The Federal Managers Financial Integrity Act of 1982 requires agencies to establish and maintain internal controls to provide assurance that agency funds are safeguarded against waste, loss, unauthorized use, or misappropriation. The Office of Management and Budget Circular No. A-123, Management’s Accountability and Control defines management’s responsibilities related to internal control. The BOP’s controls for providing necessary medical care to inmates are established primarily by BOP program statements and clinical practice guidelines. To obtain reasonable assurance that the BOP complied with laws and regulations that, if not complied with, could have a material effect on the BOP’s provision of health care to inmates, we tested the BOP’s compliance with BOP’s guidelines for providing inmate health care contained in the following BOP program statements and clinical practice guidelines.
P1210.023 Management Control and Program Review
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P6010.02, Health Services Administration
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P6013.01, Health Services Quality Improvement
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P6027.01, Health Care Provider Credential Verification, Privileges, and Practice Agreement Program
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P6031, Patient Care
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P6190.03, Infectious Disease Management
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P6270.01, Medical Designations and Referral Services for Federal Prisoners
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Preventive Health Care Clinical Practice Guideline
Except for instances of noncompliance identified in the Findings and Recommendations section of this report, we did not identify any other instances of noncompliance with the policies we tested.