EXECUTIVE SUMMARY

INTRODUCTION

Health Care Responsibilities
Health Care Costs
Controlling Health Care Costs
The Provision of Health Care Services
Necessary Medical Care
BOP Policy Guidance
Prior Audits, Inspections, and Reviews
OIG Audit Objectives and Approach

FINDINGS AND RECOMMENDATIONS

1. HEALTH CARE DELIVERY AND COST IMPACT

Improving the Delivery of Health Care to Inmates
Cost Impact of the BOP’s Health Care Initiatives
Providing Medical Services to Inmates
Conclusion
Recommendations

2. BOP CONTRACT ADMINISTRATION

Conclusion
Recommendation

3. MONITORING BOP HEALTH CARE PROVIDERS

The BOP’s Program Review Results
The BOP’s Credential Verification, Privileges, and Practice Agreement Program
The BOP’s 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 BOP’s 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 OIG’s Testing of the Provision of Medical Care at BOP Institutions
8. The BOP’s 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 BOP’s Response to the Draft Audit Report
12. Office of the Inspector General, Audit Division, Analysis and Summary of Actions Necessary to Close the Report