Department of Housing and Urban Development
Federal Financial Assistance Listing #93.224 and #93.527
Community Health Center Cluster
Reporting – Material Weakness in Internal Control over Compliance
Finding Summary Certain tables within the Universal Data System (UDS) Report did not reconcile to DAP...
Department of Housing and Urban Development
Federal Financial Assistance Listing #93.224 and #93.527
Community Health Center Cluster
Reporting – Material Weakness in Internal Control over Compliance
Finding Summary Certain tables within the Universal Data System (UDS) Report did not reconcile to DAP
Health, Inc. supporting information. The tables that did not reconcile to the supporting
information include Table 4, Selected Patient Characteristics, and Table 5, Staffing and
Utilization. Table 4 reports the total number of patients seen while Table 5 reports the
number of clinic visits by the various types of providers. The primary causes of the
differences were due to DAP Health, Inc. acquiring a large entity during the year which
used a different Electronic Health Record System. The combination of bringing together
information from two different systems caused the reporting to be more complicated. In
addition, certain supporting documentation used to prepare the UDS report was not
maintained. The review process for the UDS report was also not functioning properly.
Responsible Individuals Rigo Garcia, Analytics Manager and Bill Lee, Director of Information Management
Status Management of DAP Health, Inc. has already converted the 25 acquired clinics to the
DAP Health, Inc. Electronic Health System, which streamlined the process for the
preparation of the UDS Report for the calendar year ending December 31, 2024. In
addition, management has implemented new procedures requiring supporting
documentation to be maintained. Management has also implemented a formalized review
procedure for the UDS Report prior to submission.
Anticipated Completion Date March 31, 2025