'Culture of noncompliance' contributing to health care problems at Salt Lake prison, audit finds

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'Culture of noncompliance' contributing to health care problems at Salt Lake prison, audit finds
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An audit released Wednesday found many health care problems in Utah's prisons still persist today, particularly at the Utah Correctional Facility in Salt Lake City.

SALT LAKE CITY — Most of the problems highlighted in a 2021 audit of how health care is administered to inmates in Utah's prisons are still occurring — particularly in the state's main prison in Salt Lake City.

In October, the Utah Department of Corrections reported to state lawmakers that all but two of the recommendations made in the 2021 audit had been implemented. But on Wednesday, Nicole Luscher, who was the supervisor of the new audit, said in reality, only four of the 13 recommendations made for Clinical Services Bureau have been implemented, one has been partially implemented, and eight are in the process.

in Utah's prisons. The audit found "systemic deficiencies" within the Clinical Services Bureau — which provides health care to inmates — including a lack of patient monitoring and follow-up care, inadequate monitoring of diabetic inmates, and a need to improve administrative oversight. "The needs to address the issue of employee retention. However, until the bureau adequately addresses commitment to improvement and change, issues associated with cultural noncompliance, employees that lack individual accountability and professionalism place a heavier burden on other, more dedicated medical staff — which can affect employee retention and invalidate recruiting efforts," the audit states.

When asked to explain why the Department of Corrections reported in October that all but two recommendations from the previous audit had been implemented, Nielson said he thought the plans had been put in place, but his own internal audit team had actually not completed its work.

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