Fletcher Allen Health Care, Burlington, Vt., has adopted a certificate-of-need compliance plan following its controversial decision to spend tax-exempt bond proceeds on a private parking garage. Acting General Counsel Spencer Knapp said the plan is designed to promote a "culture of compliance" with state law. The unusual measure requires trustee approval for all CON proposals, certification of data provided to the state by Fletcher Allen employees, and an employee education program. CON issues will be subject to approval by the system's in-house counsel. State Auditor Elizabeth Ready recently faulted the Vermont Education and Health Buildings Financing Agency, which issues bonds, for lax oversight and recommended changes in its procedures. "The state should use this opportunity to reclaim its rightful role as the watchdog of healthcare spending," she said. Under fire for cost overruns on a major construction project, eight members of the system's board resigned in February. -- by Mary Chris Jaklevic
Vt. system tightens oversight of CON compliance
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