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In 2011, we concluded that AHS made satisfactory progress in implementing our earlier recommendation to establish outcome-based performance measures for non-hospital surgical facilities and use these standards of performance to monitor contracted facilities.

We performed our current follow-up audit in early 2014 to determine whether AHS has fully implemented the recommendation.

We concluded that AHS has not made further progress since 2011 and we are repeating our recommendation.

At the time of our audit, AHS’s internal audit team had completed its own audit of systems to monitor and evaluate contracted surgical service delivery. Although our audits were performed independently, the findings produced by both audits are consistent.