The Comptroller General of the Republic reported a breach by EsSalud in the Home Care Program (Padomi) in relation to the delivery of more than 109,000 medical prescriptions, which included 3.8 million medications intended for patients with chronic diseases such as hypertension, diabetes and Parkinson’s.
The control commission highlighted that an analysis of the causes that led to this situation has not yet been carried out.
The Official Guidance Report No. º 099-2024-OCI/0251-SOO, which covers the period from January 1 to November 28, 2024, indicates that, according to the report on Prescriptions Issued Without Attention from the ESSI Data Exploitation system, They were able to identify 109,569 prescriptions that did not receive adequate attention.
This report from the Comptroller’s Office warns that this non-compliance affects patients who need treatment to control conditions such as high blood pressure and diabetes, as well as neurological diseases such as Parkinson’s. Medications are essential to prevent serious complications.
“The control commission warned that if this situation persists, it could lead to patients enrolled in PADOMI having their health affected, causing the objectives of the home care process for the insured to not be met,” they warn.
Piura: Alleged irregularities found in hiring for hemodialysis service in EsSalud
The Comptroller’s Office of the Republic warned of alleged irregularities in the contracting of the Hemodialysis service in EsSalud, between October 1, 2021 and January 31, 2024, without complying with the regular contracting process for the State.
According to report No. 118-2024-2-0251 on the “Contracting of the hemodialysis service without reuse for patients at the José Cayetano Heredia, Jorge Reátegui Delgado and Sullana hospitals”, alleged irregularities were detected.
According to the audit, the trusted servants of the Procurement Division of the Piura Assistance Network, between October 1, 2021 and September 30, 2022, issued 16 purchase orders for contracting in favor of three companies. of 18,210 outpatient hemodialysis sessions for S/ 4,422,298.50, entering a code from a public tender that had already been had been used in all the contracted hemodialysis sessions, the execution deadlines established in the respective contracts had already expired and that, in the case of the companies Clínica Praga Internacional SAC and Centro Nefrológico del Norte EIRL, all the hemodialysis sessions had also been used. hemodialysis provided through additional benefits authorized by the Network.
“Situation that would have favored the aforementioned clinics, as well as the Piura EIRL Dialysis Center, contravening article 34 of Law No. 30225 and article 139 of the Regulations of the State Contracting Law, as well as the clauses of the contracts with the clinics“, indicates the Comptroller’s Office.
The commission determined that the situation exposed would have favored the companies Clínica Praga Internacional SAC, Centro Nefrológico del Norte EIRL and Centro de Dialisis Piura EIRL, which were contracted to provide 18,210 hemodialysis sessions for S/ 4,422,298.50 without mediating a procedure. selection affecting the regular contracting management process by limiting EsSalud to access a plurality of bidders.
In addition, the control commission detected that the Procurement Division of the Piura Assistance Network (Rapi), between January 2, 2022 and November 9, 2023, contracted the hemodialysis service through 6 companies for S/14,433. 786.39, issuing 242 purchase orders for contracts for amounts equal to or less than 8 UIT, on a date after the start of the execution period contractual, the service being provided without the requirement of the user area, terms of reference and market research, likewise, the Approval Forms for “Outpatient care service for patients with stage 5 chronic kidney disease on hemodialysis” were not used.
“It has affected the regular contracting management process by not guaranteeing policyholders the quality of the service provided and not having terms of reference that allow the entity to demand that the contracted clinics provide the services under the established conditions.”, he concludes.
