An Audit Report on the Maternal and Child Health Block Grant at the Texas Department of Health Page: 2 of 3
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Members of the Legislative Audit Committee
January 25, 1999
Page 2
The Department has not consistently provided programmatic follow-up site visits according to
agency policies. Programmatic follow-up reviews are delegated to the regional offices. A lack
of central office authority over the follow-up process contributes to untimely follow-up reviews.
By not consistently following policies and procedures, the State risks that MCH Block Grant
contractors may not fulfill all contractual requirements.
Performance Measurement - The Department should improve procedures to ensure the accuracy
of information included in the performance information database. Audit tests indicate that 5 out
of 22 entries (23 percent) on contractor activity contained either inaccurate or incomplete
information. Although the amounts in error are not significant, the number of errors noted raises
concerns that current procedures are not sufficient to prevent and detect more significant errors.
Human Resources Management - The Department has developed and documented appropriate
policies and procedures to manage human resources. However, audit tests indicate that
inconsistencies in implementing the policies and procedures exist. Inconsistencies were found in
communicating training plans and updating employee performance journals on a timely basis.
These inconsistencies result in a risk to the Department in maintaining a skilled workforce.
Coordination of Services Among Agencies - Health and human services agencies have improved
communication and collaboration in an effort to reduce duplication and identify gaps in services.
These agencies have identified existing gaps and are networking and sharing information on
processes.
We appreciate the Department's cooperation during the project. The Department generally
agrees with the findings noted above. If you need additional information, please contact Pat
Keith, MBA, CQA, at 479-4700.
Objective, Scope, and Methodology
Sincer , Our objectives were to determine if:
* Maternal and Child Health Block Grant funds were spent in
compliance with agency strategies, federal grant
requirements, and state laws.
* Significant gaps or duplications in services among programs and
Lawrence F. Alwin, CPA agencies exist.
State Auditor The scope included:
n Management controls over cash, performance measurement,
rmn contract administration, and human resources
Attachment . Compliance with federal and state requirements
cc: Texas Department of Health The methodology used consisted of:
Board Members * Gaining an understanding of management control policies and
Dr. William Archer, III, procedures
Commissioner of Health . Testing compliance with policies and procedures
* Testing compliance with state and federal requirements
* Reviewing efforts of health and human services agencies to
identify and reduce gaps and duplications in maternal and child
health services
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Texas. Office of the State Auditor. An Audit Report on the Maternal and Child Health Block Grant at the Texas Department of Health, report, January 1999; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth518175/m1/2/?q=%22~1~1%22~1: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.