The Federal Bureau of Prison's Efforts to Manage Inmate Health Care

Audit Report 08-08
February 2008
Office of the Inspector General


Table of Contents

EXECUTIVE SUMMARY

INTRODUCTION

FINDINGS AND RECOMMENDATIONS

  1. HEALTH CARE DELIVERY AND COST IMPACT

  2. Improving the Delivery of Health Care to Inmates
    Cost Impact of the BOPís Health Care Initiatives
    Providing Medical Services to Inmates
    Conclusion
    Recommendations
  3. BOP CONTRACT ADMINISTRATION

  4. Conclusion
    Recommendation
  5. MONITORING BOP HEALTH CARE PROVIDERS

  6. The BOPís Program Review Results
    The BOPís Credential Verification, Privileges, and Practice Agreement Program
    The BOPís Health Care Performance Measures
    Conclusion
    Recommendations

STATEMENT ON COMPLIANCE WITH LAWS AND REGULATIONS

STATEMENT ON INTERNAL CONTROLS

ACRONYMS AND ABBREVIATIONS

APPENDICES:

  1. Audit Objectives, Scope, and Methodology
  2. BOP Initiatives since FY 2000 to Improve the Effectiveness and Efficiency of Inmate Health Care
  3. Medical Services Selected for Testing from the BOPís Preventive Health Care Clinical Practice Guideline
  4. Sample Methodology
  5. BOP Institutions and Inmates Housed as of November 29, 2007
  6. Summary of BOP Program Statements Related to the Provision of Medical, Dental, and Mental Health Services
  7. Results of the OIGís Testing of the Provision of Medical Care at BOP Institutions
  8. The BOPís Health Care Performance Measures
  9. Types of BOP Institutions
  10. Department of Justice, Office of the Inspector General Audits of BOP Medical Contracts from August 2004 through March 2007
  11. The BOPís Response to the Draft Audit Report
  12. Office of the Inspector General, Audit Division, Analysis and Summary of Actions Necessary to Close the Report



Return to OIG Home Page