Quality of Care Corporate Integrity Agreements
When a False Claims Act settlement resolves allegations of fraud that impact the quality of patient care, OIG may enter into a "quality-of-care" Corporate Integrity Agreement (CIA) with the settling provider. Under this type of CIA, OIG requires that the provider retain an independent quality monitor. The quality monitor not only will address the specific issues underlying the allegations, but also will look at the entity's delivery of care and evaluate the provider's ability to prevent, detect, and respond to patient care problems.
When a provider enters into a quality-of-care CIA as part of a settlement, it is not an admission that the provider provided substandard or worthless patient care. The presence of a quality-of-care CIA and a quality monitor, alone, is not determinative of the quality of care at the provider's facility or facilities. Nor does it guarantee that the provider will provide adequate patient care going forward.
For skilled nursing facilities and nursing facilities, the Centers for Medicare & Medicaid Services' Nursing Home Compare Web site is a useful tool to obtain quality-of-care information about a specific facility.
Below are links to the current CIAs that require an independent quality monitor. Where the quality-of-care CIA is with a provider that has multiple locations, an individual location may have had no involvement in the settlement. Also provided are links to press releases issued by the United States Attorney's Office or the Department of Justice about the related False Claims Act settlements:
Adobe® Acrobat® is required to read PDF files.
|Corporate Integrity Agreement||Related|
|Extendicare Health Services, Inc.; The Progressive Step Corporation||Press Release|
|Foundation Health Services, Inc. (Daspit, Richard T., Sr.; Rock Glen Healthcare, Inc.; American Family Services, Inc.; Huntingdon Nursing Center, Inc.; Bluebonnet Healthcare, Inc.; Magnolia Healthcare, Inc.; Ravenwood Healthcare, Inc.)||Press Release|
|Korban, Elie H., M.D.||N/A|
|Saint Joseph Health System Inc. d/b/a Saint Joseph London||N/A|
|Jackson Cardiology Associates, P.C.||Press Release|
|Jashu R. Patel, M.D. see Jackson Cardiology Associates, P.C.||Press Release|
|Allegiance Health||Press Release|
|Dallas County Hospital District d/b/a
Parkland Health and Hospital System
|GGNSC Holdings LLC (GGNSC Atlanta LLC, d/b/a Golden LivingCenter - Dunwoody f/k/a Golden LivingCenter - Northside, GGNSC Decatur II LLC, d/b/a Golden LivingCenter - Glenwood)||Press Release|
|Harbor Senior Concepts||Press Release|
|Peninsula Regional Medical Center||Press Release|
|Saint Joseph Medical Center||Press Release|
Let's start by choosing a topic
Priority recommendations summarized.
FY 2014 Work Plan
OIG projects planned for 2014.
Significant OIG activities in 6-month increments.