FAC Explorer

Finding 5526 (2023-003)

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Requirement
L
Questioned Costs
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Year
2023
Accepted
2023-12-18
Audit: 7288
Organization: Los Angeles Christian Health Centers and Subsidiary (CO)
Auditor: Capincrouse LLP

AI Summary

  • Core Issue: LACHC failed to keep proper documentation for the 2022 UDS report, leading to discrepancies.
  • Impacted Requirements: This violates Section 330 of the Public Health Service Act regarding accurate reporting.
  • Recommended Follow-Up: Ensure LACHC improves documentation practices for future UDS submissions.

Finding Text

Uniform Data System (UDS) Reporting DEPARTMENT OF HEALTH AND HUMAN SERVICES ALN #: 93.224 and 93.527 - Health Center Program Cluster Federal Award Identification #: 2022 Reporting Year Condition: LACHC did not retain adeqaute support for the 2022 UDS report submission. Criteria: Section 330 of the Public Health Service (PHS) Act (42 U.S.C. 254b) Questioned Costs: $-0- Context: LACHC had supporting documentation for the key line items on patient visits however this support did not agree to the 2022 UDS report. Cause: Staffing turnover Effect: Inaccurate reporting or lack of adequate support Identification as repeat finding, if applicable: Not applicable. Recommendation: We recommend LACHC retain adequate supporting documentation for UDS report submissions. Views of Responsible Officials and Planned Corrective Action: Management agrees with the finding. See corrective action plan.

Corrective Action Plan

Uniform Data System (UDS) Reporting Planned Corrective Action: Data analysts within the Information Technology Systems Department will retain all supporting documentation for data elements reported in future annual UDS report submissions. The IT Systems Department will also implement more standardized reporting tools to replace the Microsoft Access database that a former employee used to prepare 2022 UDS report visits. During the audit, the new data analyst employees could not locate nor replicate the supporting data for visits reported in the 2022 UDS report. Person Responsible for Corrective Action Plan: Joe Mendez, IT Systems Director Anticipated Date of Completion: February 15, 2024

Categories

Reporting

Other Findings in this Audit

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) $5.24M
93.224 Covid-19 Consolidated Health Centers (community Health Centers, Migrant Health Centers, Health Care for the Homeless, and Public Housing Primary Care) $1.20M
93.527 Affordable Care Act (aca) Grants for New and Expanded Services Under the Health Center Program $313,140
93.526 Covid-19 Affordable Care Act (aca) Grants for Capital Development in Health Centers $231,312
93.498 Covid-19 Provider Relief Fund $204,257
97.024 Covid-19 Emergency Food and Shelter National Board Program $22,020