Kentucky State Auditor’s Report Critical of UofL Management of QCCT Fund for Indigent Care.

University of Louisville tried to pretend they liked this report!
I could weep.

Two days ago, Kentucky’s Auditor of State Accounts Adam Edelen released a long-awaited audit of the University of Louisville’s handling of the QCCT fund. The Quality Community and Charitable Trust is funded by both state and local governments and is used by University Hospital to provide medical care to people who do not have any form of health insurance or the resources to pay out-of-pocket. The report was highly critical of the University and the QCCT Board that is controlled by the University. Despite a valiant effort by University officials to put a positive spin on the audit, every news outlet I have seen that reported on the matter emphasized the negative aspects of the report. In my opinion, the University did not help its own case in this regard.

Also two days ago, the University’s own consultants gave their final report on the hospital’s performance, and yesterday Louisville’s Mayor Fisher released his FY 2013 Budget including city funding for the QCCT fund. It has been a lot to digest all at once. Yesterday I finally had a chance to read the full text of the audit and I was stunned. The press release describing it was bad enough. The report itself is a devastating indictment of the failure of University responsibility for these public monies. Read the full report for yourself and form your own opinions. I could not believe what I was reading and that this behavior could have been allowed to go on so long. There is much accountability blame to go around. Continue reading “Kentucky State Auditor’s Report Critical of UofL Management of QCCT Fund for Indigent Care.”

UofL Press Conference Following Release of State Auditor Edelen’s Audit of QCCT Fund.

The spin machine revs up!

Doctor’s lounge gossip last week told that the University was in a tizzy over something coming out of Frankfort about indigent care, the QCCT fund, or Passport. I made some unfruitful calls to Frankfort myself and waited for the other shoe to drop. It is clear today that the University of Louisville had received its copy of the Auditor’s report and had been preparing its responses. One of those responses was a press conference announced on apparently short notice for 10:00 this morning. (As usual, I only heard by accident.)  There were some TV cameras there and three reporters that I recognized.

The report had only been released to the public around 9:30 this morning so no one in the room other than the UofL people had had a chance to read it, or to prepare appropriate or perhaps even embarrassing questions. I still have not had an opportunity to read it myself, but judging from the press release summary, it is a very critical report. No wonder the University wanted to put a good spin on it right away! Continue reading “UofL Press Conference Following Release of State Auditor Edelen’s Audit of QCCT Fund.”

Kentucky Auditor’s Report on University of Louisville Hospital Coming Today.

A long-awaited report by the Kentucky Auditor is on the way!  Later this morning we will see the report of the Kentucky Auditor regarding operations at University Hospital.  Announced last January, the audit was initiated in response to revelations that the University had been sloppy in its oversight of the QCCT fund used to support indigent care at University Hospital.  There were already stirrings that Louisville’s Metro Council had issues with the University’s accountability for those funds. This spring’s session of the Kentucky Legislature expressed concerns over the fact that the University was rebating some of the funds to the city.  All this followed on the heels of the Passport scandal in which public money for Medicaid was diverted illegally into faculty and hospital accounts. Continue reading “Kentucky Auditor’s Report on University of Louisville Hospital Coming Today.”

Open Letter to Metro Louisville Council Concerning QCCT Fund for Indigent Care

The Status Quo is Not an Option.

In an earlier article, I urged all readers to make their opinions known to Metro Louisville leadership about how to handle the University of Louisville’s request to maintain the status quo for how public money for indigent care is funneled to University of Louisville control.  In that spirit, I sent the following letter to each of the Metro Council members and to the Mayor.  Given that the University’s own internal review process is unlikely to produce detailed financial information relevant to its use of QCCT funds, and that it is not yet known if the Kentucky State Auditor’s office will have adequate access to the University’s books to do its job, how the Metro Council decides to act becomes even more important. Continue reading “Open Letter to Metro Louisville Council Concerning QCCT Fund for Indigent Care”