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Author Topic: House Resolution 0057 Inmate Health Care Audit  (Read 4905 times)

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Offline barneyfife

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House Resolution 0057 Inmate Health Care Audit
« on: March 13, 2013, 01:39:24 PM »
  

Synopsis As Introduced
Directs the Auditor General to conduct a management audit of the Department of Corrections' implementation of a comprehensive medical and mental health services program for offenders.




  HR0057  LRB098 07984 GRL 38074 r
 

 
1  HOUSE RESOLUTION

  
2      WHEREAS, The Illinois Department of Corrections  
3  (Department) has approximately 47,000 inmates at its 27  
4  correctional centers; and
  
5      WHEREAS, In 2011, the Department of Healthcare and Family  
6  Services awarded a 10-year, $1.36 billion contract to Wexford  
7  Health Sources, Inc. (Vendor) to "provide comprehensive  
8  medical and mental health services to offenders [in the custody  
9  of the Department]... in order to maintain their health status,  
10  establish innovative and cost effective medical and  
11  administrative programs, improve the quality of care, provide  
12  acceptable, cost effective levels of staffing, [and]  
13  positively impact purchasing of pharmaceutical and/or medical  
14  supplies"; and
  
15      WHEREAS, Pursuant to the solicitation for the contract  
16  awarded to the Vendor, the Vendor is required to provide  
17  services at targeted performance levels (including compliance  
18  with staffing schedules, administrative directives, and  
19  treatment protocols) with any failure to meet the target levels  
20  of performance subjecting the Vendor to payment adjustments;  
21  and
  
22      WHEREAS, Also pursuant to the solicitation, the Department  
 

 
 
  HR0057 - 2 - LRB098 07984 GRL 38074 r
 

 
1  is required to "[c]onduct audits to confirm the validity of the  
2  performance guarantee results reported and enforce penalties  
3  as appropriate"; and
  
4      WHEREAS, The Department has indicated that it would  
5  "contract with a vendor outside the comprehensive medical  
6  contract to audit activities of the comprehensive medical  
7  provider"; and
  
8      WHEREAS, The Vendor is required to submit monthly  
9  utilization reports detailing inpatient hospitalization  
10  referrals, outpatient referrals, emergency services referrals,  
11  primary healthcare services utilization data, and  
12  pharmaceutical usage; and
  
13      WHEREAS, At the time the solicitation was issued, the  
14  Department was pursuing accreditation from the American  
15  Correctional Association for its facilities and projected that  
16  the accreditation would occur within 3 years; and
  
17      WHEREAS, At the time the solicitation was issued, the  
18  Department identified approximately 250 pending inmate  
19  healthcare lawsuits in which the State, its employees, or  
20  agents were named parties; and
  
21      WHEREAS, A Department administrative directive requires  
 

 
 
  HR0057 - 3 - LRB098 07984 GRL 38074 r
 

 
1  each correctional center to "develop a comprehensive Quality  
2  Improvement Program that provides for the systematic,  
3  on-going, objective monitoring and evaluation of the quality  
4  and appropriateness of offender care", including an internal  
5  audit of the directive to be conducted at least semi-annually;  
6  therefore, be it
  
7      RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE  
8  NINETY-EIGHTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that  
9  the Auditor General is directed to conduct a management audit  
10  of the Department of Corrections' implementation of a  
11  comprehensive medical and mental health services program for  
12  adult offenders; and be it further
  
13      RESOLVED, That the audit include, but not be limited to,  
14  the following determinations:
15          (1) whether the Department adequately monitors the  
16      Vendor's performance and compliance with contractual  
17      requirements, including the timeliness of services, scope  
18      of services, recordkeeping, periodic reporting, staff  
19      qualifications, and staffing levels;
20          (2) whether the Department takes appropriate action in  
21      response to instances where the Vendor is noncompliant or  
22      where Vendor performance issues are identified;
23          (3) whether the Department has in place an audit  
24      program to confirm the validity of performance guarantee  
 

 
 
  HR0057 - 4 - LRB098 07984 GRL 38074 r
 

 
1      results and to audit the activities of the comprehensive  
2      medical provider;
3          (4) whether the Vendor's and the Department's  
4      processes for tracking, reviewing and recording inmate  
5      complaints, grievances, and requests pertaining to medical  
6      and mental health services are adequate;
7          (5) whether the billings submitted by the Vendor are  
8      adequately reviewed by the Department, and are supported  
9      and allowable under the terms of the contract;
10          (6) whether each correctional center has in place a  
11      Quality Improvement Program as required by Department  
12      administrative directives and whether required internal  
13      audits are being performed; and
14          (7) the status of the Department's pursuit of  
15      accreditation from the American Correctional Association;  
16      and be it further
  
17      RESOLVED, That any State agencies, the Vendor, and any  
18  other entity having information relevant to this audit  
19  cooperate fully and promptly with the Auditor General's Office  
20  in the conducting of this audit; and be it further
  
21      RESOLVED, That the Auditor General commence this audit as  
22  soon as possible and report any findings and recommendations  
23  upon completion in accordance with the provisions of Section  
24  3-14 of the Illinois State Auditing Act.
 
http://www.ilga.gov/legislation/fulltext.asp?DocName=&SessionId=85&GA=98&DocTypeId=HR&DocNum=57&GAID=12&LegID=72056&SpecSess=&Session=

Offline jaf

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Re: House Resolution 0057 Inmate Health Care Audit
« Reply #1 on: March 13, 2013, 02:16:45 PM »
I just looked this up, and noticed that this has an ammendment that would replace the whole thing.   The ammendent was referred this week out of the rules committee to the Appropriations-Human Services Committee.

Either way, I think it's great!

Here is the link to Ammendment 1
 
http://www.ilga.gov/legislation/fulltext.asp?DocName=09800HR0057ham001&GA=98&SessionId=85&DocTypeId=HR&LegID=72056&DocNum=0057&GAID=12&Session=


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