Full Text of HR0057 98th General Assembly
HR0057 98TH GENERAL ASSEMBLY |
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| 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 |
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| 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 |
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| 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 |
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| 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.
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