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HomeMy WebLinkAbout1415-7 Medical examiner expenses follow-up report (2-24-15)Follow-up report of Medical Examiner Expense #14/15-7 February 2015 FOLLOW-UP REPORT Medical Examiner Expenses (Internal audit report #13/14-9 issued April 2014) To request this information in an alternate format, please call (541) 330-4674 or send email to David.Givans@Deschutes.org Deschutes County, Oregon David Givans, CPA, CIA, CGMA Deschutes County Internal Auditor PO Box 6005 1300 NW Wall St Bend, OR 97708-6005 (541) 330-4674 David.Givans@Deschutes.og Audit committee: Shawn Armstrong, Chair - Public member Chris Earnest - Public member Lindsey Lombard – Public member Gayle McConnell - Public member Michael Shadrach - Public member Jennifer Welander - Public member Anthony DeBone, County Commissioner Nancy Blankenship, County Clerk Dan Despotopulos, Fair & Expo Director Follow-up report of Medical Examiner Expense #14/15-7 February 2015 TABLE OF CONTENTS: 1. INTRODUCTION 1.1. Background ………………………………………...………………................................... 1 1.2. Objectives & Scope ……………………………………..………………………….…….… 1 1.3. Methodology ……………………………………………………..…………………….……. 1 2. FOLLOW-UP RESULTS ……………….…...………………………….............................. 2 3. APPENDIX I – Internal Audit Recommendations - Updated Workplan for Report #13/14-9 (Status updated as of February 2015) ……...….................................. 3 Follow-up report of Medical Examiner Expense #14/15-7 February 2015 Page 1 1. Introduction 1.1 BACKGROUND Audit Authority: The Deschutes County Audit Committee has suggested that follow-ups occur from nine months to one year after the original report issuance. The Audit Committee’s would like to make sure departments satisfactorily address recommendations. 1.2 OBJECTIVES and SCOPE Objectives: The objective was to follow-up on the outstanding audit recommendations. Scope: The follow-up included three (3) recommendations from the internal audit report on Medical Examiner Expense (#13/14-9 issued April 2014). The follow-up reflects the status as of February 2015. The original internal audit report should be referenced for the full text of recommendations and discussion. 1.3 METHODOLOGY The follow-up report was developed from information provided by Mary Anderson, Chief Deputy District Attorney. In cases where recommendations have not been implemented, comments were sought for the reasons why and the timing for addressing these. The follow-up is, by nature, subjective. In determining the status of recommendations that were followed up, we relied on assertions provided by those involved and did not attempt to independently verify those assertions. Since no substantive audit work was performed, Government Auditing Standards issued by the Comptroller General of the United States were not followed. DESCHUTES COUNTY INTERNAL AUDIT REPORT DESCHUTES COUNTY INTERNAL AUDIT REPORT DESCHUTES COUNTY INTERNAL AUDIT REPORT Follow-up report of Medical Examiner Expense #14/15-7 February 2015 Page 2 2. Follow-up Results Figure I - How were recommendations implemented? The follow-up included three (3) recommendations. Management agreed with all of the recommendations. Figure I provides an overview of the implementation status of the recommendations. The details of the updated workplan are provided in Appendix I. With this follow-up, all of the recommendations have been addressed. Complete 100% Follow-up report of Medical Examiner Expense #14/15-7 February 2015 Page 3 3. Appendix Appendix I –Updated Workplan for Report #13/14-9 (Status as of February 2015) Rec# Recommendation text Agreement Original Status Updated Status Updated Department Comments 1 It is recommended the Medical Examiner and District Attorney’s Office establish the types of anticipated transportation expenses to be covered with the service provider(s). Agree In Process Completed Rate Sheets were submitted in December of 2014. The CME is still reviewing funeral home charging of the state and the family. 2 It is recommended the Medical Examiner provide a level of review for invoices prior to payment. Documentation of this might be expedited if the Medical Examiner communicated anticipated services by human remains and vendor to the District Attorney’s Office. Unusual services or charges received can be verified with the Medical Examiner. Agree On-going Completed The CME’s office manager is now the point of contact for any questions related to billing. Her expertise in the area and prompt replies has addressed the issue. DA/CME are reviewing invoices together. 3 It is recommended the Medical Examiner periodically review the rotation schedule for fairness and equity. Agree On-going Completed The funeral homes were advised at the annual meeting and later in a follow up email that the rotation schedule would not be changed for 2015. The CME will review the rotation and boundaries before the 2016 schedule is implemented. {END OF REPORT}