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Findings and Recommendations
6 findings
The program lacks data on outcomes, such as reducing nursing home admissions, making it difficult to measure success in the provision of services and in identifying cost savings.
Related Recommendations (1)
EHSD should consider developing, tracking and annual reporting of quantitative outcome objectives that address service delivery and cost savings, which result from diverting clients from more costly institutional care.
It is unclear what steps the County's IHSS program might take to adjust its operations, caseloads, staffing, procedures, and payments to providers to reflect proposed funding cuts.
Related Recommendations (1)
IHSS should consider developing contingency plans that spell out how it will adjust to proposed State funding reductions.
Social workers have large caseloads, diminishing their ability to monitor changes in client needs and making any needed adjustments to care plans. Contra Costa County 2011-2012 Grand Jury Report 1207
Related Recommendations (1)
IHSS should consider decreasing social worker caseloads by recruiting, training and placing volunteers who could relieve social work staff of paperwork, record review, phone follow-up with clients and other administrative tasks.
Each of the three Public Integrity/Quality Assurance staff persons is expected to monitor services to approximately 2,300 clients each month, decreasing IHSS' ability to identify and deal with fraud.
Related Recommendations (1)
IHSS should consider having social workers make more of their regular home visits unannounced and provide reports of these visits to supplement the efforts of the Program Integrity/Quality Assurance staff.
Manual signature verification is time-consuming and may not be cost-effective.
Related Recommendations (1)
IHSS should consider the costs and benefits of automating signature verification functions.
Fraud prevention and detection could be improved by maintaining client photos, establishing a complaint hotline, and increasing unannounced visits to the home during authorized service hours.
Related Recommendations (1)
EHSD should consider identifying funds to cover incremental costs to use the existing Information and Assistance Program hotline to handle complaints.
Additional Recommendations
1
These recommendations are not explicitly linked to specific findings.
No Responses Found
1
Government entities assigned to respond to this report. No response documents have been linked in our database.
