State Auditor Update – Debbie Pennick - HFMA WA
Transcription
State Auditor Update – Debbie Pennick - HFMA WA
State Auditor’s Office Update Healthcare Financial Managers Association WA-AK Spring Conference May 1, 2013 Debbie Pennick, CPA, Program Manager Topics 1. Troy Kelley, State Auditor 2. Auditor Kelley’s Objectives and Short Term Priorities 3. Local Government Performance Center 4. Other Tools & Resources 5. Performance Audits 6. Audit Results 7. Emerging Issues 2 Troy Kelley, State Auditor • Three term legislator • Chaired Joint Legislative Audit and Review Committee • Led audit teams at SEC • Worked on white collar crime in federal prosecutor’s office 3 Auditor Kelley’s Objectives for the Future • Ensure SAO efforts contribute to government working better and costing less • Continually improve internal operations and capacity to produce high-quality work • Ensure SAO employees feel valued and highly satisfied in their work • Ensure SAO work helps government deliver high value, which earns greater public trust 4 Auditor Kelley’s Short Term Priorities • Develop a communications strategy and plan • Clarify the scope of accountability audits • Connect the Local Government Performance Center with the Audit Division • Edit the existing mission statement to more clearly communicate mission and values • Pursue identified improvements to internal processes 5 Local Government Performance Center www.sao.wa.gov/performancecenter 6 Why the State Auditor’s Office? • As performance auditors, we conduct research and use tools that, if shared more broadly, could help many local governments reduce their costs and improve performance. • Sometimes an independent perspective and expertise from outside the organization can help you see and do things differently. • We believe that by sharing what we know through this project, we can reach more governments faster and cheaper than by doing one local government audit at a time. 7 Improved government performance: A shared goal The Local Government Performance Center within the State Auditor’s Office offers tools and training to help local leaders who want their governments to work better, cost less, and improve the value of their services to citizens. 1) An online resource center with tools and examples. 2) Training on how to improve government services. 3) Customized on-site training sessions (on request and within available resources). Our goal: better results for citizens and customers at lower cost to government and taxpayers 8 Why should we do this? Our vision is to create a place where government leaders who are committed to achieving cost savings and better results can learn from and support one another. By participating, local governments can: • Learn new ways to deliver better results and give citizens a better return on their tax dollars. • Receive information and technical assistance from performance experts at no cost to their organization. • Share ideas, challenges, and resources with other government leaders who face similar challenges. 9 Three examples of what we’re doing 1) Staff analysis training and tools • Help government leaders evaluate costs of overtime versus adding staff. • Training formats include classroom style, webinar, and on-site. 2) Citizen engagement tools and resources • Pilot citizen survey project with Walla Walla, creating a model. • Training on how to engage citizens and increase transparency. 3) Demystifying tools like “Lean management” • Training plus creating a peer-support network to help governments learn and use process improvement methods to develop faster, cheaper delivery systems. • “Lean Academy” with Clark, Island, Whatcom, and Douglas Counties 10 Example 1: Staffing analysis tools & training Questions local government leaders ask: How do we know if we have the right number of staff to cover a post on a 24/7 schedule? • Calculating an appropriate relief factor • Anticipating and budgeting for hidden costs How do we know if we’re paying too much in overtime? • Analyzing overtime data: who is using it, and why? • Correctly calculate and compare the costs of overtime vs adding another full or part-time employee • Tips for monitoring and managing overtime pay 11 Example 1: Staffing analysis tools Determining coverage In our workshops, we review ways to calculate leave to factor into evaluation. Downloadable template This example uses the average leave per law enforcement officer to calculate how many FTEs are required. Using available data These tools use data governments already have. 12 Example 1: Staffing analysis – Overtime management Reevaluating overtime Managing overtime is important for assessing staffing levels and needs. Two page online tool highlights the difference between “good” and “bad” overtime use. Elected official audience The format is designed to help elected officials and decision makers ask the right questions. 13 Example 2: Helping governments engage citizens • We provide tools and training that help cities and other organizations communicate with their residents. • Training on citizen engagement strategies: • Citizen-driven prioritization of resource allocation and process improvement efforts help governments focus on “what matters most.” • Citizen surveys: • Helping the City of Walla Walla develop and analyze a citizen survey. • Developing a survey template other governments can use. • Guidance using the results to inform decisions. 