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Safeguards Over Controlled Substances at Santa Fe Indian Hospital

Issued on  | Posted on  | Report number: A-06-06-00032

Report Materials

EXECUTIVE SUMMARY:

Our objective was to determine whether Santa Fe Indian Hospital (Santa Fe) complied with applicable requirements to secure and account for its Schedule II substances.

Santa Fe complied with applicable requirements to secure its Schedule II substances. However, Santa Fe did not institute all recommended security precautions or have adequate internal controls over these substances at its outpatient and inpatient pharmacies. In addition, Santa Fe did not always comply with applicable requirements to account for Schedule II substances at its outpatient pharmacy and automated dispensing units in the outpatient department and inpatient ward. As a result, Schedule II substances at Santa Fe were vulnerable to theft and mismanagement.

We recommend that IHS direct Santa Fe to enforce the security, internal, and accountability controls detailed in our report.

IHS concurred with our findings and recommendations and stated that Santa Fe had implemented, or was currently implementing, all recommended corrective actions.

Report Type
Audit
HHS Agencies
Indian Health Service
Issue Areas
-
Target Groups
-
Financial Groups
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Notice

This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.