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Legislative Audit Subcommittee - December 07, 2021
445 State Capitol
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Recording 1
Audit Subcommittee Meeting called to order.
President Adams made a motion to approve the minutes of November 16, 2021.
Audit Report Presentations
Mr. Brian Dean, Deputy Auditor General, introduced A Performance Audit of Healthcare in State Prisons
A Performance Audit of Healthcare in State Prisons (Report #2021-17)
Mr. David Gibson, Audit Supervisor, presented the findings of the audit.
Senator Mayne commented on the importance of making sure that these people that are incarcerated are mentally and physically intact so that they can function within society and the world when they are released, and that moving to a new facility will not solve this.
Representative King commented on Figure 3.1 of the audit which shows that Gunnison has performed well with medical and mental health treatment and stressed the importance of recognizing these good efforts and performance.
Mr. Gibson responded to a question from Representative King regarding Figure 1.2 which shows that seven steps are required to request treatment with an ICR, and would like to know what happens if those steps get messed up.
Mr. Dean responded to a question from Representative King regarding whether there are consequences if we have failed to deliver competent medical services and treatment to our inmates.
Mr. Gibson responded to a question from Senator Vickers regarding the reason why EMTs are used to administer medications.
Senator Vickers commented on concerns ensuring that individuals with the correct expertise are administering medications, the concerns around HIPPA, and also the concern that medications are being disposed of properly.
Mr. Dean and Mr. Gibson responded to a question from Speaker Wilson regarding whether this model of a clinical services bureau is the way most systems provide healthcare to inmates.
Mr. Dean responded to a question from Speaker Wilson regarding whether they were able to identify what might be the root cause of some of the problems that were identified in the audit.
Mr. Dean responded to a question from Representative Schultz regarding whether the systemic concerns listed in the audit were due to not enough pay, not enough staff, or not enough time to get to some of these things in an efficient way?
Mr. Dean responded to a question from Representative Schultz regarding whether the problem was more of a leadership, or a management-type thing.
Mr. Dean responded to a question from Representative Schultz asking how the prison staff and leadership were to work with compared to other agencies that they have audited.
Mr. Dean responded to a question from Representative Schultz regarding whether the auditors had been back to the prison since the audit concluded, as they had received an email to the Audit Subcommittee that indicated things had gotten worse.
Brian Nielson,Executive Director, Utah Department of Corrections, responded to the findings of the audit.
Chyleen Richey, Deputy Director, Utah Department of Corrections, responded to the findings of the audit.
Mr. Nielson responded to a question from Representative King whether there are consequenes in place in Gunnison and in Draper for those individuals defined in the audit as being part of the ongoing problem.
Representative King commented about the importance of having robust internal processes to hold people accountable to address systemic deficiencies, and the importance of working together.
Mr. Nielson responded to a question from Representative Schultz regarding a concerning email received by the Audit Subcommittee claiming that things had got significantly worse since the auditors had left.
Mr. Nielson responded to a question from Representative Schultz asking if he felt like things had gotten better or worse since the auditors had left.
Representative Schultz shared a part of Wendy Parmley's email regarding an inmate that is a double amputee that has not been able to get a wheelchair or shower chair. Representative Schultz requested that Mr. Nielson review this email (that will be forwarded to him) and to get a response back to the committee about how that situation is being handled as soon as possible.
Mr. Nielson responded to a question from Speaker Wilson whether executing all of the action items described in the audit response will fundamentally address the core problems that the audit addresses.
Mr. Nielson responded to an additional question from Speaker Wilson as to how they would be measuring the overall healthcare environment and outcomes that they are managing.
Speaker Wilson asked if the auditors could circle back with him to share their perspective on the items that the Department of Corrections say they are going to do to hit all of the bases that they need to in the short term.
Speaker Wilson would like to make sure that 12 months from now we have a really good in-depth conversation about the work that is being done and to feel confident that the progression we are expecting happens.
President Adams made a motion to refer A Performance Audit of Healthcare in State Prisons to the Executive Ofices and Criminal Justice Appropriations Subcommittee as the Lead Committee and the Law Enforcement and Criminal Justice Interim Committee as the Review Committee.
Ms. Leah Blevins, Audit Manager, introduced A Performance Audit of Teacher Retention Within Utah's Public Education System.
A Performance Audit of Teacher Retention Within Utah's Public Education System (Report #2021-13)
Matthias Boone, Audit Supervisor, presented the findings of the audit.
President Adams clarified with Mr. Boone that we have the lowest turnover of teachers in the entire nation as of 2017.
Mr. Boone and Ms. Blevins responded to a question from Senator Mayne asking if there is a bigger teacher turnover in public schools compared to charter schools.
President Adams commented on Figure 4.4 which shows that Utah has the lowest per pupil per spending in the nation and that our outcomes are extremely impressive.
