Medicaid Compliance Unit

% of External Quality Review Organization (EQRO) audit findings that are repeat audit findings

10.5%2019

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Notes on Methodology

Partners
  • Department of Aging and Independent Living (DAIL)
  • Vermont Department of Health (VDH)
  • Department of Mental Health (DMH)
  • Department for Children and Families (DCF)
  • Agency of Human Services Central Office (AHS-CO)
Story Behind the Curve

This measure shows the frequency and percentage of repeat findings during any of the three annual EQRO audits. Repeat findings occur when we fail to fully correct a finding from a previous year. Repeat findings are rare for these audits and typically result from technology limitations or corrective action plans that are complicated and take more than one year to complete. There are no specific penalties for repeat findings, but keeping the numbers at or close to zero demonstrates our commitment to compliance with these requirements.

Last updated 01/15/2020

Strategy

When findings are received, they are reviewed with the Compliance Committee as well as the departments/units involved with the findings. Corrective action is taken on all findings and progress is reported to AHS and the auditors. Once fixes are in place, we only revisit them preceding the next EQRO audit. In 2019, we learned that some policy or handbook changes were reverted back to their pre-corrective action language because we did not develop a persistent way to document the reason for the changes. Fixing this will be a major compliance strategy goal for the second half of CY2019.

Scorecard Result Container Indicator Measure Action Actual Value Target Value Tag S R I P PM A m/d/yy m/d/yyyy