Laboratory services, Department of Public Health and Human Services : performance survey report PDF
Preview Laboratory services, Department of Public Health and Human Services : performance survey report
Laboratory service S 362.1 Department of L72Ls Public Health and 1998 Human Services ative Audit Division State of Montana Report to the Legislature Performance Survey Report January 1998 MONT/.riA ^ Laboratory Services »^- Department of Public Health and Human Services The Department orPublic Health and Human Services has two laboratories, the Public Health Laboratory and the Environmental Laboratory. This performance survey identified potential issues in both laboratories including: » Management controls. *- Management information systems. >- Laboratory funding and fee structure. /** 3 ^ S^'XJ ; Direct comments/inquiries to: Legislative Audit Division Room 135, State Capitol PO Box 201705 MT 97P-09 Helena 59620-1705 LIBRARY milIIIIlTIlllllilWmll?^^ 3 0864 0014 5525 5 PERFORMANCE AUDITS Performance audits conducted by the Legislative Audit Division are designed to assess state government operations. From the audit work, a determination is made as to whether agencies and programs are accomplishing their purposes, and whether they can do so with greater efficiency and economy. In performing the audit work, the audit staffuses audit standards set forth by the United States General Accounting Office. Members ofthe performance audit staffhold degrees in disciplines appropriate to the audit process. Areas ofexpertise include business and public administration, statistics, economics, computer science, communications, and engineering. Performance audits are performed at the request ofthe Legislative Audit Committee which is a bicameral and bipartisan standing committee ofthe Montana Legislature. The committee consists ofsix members ofthe Senate and six members ofthe House ofRepresentatives. MEMBERS OF THE LEGISLATIVE AUDIT COMMITTEE Senator Linda Nelson, Chairman Representative Bruce Simon, Vice Chairman Senator Sue Bartlett Representative Beverly Barnhart Senator Reiny Jabs Representative Ernest Bergsagel Senator Tom Keating Representative A. R. "Toni" Hagener Senator Ken Miller Representative Bob Keenan Senator Fred VanValkenburg Representative Robert Pavlovich LEGISLATIVE AUDIT DIVISION ScottA. Seacat, LegislativeAuditor /^^^^^\ Deputy LegislativeAuditors: John W. Northey, Legal Counsel S^^^^^ ^™ Pellegrini, PerformanceAudit Tori Hunthausen, IT& Operations Manager ^S^^^^JI James Gillett, Financial-ComplianceAudit January 1998 The Legislative Audit Committee ofthe Montana State Legislature: This is our performance survey report ofLaboratory Services ofthe Public Health Laboratory and the Environmental Laboratory within the Department ofPublic Health and Human Services. This report contains information on both laboratories' operations. Based on our survey findings, we recommend additional performance audit work be conducted at a later date. We wish to express our appreciation to department personnel for their cooperation and assistance. Respectfully Submitted, Scott A. Seacat Legislative Auditor Room 135, State Capitol Building POBox201705 Helena, MT59620-1705 Phone(406)444-3122 FAX(406)444-9784 E-Mail [email protected] Digitized by the Internet Archive in 2010 with funding from IVIontana State Library http://www.archive.org/details/laboratoryservic1998mont Legislative Audit Division Performance Survey Laboratory Services Department of Public Health and Human Services Members ofthe audit staffinvolved in this audit were Laurie Evans, Susan Jensen, Kris Wilkinson and Mike Wingard. Table of Contents List ofFigures and Tables iii Appointed and Administrative Officials iv Chapter I - Introduction Introduction 1 Survey Objectives 1 Survey Scope and Methodology 1 Report Organization 2 Chapter II - Background Introduction 3 Environmental Laboratory 5 F>ublic Health Laboratory 6 Funding Sources 7 Chapter III - Laboratory Introduction 9 Reorganization and Reorganization 9 Reviews Safety Review 9 Clinical Laboratory Improvement Amendment Certification Review 10 Chapter FV - Audit Survey Introduction 13 Findings Management Controls 13 Department Actions 15 Management Information System 15 Funding ofLaboratory Operations 15 Laboratory Funding 16 Laboratory Fees 16 Certification ofPrivate Laboratories 16 Results fi"om Customer Questionnaires 17 Respondents Use ofLaboratory Services 17 Reasons for Using Laboratories 19 Turn-around Time for Samples 20 Customers Request Other Services 21 Summary 21 Page i & List of Figures Tables Figure 1 History ofLaboratory Services Reorganization (1978 through Present) 4 Table 1 Laboratory Services Bureau Revenues and Expenditures 8 Table 2 Use ofEnvironmental Laboratory 18 Table 3 Use ofPublic Health Laboratory 18 Table 4 Reasons Why Customers Use the Environmental Laboratory 19 . . Table 5 Reasons Why Customers Use the Public Health Laboratory ... 20 Page ii Appointed and Administrative Officials Department ofPublic Laurie Ekanger, Director Health and Human Services Nancy Ellery, Administrator, Health Policy and Services Division Mike Billings, Administrator, Operations and Technology Division Dr. Michael Spence, State Medical Officer and Public Health Laboratory Director Kathleen Martin, Chief, Communicable Disease and Epidemiology Bureau Paul Lamphier, Manager, Public Health Laboratory Debra Fulton, Manager, Environmental Laboratory Page iii
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