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MWD-75-86 1 (1975-06-02)

handle is hein.gao/gaobaaasv0001 and id is 1 raw text is: 



   r              ~COMPTROLLER GENERAL OF THE UNITED STATES            0,1



B-164011(5)                                               JUN 2   1975




The Honorable Paul Findley

House of Representatives

Dear Mr. Findley:

     As your office requested,- we have reviewed the adequacy of an audit
of the Illinois Trauma Program by Department of Health, Education, and
Welfare (HEW) auditors. Because your request was prompted by various
allegations of improper expenditure and mismanagement of Federal funds
spent on program activities, we also reviewed related reports on financial
audits, investigations, and management reviews of the program since it
became operational in 1971. The reports reviewed were prepared by HEW,
the Illinois Department of Transportation, and the U.S. Department of
Transportation.

     The program's goal was to develop 45 hospital centers or trauma
centers throughout Illinois. The trauma centers were to be staffed and
equipped to handle the complex needs of the critically injured. Trans-
portation's National Highway Traffic Safety Administration.provided
about $4 million in Federal funding to the program for the basic network
components of trauma care centers. In June 1972 HEW awarded the Illinois
Department of Public Health, Division of Emergency Medical Services and
Highway Safety, a 3-year, $4 million demonstration contract to expand the
trauma care system to all categories of emergent disease and to strengthen
and integrate subsystems of hospitals into a total statewide emergency
medical system.

HEW INTERIM AUDIT

     In April 1974 the HEW Audit Agency initiated an interim audit of
HEW's contract with the Illinois Department of Public Health for the
trauma program. The audit's purpose was to determine whether costs
incurred under the contract were reasonable, allocable, and allowable
under applicable HEW regulations and the terms of the contract. At the
time of the audit, about $1.3 million had been expended under the
$4 million contract. The audit was not designed to investigate specific
allegations or to assess the program's effectiveness.








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                                              !Mp MWD- 75-86

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