North Broward IRO Report - July 2017

INDEPENDENT REVIEW ORGANIZATION

TABLE OF CONTENTS

I. INTRODUCTION ............................................................................................................... 2 A. OVERVIEW OF IRO'S FINDINGS REGARDING BROWARD HEALTH'S MARKETING AND COMMUNICATIONS DEPARTMENT'S ENTERING INTO FOCUS ARRANGEMENTS WITH OUTSIDE EYES............................................. 3 B. INITIATION OF THE IRO'S REVIEW.................................................................... 6 II. OUTSIDE EYES FOCUS ARRANGEMENTS AND PROPOSALS ................................... 9 A. LISTING OF FOCUS ARRANGEMENTS AND PROPOSALS SUBMITTED BY OUTSIDE EYES/BHP JUMPSTART TO BROWARD HEALTH ...................... 9 B. THE FAILURE OF THE CONTRACT ORIGINATOR TO FOLLOW THE BROWARD HEALTH CONTRACT APPROVAL PROCESS AND ITS IMPLICATIONS ................................................................................................... 15 III. SUMMARY OF FINDINGS AND DOCUMENTATION OF INTENT TO CIRCUMVENT BROWARD HEALTH FOCUS ARRANGEMENT POLICIES AND PROCEDURES AND THE TERMS OF THE CORPORATE INTEGRITY AGREEMENT ......................... 17 IV. BROWARD HEALTH'S MARKETING DEPARTMENT'S DISREGARD OF THE OBLIGATIONS CREATED BY THE CORPORATE INTEGRITY AGREEMENT AND THE IMPLICATIONS ON THE OUTSIDE EYES FOCUS ARRANGEMENTS ....... 30 A. INVOICES AND PAYMENTS.............................................................................. 32 B. THE FAILURE TO OBTAIN A FAIR MARKET VALUE AND COMMERCIALREASONABLENESS DETERMINATION ................................... 39 V. THE IRO'S FINDINGS REGARDING OUTSIDE EYES FOCUS ARRANGEMENTS ..... 41 A. FOCUS ARRANGEMENT DEFICIENCIES......................................................... 41 B. BROWARD HEALTH'S SENIOR MANAGEMENT'S FAILURE TO COMPLY WITH THE OBLIGATIONS SET FORTH IN THE CORPORATE INTEGRITY AGREEMENT.................................................................................. 43 C. BROWARD HEALTH'S SENIOR MANAGEMENT'S FAILURE TO COMPLY WITH ITS POLICIES AND PROCEDURES ........................................................ 47 VI. POTENTIAL VIOLATIONS OF FLORIDA LAW .............................................................. 59 A. USE OF THE PHRASE "SCOPES OF WORK" AS THE RATIONALE TO PAY OUTSIDE EYES.......................................................................................... 59 B. PEEK'S PROVIDING THE DRAFT BROWARD HEALTH MARKETING AND COMMUNICATION DEPARTMENT BUDGET TO PORRITT............................. 60 VII. BROWARD HEALTH'S COOPERATION WITH THE IRO'S REVIEW ............................ 62 CERTIFICATION OF INDEPENDENCE ......................................................................... 63

EXHIBIT A EXHIBIT B EXHIBIT C

4839-7834-9643 v1 - 07/06/2017

Made with