Federal inspectors said the program fell short of legally required standards in many ways, not least for its lack of written policies and procedures. The 18-page report raised alarms about the county’s lengthy delays in renewing contracts and paying service providers, mismanagement of funds and the inadequate system to manage clinical quality — all core responsibilities of the county.
The county could have to repay some money, the report said, if auditors find that the county’s improper classifications of some jobs led to “unallowable expenditures.”
For example, the county budgeted $490,000 to pay 22 employees to manage clinical quality. However, federal inspectors found that only two workers performed duties related to managing clinical quality, and that that was not nearly enough.
The feds also found that the county charged for salaries of 19 Ryan White staffers but that some of those workers “could not identify their specific Ryan White responsibilities.”
County Commissioner John Wiley Price said the problems hurt patients by causing delays in treatment, medication and vital services.
“People are relying on us,” Price said. “Lives are relying on us.”
The program director, Lynette Smith-Clay, did not respond to a request for comment. The report was addressed to her.
Price said the findings showed that Smith-Clay “needs to be relocated” to another job. He also said it was clear that the rest of the staff was ”woefully inadequate.”
“It’s basically saying we’ve got incompetent [expletive] staff,” Price said. “This outside agency is saying we need to change the culture around here.”
Price has said County Judge Clay Jenkins and the former director of Health and Human Services, Zachary Thompson, were responsible for oversight of the program, so they should have been aware of the problems and fixed them sooner.
Jenkins, who did not immediately respond Tuesday to a request for comment, has previously blamed the long-festering issues in part on a toxic work culture within the health department.
“In the past, there have been concerns that [the department’s] leadership exhibited resistance and hostility to concerns and those who make them regarding the administration of funds,” Jenkins said in April, when The News first asked him about the Ryan White problems.
Thompson was fired in January after a subordinate accused him of pressuring her to have sex with him and taking subsequent retaliatory actions against her.
- Data+ Awards: Florida youth welfare agency pinpoints aid with BI
- Back Off: 12 Energy State Governors Tell Feds On Hydraulic Fracturing Regs
- Can You Be Too Clean?
- Can HGH Really Help You Grow Muscle, Burn Fat, and Delay Aging?
- We're All Aware That Domestic Violence Is a Problem—Now What?
- Heroes of Health and Fitness
- Who Killed Chris Kyle?
- Should All Males Be Circumcised?
- A totalitarian society has totalitarian science
- The scariest software project horror stories of 2012
Dallas County staffers’ incompetence hurt HIV/AIDS program, feds say have 459 words, post on www.dallasnews.com at May 30, 2018. This is cached page on Europe Breaking News. If you want remove this page, please contact us.