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This letter report focuses on
three areas within the Arizona Medical Board (Board): the authority delegated to
the Board’s executive director to dismiss complaints, technological and other
purchases, and staff turnover. While most of the complaints auditors reviewed
were adequately investigated and reviewed prior to dismissal by the executive
director, auditors questioned the executive director’s dismissal of 5
complaints. However, additional complaint investigation and review policies
would help enhance the executive director’s dismissal of complaints.
Additionally, the Board’s technology purchases are not particularly excessive.
However, one purchase was made without obtaining required review and approval
from the Government Information Technology Agency, and some purchases were made
without proper cost analysis or documented business justification. Finally, the
Board experienced nearly a 60 percent turnover rate among its staff in fiscal
year 2003, but this turnover did not yield vacancy savings due to increased
Board costs.
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