We appreciate the courtesy and cooperation extended to us by the Department of Administration, which administers the purchasing card program, and by the departments and UW campuses we reviewed: Corrections, Health and Family Services, Natural Resources, Transportation, Veterans Affairs, UW-Madison, UW-Milwaukee, and UW-Parkside. The Department of Administration's response follows the appendix.
Sincerely,
Janice Mueller
State Auditor
State of Wisconsin
Legislative Audit Bureau
July 15, 2003
The Honorable, The Legislature:
As required by
1999 Wisconsin Act 9, the Legislative Audit Bureau contracted with the Lewin Group, Inc., in 1999 to conduct an evaluation of the Family Care pilot proram. This report is the final document in a series of reports prepared under the terms of the contract.
Family Care is a restructuring of Wisconsin's long-term care system for the elderly, the physically disabled, and the developmentally disabled. The first three Lewin reports focused on state and county-level implementation of the program, including the operation of Resource Centers in nine counties and Care Management Organizations in five of the counties with Resource Centers. The draft version of this final report, which examines the early outcomes and cost-effectiveness of the program, was released May 1, 2003. This final version also includes Lewin's final implementation update.
As we noted when releasing the May 2003 draft, the Lewin Group did not complete this report within the time frame required by our contract. However, the report was reviewed in draft and final form by this office and the Department of Health and Family Services. This final report reflects a number of revisions Lewin made for clarity and to correct inconsistencies in the draft report but includes only one substantive change, involving a nursing home utilization comparison.
Lewin concludes that the program has substantially met the goals of increasing choice and access and improving quality through a focus on social outcomes, but that through June 2001, it had yet to demonstrate improved health quality for its participants. Lewin further states that it is too early to draw conclusions regarding the program's long-term cost-effectiveness.
A summary of the report's key findings is enclosed. A copy of the entire report is also available on our Web site:
www.legis.state.wi.us/lab.
I hope you find this information useful. Please contact me if you have any questions.
Sincerely,
Janice Mueller
State Auditor
__________________
State of Wisconsin
Office of the Governor
July 11, 2003
The Honorable, The Senate:
I am pleased to nominate and with the advice and consent of the Senate, do appoint Plale
, Senator Jeff,
of South Milwaukee, as a member of the College Savings Program Board, to serve for the term ending May 1, 2007.
Sincerely,
JIM DOYLE
Governor
Read and referred to committee on Higher Education and Tourism.
State of Wisconsin
Office of the Governor
July 8, 2003
The Honorable, The Senate:
I am pleased to nominate and with the advice and consent of the Senate, do appoint Skarie
, Dr. William R.,
of Weston, as a member of the Dentistry Examining Board, to serve for the term ending July 1, 2007.
Sincerely,
JIM DOYLE
Governor
Read and referred to committee on Health, Children, Families, Aging and Long Term Care.
State of Wisconsin
Office of the Governor
July 8, 2003
The Honorable, The Senate:
I am pleased to nominate and with the advice and consent of the Senate, do appoint Smith
, Lloyd M.,
of Janesville, as a member of the Dentistry Examining Board, to serve for the term ending July 1, 2006.
Sincerely,
JIM DOYLE
Governor
Read and referred to committee on Health, Children, Families, Aging and Long Term Care.
__________________
Relating to the requirements for an approved central fill system.
Submitted by Department of Regulation and Licensing.
Report received from Agency, July 14, 2003.
Referred to committee on Health, Children, Families, Aging and Long Term Care, July 16, 2003
.
Relating to pupil transportation.
Submitted by Department of Public Instruction.
Report received from Agency, July 14, 2003.
Referred to committee on Education, Ethics and Elections, July 16, 2003
.
The committee on Agriculture, Financial Institutions and Insurance reports and recommends:
Relating to annual patients compensation fund and mediation fund fees for the fiscal year beginning July 1, 2003 and relating to establishing a rate of compensation for fund peer review council members and consultants.
No action taken.
Relating to adjustment service companies conducting business by mail.
No action taken.
Dale Schultz
Chairperson
The committee on Environment and Natural Resources reports and recommends:
Relating to clarification of compliance language for air management regulations.
No action taken.
Relating to safe drinking water requirements for public water systems.
No action taken.
Relating to lake management planning grants.
No action taken.
Relating to the control and management of chronic wasting disease.
No action taken.
Relating to the regulation of baiting and feeding to control and manage chronic wasting disease.
Report objection recommended, Ayes 3, Noes 2.
Ayes, 3 - Senators
Kedzie, Stepp and Zien.
Noes, 2 - Senators
Risser and Wirch.
Referred to joint committee for review of Administrative Rules, July 16, 2003
.
Neal Kedzie
Chairperson
