Finding 32789 (2022-002)

Significant Deficiency
Requirement
L
Questioned Costs
-
Year
2022
Accepted
2023-10-01
Audit: 28375
Organization: Berks Community Health Center (PA)

AI Summary

  • Core Issue: The Center missed deadlines for submitting required reports to HRSA due to management oversight.
  • Impacted Requirements: Timely and accurate reporting as mandated by HRSA for the Health Center Program.
  • Recommended Follow-Up: Implement procedures to ensure compliance with all reporting deadlines and regularly review reporting requirements.

Finding Text

Finding 2022-002: Significant Deficiency in Internal Control - Reporting Assistance Listing No: 93.224 - COVID-19: Health Center Program Cluster Federal Agency: U.S. Department of Health and Human Services Passed-Through Agency: Not applicable Award Year: 2022 Questioned Costs: Not applicable Criteria: The Center must compile and report timely and accurate data and other information as required by the Health Resources and Services Administration (HRSA). Condition and Context: For 2 of the 4 reports tested, the Center did not submit the report by the program's required deadline. This is not a statistically valid sample. Cause: The reports were not filed by the required deadline due to an oversight by management. Effect: The Center did not submit the reports timely in accordance with the timeline established by HRSA. Recommendation: The Center should implement procedures to identify and ensure compliance with all reporting requirements for the program, including timely filing. Management's Response: The Center agrees with this finding. The report for the Self- Monitoring Blood Pressure program was behind. The Center was using software to track the progress of our patients. In order to obtain the data required to report the progress, our pharmacist and nurse needed to work with the outside vendor to retrieve the data. This caused a delay because the Center wanted to ensure the accuracy of the data they were reporting. Once the data was retrieved and we were assured of the data, the report was sent to HRSA. The Center now reviews the HRSA electronic Handbook on a weekly basis to assure that all reports that are due that month are responded to in a timely manner. This process will continue moving forward.

Corrective Action Plan

Finding 2022-002 Condition and Context: For 2 of the 4 reports tested, the Center did not submit the report by the program's required deadline. This is not a statistically valid sample. Corrective Action Plan Corrective Action Planned: The Center agrees with this finding. The report for the Self- Monitoring Blood Pressure program was behind. The Center was using software to track the progress of our patients. In order to obtain the data required to report the progress, our pharmacist and nurse needed to work with the outside vendor to retrieve the data. This caused a delay because the Center wanted to ensure the accuracy of the data they were reporting. Once the data was retrieved and we were assured of the data, the report was sent to HRSA. The Center now reviews the HRSA electronic Handbook on a weekly basis to assure that all reports that are due that month are responded to in a timely manner. This process will continue moving forward. Name(s) of Contact Person(s) Responsible for Corrective Action: Pharmacist and Deborah Hartranft. Anticipated Completion Date: The issue was resolved in July 2023

Categories

Internal Control / Segregation of Duties Subrecipient Monitoring HUD Housing Programs Reporting Significant Deficiency

Other Findings in this Audit

  • 32790 2022-003
    Material Weakness
  • 609231 2022-002
    Significant Deficiency
  • 609232 2022-003
    Material Weakness

Programs in Audit

ALN Program Name Expenditures
93.224 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.63M