Report 2010-103R Recommendation 1 Responses
Report 2010-103R: Department of Public Health: It Faces Significant Fiscal Challenges and Lacks Transparency in Its Administration of the Every Woman Counts Program (Release Date: July 2010)
Recommendation #1 To: Health Care Services, Department of
To the extent that Public Health continues to fund its various contracts, it should establish clearer expectations with its contractors concerning how much money is to be spent directly on the different aspects of the EWC program and should monitor spending to confirm that these expectations are being met.
Annual Follow-Up Agency Response From October 2016
Will not implement
California State Auditor's Assessment of Annual Follow-Up Status: Will Not Implement
Annual Follow-Up Agency Response From October 2015
Will not implement
California State Auditor's Assessment of Annual Follow-Up Status: Will Not Implement
Annual Follow-Up Agency Response From October 2014
Will Not Implement
California State Auditor's Assessment of Annual Follow-Up Status: Will Not Implement
Annual Follow-Up Agency Response From November 2013
EWC believes its current practice is adequate for monitoring contract activities and spending. See Exhibit A - Scope of Work, Santa Barbara County Public Health Department; Contract #12-89329 (Attachment 1). Contractors are required to submit a biannual Progress Report detailing their progress in meeting Scope of Work objectives. See Regional Contractor Progress Report Checklist, Santa Barbara County Public Health Department; Contract #12-89329 (Attachment 2). All invoices are required to include full supporting documentation for expenses charged. Additional monitoring is not required to confirm that contract expectations are being met.
California State Auditor's Assessment of Annual Follow-Up Status: Will Not Implement
Annual Follow-Up Agency Response From October 2012
EWC believes its current practice is adequate for monitoring contract activities and spending. Contractor activities are tied to the salaries of staff performing the duties plus associated operating costs. For contract regional coordinators, "provider network duties" and "provider site reviews" are performed by nurse clinical coordinators. Tailored health education is performed by health educators. These classifications are funded in the personnel line-item and can be seen in budget and invoice detail. Clinical coordinators are assigned specific numbers of site reviews to conduct each fiscal year in accordance with the funded FTE (30 site visits per 1 FTE). Similarly, health educators are assigned specific numbers of women to reach through tailored health education each fiscal year. Progress for each deliverable is reported biannually. Contractors provide documentation for all activities and expenses invoiced during annual site reviews. EWC staff continuously track, monitor and verify that all SOW deliverables have been completed each FY and that invoices can be adjusted if the contractors fail to perform part or all of a specific deliverable.
California State Auditor's Assessment of Annual Follow-Up Status: Will Not Implement
All Recommendations in 2010-103R
Agency responses received after June 2013 are posted verbatim.