarter CY 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 for 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 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 4th quarter of 2024 (October, November, December) after the rebuttals are:
1. Dental: Indiana State Prison, LaPorte Juvenile Correctional Facility, Plainfield Correctional Facility, Logansport Correctional Facility, Branchville Correctional Facility, Heritage Correctional Facility, Putnamville Correctional Facility
2. Diabetes: Indiana State Prison, Westville Correctional Facility, Miami Correctional Facility, Plainfield Correctional Facility, Heritage Trail Correctional Facility, Putnamville Correctional Facility, Wabash Valley Correctional Facility, Pendleton Correctional Facility.
3. Restricted Housing: Westville Correctional Facility, Miami Correctional Facility, Plainfield Correctional Facility, Reception-Diagnostic Center, Branchville Correctional Facility, Putnamville Correctional Facility, Wabash Valley Correctional Facility, New Castle Correctional Facility, Pendleton Correctional Facility.
4. Mental Health-Incarcerated Adults: Miami Correctional Facility, Plainfield Correctional Facility, Branchville Correctional Facility, Heritage Trail Correctional Facility, Putnamville Correctional Facility, Wabash Valley Correctional Facility.
ctl .. b · =- 3 /10 h.az� Andy Dunigan Date Executive Director Healthcare Operations
31 X $5,000.00 = $155,000.00
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