Representative King commented that even though we are delivering good outcomes relative to how much we are spending, figure 4.4 shows we are in the middle of the pack, and he would love to see those numbers for school performance and per pupil performance increase.
Mr. Boone responded to a question from Representative King asking for clarification of Figures 4.4, 4.5 and 4.6 which shows that Utah is paying our teachers more than the median wage for all but two counterpart states, and was wondering how we are still so low in per pupil spending.
Representative Schultz asked Superintendent Dixon to extend to the great teachers and administrators of this State our appreciation for their hard work and for all they do for the kids.
Mr. Boone and Ms. Blevins responded to a question from Representative Schultz regarding Figure 4.1 that shows teachers need less stress, and wondering if more aides in the classroom could take away some of that stress.
Representative Schultz pointed out that Figure 2.2 on page 11 shows that Morgan County had a high turnover rate in 2017, and that it went down again in 2021, so maybe the State Board could research some data on that to see what was done to drop those numbers.
Sydnee Dickson, State Superintendent of Public Instruction, Utah State Board of Education, responded to the findings of the audits.
Ms. Dickson responded to a question from Representative King about whether teachers recognize the significant effort and investment made in them and in public education that the Legislature has provided over the last few months.
Representative King commented that he hopes additional funding for public education doesn't just take the form of increased compensation, but that it can also help to provide other resources that can help lower burdens and lessen the load of teachers.
Mr. Boone responded to a question from Speaker Wilson about his surprise that the audit showed the teacher turnover rate is much lower than expected, but also wondering if we have a high perception of this because teachers are moving from school to school or district to district?
Ms Dickson also commented on the question from Speaker Wilson.
President Adams thanked the auditors for the extremely valuable information in both of these audits. He also asked Superintendent Dixon to express appreciation to the administrators and teachers for their great efforts.
President Adams moved to refer a Performance Audit of Teacher Retention Within Utah's Public Education System to the Education Interim Committee as the Lead Committee and the Public Education Appropriations Subcommittee as the Review Committee.
Mr. Brian Dean, Deputy Auditor General, introduced Twelve Month Follow-Up of 911 Call Answer Times for VECC and Salt Lake City 911.
Twelve-Month Follow-Up of 911 Call Answer Times for VECC and Salt Lake City 911 (Report #2021-C)
Mr. Jake Dinsdale, Senior Audit Supervisor, presented the findings of the audit.
Mr. Scott Ruf, Executive Director, Salt Lake Valley Emergency, responded to the findings of the audit.
President Adams made a motion to refer Twelve Month Follow-Up of 911 Call Answer Times for VECC and Salt Lake City 911 to the Executive Office and Criminal Justice Appropriations Subcommittee as the Lead Committee and the Public Utilities, Energy, and Technology Interim Committee as the Review Committee. President Adams also added to that motion that we do an additional twelve month follow-up so we can see the consistency of the improvement.
President Adams moved to priortize the following audits and give flexibility to the Auditor General to begin the audits as staff expertise and resources become available. An Audit of Elections Integrity; An Audit of the Efficiency and Effectiveness of the Division of Technology Services; and An In-Depth Budget Review of the Department of Insurance. Representative King asked to divide the motion. Representative King expressed his concern about using the resources of the Legislative Auditor General's Office to pursue something that he can see no reason to believe we have issues with in terms of election integrity in the State of Utah. Representative Schultz commented that he has full confidence in every election office and their staffs across the state and is hopeful the audit comes back clean and gives restored confidence to the citizens of this State and confidence in our election process. Pres. Adams expressed no problem with the motion being divided and he believes spot audits are good for whatever type of agency you can do those type of audits on, and we are looking for something of that nature here. He expressed being fine with the division of the motion.
Speaker Wilson made a motion to approve the Audit of Elections Integrity.
Speaker Wilson made a motion to approve an Audit of the Efficiency and Effectiveness of the Division of Technology Services and An In-Depth Budget Review of the Department of Insurance.
President Adams made a motion to adjourn.
Committee Business
Committee Business
Audit Report Presentations
Audit Report Presentations
Prioritization of Audits
Prioritization of Audits
Other Items/Adjourn
Other Items/Adjourn
AGENDA
AGENDA
MINUTES
MINUTES
NOTICE
NOTICE
A Performance Audit of Teacher Retention Within Utah's Public Education System (Report #2021-13)
A Performance Audit of Teacher Retention Within Utah's Public Education System (Report #2021-13)
Twelve-Month Follow-Up of 911 Call Answer Times for VECC and Salt Lake City 911 (Report #2021-C)
Twelve-Month Follow-Up of 911 Call Answer Times for VECC and Salt Lake City 911 (Report #2021-C)
A Performance Audit of Healthcare in State Prisons (Report #2021-17)
A Performance Audit of Healthcare in State Prisons (Report #2021-17)
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