Purpose

To determine the extent of implementation of the three recommendations included in our initial audit report, Management and Control of Overtime Costs (Report 2009-N-15).

Background

Our initial report, issued on May 7, 2012, determined that HHC did not effectively manage and control its overtime costs. As a result, HHC officials lacked assurance that overtime was used only when it was in the best interest of HHC. Moreover, we found indications that overtime was often used when it was not in the best interest of HHC, as employees responsible for patient care routinely worked excessive overtime shifts that could compromise the quality of the care they provide due to fatigue. The objective of our follow-up was to assess the extent of implementation, as of November 19, 2014, of the three recommendations included in our initial report.

Key Finding

HHC has made progress in addressing the issues identified in our initial report. Of the three prior recommendations, all three have been partially implemented.

Key Recommendation

Officials are given 30 days after the issuance of the follow-up review to provide information on any actions that are planned to address the unresolved issues discussed in this review.

Other Related Audit/Report of Interest

New York City Health and Hospitals Corporation: Management and Control of Overtime Costs (2009-N-15)