REPORT DIGEST

 

 

TINLEY PARK MENTAL HEALTH CENTER

 

LIMITED SCOPE

COMPLIANCE EXAMINATION

For the Two Years Ended:

June 30, 2005

 

Summary of Findings:

Total this audit†††††††††††            †† 2

Total last audit†††††††††††            †† 1

Repeated from last audit†††††††††† 0

 

Release Date:

June 13, 2006 

 

 

State of Illinois

Office of the Auditor General

WILLIAM G. HOLLAND

AUDITOR GENERAL

 

 

To obtain a copy of the Report contact:

Office of the Auditor General

Attn:Records Manager

Iles Park Plaza

740 E. Ash Street

Springfield, IL 62703

(217) 782-6046 or TTY (888) 261-2887

 

This Report Digest and the Full Report are also available on the worldwide web at

http://www.state.il.us/auditor

 

 

 

 

 

 

 

 

 

 

 

 

SYNOPSIS

 

 

u      The Center did not file performance evaluations in a timely manner.

 

u      The Center had inadequate maintenance of patient files.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

{Expenditures and Activity Measures are summarized on the reverse page.}

 


††††††††††††††††††††††††††††††††††††††††† TINLEY PARK MENTAL HEALTH CENTER

†††††††††††††††††††††††††††††††††††††††††††††††††††† COMPLIANCE EXAMINATION

†††††††††††††††††††††††††††††††††††††††††††††† For The Two Years Ended June 30, 2005

 

EXPENDITURE STATISTICS

FY 2005

FY 2003

FY 2002

 

†† Total Expenditures (All Appropriated Funds)..

 

$23,470,440

 

$23,670,197

 

$24,816,235

†††† OPERATIONS TOTAL................................

†††††††† % of Total Expenditures........................

††††††††

†††††††† Personal Services...................................

$23,280,490

99.2%

 

$16,160,263

$23,468,697

99.1%

 

$16,529,591

$24,686,824

99.5%

 

$17,210,178

††††††††††††††† % of Operations Expenditures...........

††††††††††††††† Average No. of Employees............

††††††††††††††† Average Salary Per Employee.......

 

69.4%

219

$73,791

70.5%

295

$56,033

69.7%

297

$57,947

†††††††† Other Payroll Costs (FICA, Retirement)..

††††††††††††††† % of Operations Expenditures.......

$3,652,837

15.7%

$3,198,110

13.6%

$3,611,322

14.6%

†††††††† Contractual Services...............................

††††††††††††††† % of Operations Expenditures.......

$810,434

3.5%

$1,013,172

4.3%

$1,019,783

4.1%

†††††††† Commodities...................................................

††††††††††††††† % of Operations Expenditures...................

$2,432,865

10.4%

$2,421,710

10.3%

$2,626,755

10.7%

†††††††† All Other Items......................................

††††††††††††††† % of Operations Expenditures........

 

$224,091

1.0%

$306,114

1.3%

$218,786

0.9%

†††† GRANTS TOTAL..........................................

†††††††† % of Total Expenditures.........................

 

$189,950

0.8%

$201,500

0.9%

$129,411

0.5%

    Cost of Property and Equipment..................

$52,096,000

$52,146,699

$52,071,518

 

SELECTED ACTIVITY MEASURES†††††† ††††††††(Not Examined)

FY 2005

FY 2004

FY 2003

††† Average Number of Residents..............................

109

127

136

††† Ratio of Employees to Residents...........................

2.01/1

2.32/1

2.18/1

††† Cost Per Year Per Resident.................................

*

$225,154

$208,592

*Department had not calculated at the close of fieldwork.

 

 

 

 

FACILITY DIRECTOR

†††† During Audit Period: Ms. Brenda Hampton

†††† Currently:Ms. Brenda Hampton




 

 

 

 

 

 

 

For 20 of 50 (40%) personnel files examined performance evaluations were completed late or not at all

 

 

 

 

 

 

 

 

 

 

Documentation required to be in patient files was missing

 

FINDINGS, CONCLUSIONS, AND RECOMMENDATIONS

 

UNTIMELY FILING OF PERFORMANCE EVALUATIONS

 

††††† Written performance evaluations were not prepared and submitted on an annual basis.

 

††††† For 20 of the 50 (40%) employee personnel files examined, performance evaluations had been completed late or not at all.Seven employees had performance evaluations that were performed between 25 and 120 days late and 6 over 120 days late.Seven employees were missing performance evaluations for one of the two years in the engagement period. (Finding 1, page 9)

 

††††† The Department agreed with our recommendation that the Center prepare and submit performance evaluations in accordance with DHS Administrative Directives and the Illinois Administrative Code.

 

INADEQUATE MAINTENANCE OF PATIENT FILES

 

††††In our testing of State mandates regarding documentation required to be included in patient files, we noted the following instances of missing documentation.

 

Of the 20 patient files tested:

 

     8 of the 20 (40%) patient files did not contain either a notice of discharge form as required or a signed patient voluntary discharge form.

 

     2 of the 12 (17%) patient files for female residents of child bearing age did not contain proof that a pregnancy test had been performed or the patient had signed a test refusal form as required. (Finding 2, page 10)

 

 

††††† The Department agreed with our recommendation that the Center ensure the timely filing of patient documents.

 

 

 

AUDITORSí OPINION

 

††††† We conducted a compliance examination of the Center as required by the Illinois State Auditing Act.This was a limited scope compliance examination.The Centerís accounting records will be covered by the audit of the entire Department of Human Services.Financial statements for the entire Department will be presented in that report.

 

 

 

 

____________________________________

WILLIAM G. HOLLAND, Auditor General

 

WGH:KMC:drh

 

 

 

SPECIAL ASSISTANT AUDITORS

 

††††† Our special assistant auditors for this audit were Duffner & Company, P.C.