14 Example 2: Engaging citizens in setting priorities City of Walla Walla services: Importance by performance Source: Elway Research, Inc. 15 Example 2: What matters most to citizens? City of Walla Walla: Relative gaps between importance and performance Source: Elway Research, Inc. 16 Example 3: Using Lean principles • Kitsap County redesigned their permit process for Single Family Residences using lean management techniques. • Front line employees involved in redesign effort • Extensive on-site training assistance • Their new process reduces the time it takes to make a permitting decision by 71% (down to 6 days) • Clark and Island Counties have now completed our “Lean Academy” to help streamline their permitting offices and Whatcom and Douglas began training in March. • Case studies, videos, and “how-to” tools will be posted on our website, and more training will be offered this year. 17 Example 3: Lean Academy in Kitsap County 18 Example 3: Lean Academy in Kitsap County 19 What does it cost? • The Center is funded through the state performance audit program, which was established in the Auditor’s Office following voters’ approval of Initiative 900 in 2005. • A small fraction of the performance audit budget is dedicated to this effort. • There is no charge to governments. 20 Local Government Performance Center Trainings The Center trained almost 1,200 people at sessions across Washington 21 Other Tools and Resources – Subscription Service 22 Other Tools and Resources – Client HelpDesk 23 Other Tools and Resources – Client Resources 24 Other Tools and Resources – The Audit Connection 25 Performance Audits Audits recently released: Ferries Construction Identified reasons Washington ferries cost more than other vessels. Regulatory Reform Suggested ways the state could improve regulatory websites and how agencies streamline regulations. Protecting Children from Sex offenders in Schools, Day Care and Foster Homes Recommended ways the state can better prevent sex offenders from living or working around children. K-12 Education Spending Reviewed non-instructional spending in all of the nearly 300 school districts and found promising approaches schools are using to reduce costs. 26 Performance Audits Upcoming audits: Developmental Disabilities Evaluation Reviewing the state program providing services for people with developmental disabilities. Payments for Developmental Disabilities Services Reviewing Medicaid claims for supported living services provided to developmentally disabled clients. Background Checks This audit is reviewing how the state could improve background check procedures. Medicaid Managed Care Programs This audit is examining claims with the highest potential risk for overpayments. 27 Common Audit Findings • MRSC Insight blog posts from January 17 and February 25, 2013 • Analyzed audit findings for the period from January 2010 – December 2012 • Information addresses findings from all types of audits • Financial statement audits • Federal single audits • Accountability audits • Separate breakdown for cities, counties and special purpose districts 28 Types and Frequency of Audit Findings Issue Number of Findings Percent of Total Lack of Adequate Internal Financial Controls 74 33% Lack of Adequate Controls to Ensure Compliance with Federal Grant Requirements 71 32% Decline in Financial Condition Due to Lack of Monitoring or Failure to Reduce Costs 26 12% Misappropriation of Funds 14 6% Irregularities in Purchasing, Bidding, Contracting 12 5% Issues Related to Allocation of Internal Service Costs 10 4% Assets and Equipment – Inadequate Reporting or Controls 7 3% Irregularities in Interfund Loans or Transfers 7 3% Other 4 2% Total 225 100% 29 Types of Hospital Audit Findings 30 Financial Condition • We see financial decline in large and small governments • Financial distress is experienced in 15 of the 35 local government types • We have reported financial decline in 4 percent of the 2,190 active local governments in the state. • We currently see the most significant decline in cities and towns 31 Financial Condition Contributing Factors Unprecedented economic conditions: • Declining federal and state funding • Declining property values Governing Board not engaged or taking action: • Lack of monitoring/oversight • Not receiving accurate or timely financial information • Exceeding budgets 32 Financial Condition by Entity Type 33 Financial Condition Statewide 34 Financial Condition Indicators 35 Financial Condition – What to Do Learn from peers who are not experiencing financial distress. Establish a formal, comprehensive plan that includes detailed financial benchmarks and guidelines to specifically target cash flow issues. Closely monitor and evaluate the financial activities to ensure the plan is being followed and the desired results achieved. Ensure timely and accurate financial information is provided to the Board in order to facilitate informed decision making. Take prompt action to manage operations within available resources. 36 Financial Statement Controls District management must design and follow internal controls that provide reliable financial reports. • RCW 43.09.200 • BARS Manual Part 3, Accounting Auditors should report material weaknesses and significant deficiencies in these internal controls. • Statement on Auditing Standards No. 115 • State Auditor’s Office Audit Policy Manual 37 Control Weakness Indicators • Lack of sufficient knowledge and understanding of the accounting/reporting system • Unsupported adjustments and journal entries • Unsupported/unusual basis for accounting estimates • No process to identify/report significant • subsequent events • related parties • extraordinary transactions • No action to correct identified errors • Lack of a review process to ensure the accuracy of the financial statements 38 Financial Statement Controls – What to Do Ensure staff have adequate training. Prioritize and dedicate sufficient resources to the financial statement preparation process. Adopt formal financial statement preparation policies. Develop a financial statement review process that ensures accuracy. 39 Emerging Issues Electronic Banking Expanding activities/operations beyond authority Joint operations/activities and affiliation agreements 40 Contacts Troy Kelley State Auditor (360) 902-0360 Auditor@sao.wa.gov Chuck Pfeil, CPA Director of State and Local Audit (360) 902-0366 Chuck.Pfeil@sao.wa.gov Debbie Pennick Audit Manager, Team Inland Northwest (509) 334-5825 Deborah.Pennick@sao.wa.gov Website: www.sao.wa.gov Twitter: www.twitter.com/WAStateAuditor 41
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