One of the two contracts supports the provision of laboratory services, while the delivery of primary care is provided through another funding stream. OAHS is available in four of the six EMA counties (Anne Arundel, Baltimore, Carroll and Harford).
Program:
Where do residents of Queen Anne's and Howard counties receive primary medical care services? Are primary medical care doctors available at all sites listed? How are laboratory services included in the provision of primary medical care?
Fiscal:
There are no vacancies within the category. Last year approximately $50,000 was reprogrammed out of the category, but the remaining dollars were completely spent.
2
Fiscal:
This category is expending on target at the seven-month period.
Program:
While there are two contracts in this category, one specifically supports the provision of laboratory services, while the delivery of primary care services is rendered through another funding stream.
Program:
If services are provided in four of six counties, how are other counties residents able to access services?
Fiscal:
The category expended 91.66 percent of funds, leaving an 8.34 percent variance at year end.
3
Fiscal:
One county program close and other funding streams utilized. Should funds have been removed earlier in the year and projections adjusted to reflect actual usage?
Program:
Low client utilization caused by clients accessing the Primary Adult Care (PAC) Program. One county program closed which contributed to low client utilization in category; clients were transitioned to other EMA-wide programs.
Program:
What is being done to replace the services lost in one county? Were any clients lost during the transition? Are they being tracked?
*
This is the difference between the current expenditures and where the current expenditures should be at this point in the year based upon
the total allocation (plus carryover) and the assumption that expenditures are spread evenly over the year.
As of the last (2010) consumer survey
2 percent of the
791 respondents reporting a need for
OAHS — Primary Medical Care (PMC) said they could not get it.
This category experienced the loss of one program in a county and underperformed in expenditures and utilization as a result.
Compared to Last Year:
This category experienced challenges in FY 2009 not seen in FY 2008. Significantly fewer clients were served this year and $53,074 unspent due largely to program closure in a county.
Unmet Need:
Which EMA jurisdictions were affected by the loss of provider? Will additional transportation dollars be needed to accommodate transition of clients to other EMA-wide programs?
Questions:
What is being done to replace services lost in county that experienced program closure? Should allocations be adjust for future fiscal year considering use of other funding stream?
Comments:
Projections for future fiscal year should be adjusted to reflect loss of a county program and increased use of other funding stream.
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