An Audit Report on Performance Measures at the Executive Council of Physical Therapy and Occupational Therapy Examiners
July 2010
Report Number 10-033
Overall Conclusion
The Executive Council of Physical Therapy and Occupational Therapy Examiners (Council) reported reliable results for 14 (82 percent) of 17 performance measures for fiscal year 2009. A result is considered reliable if it is certified or certified with qualification. The Council's performance measures provide key information regarding its licensing and enforcement functions.
Five key licensing performance measures were certified with qualification because the Council did not have a documented review of its performance measure calculations. These five performance measures were:
- Number of New Licenses Issued to Individuals: Occupational Therapy.
- Number of New Licenses Issued to Individuals: Physical Therapy.
- Number of Licenses Renewed (Individuals): Occupational Therapy.
- Number of Licenses Renewed (Individuals): Physical Therapy.
- Percent of Licensees Who Renew Online.
Eight key enforcement performance measures were certified with qualification because the Council did not have written policies and procedures for or a documented review of its performance measure calculations. These eight performance measures were:
- Percent of Licenses with No Recent Violations: Physical Therapy.
- Percent of Licenses with No Recent Violations: Occupational Therapy.
- Number of Complaints Resolved: Physical Therapy.
- Number of Complaints Resolved: Occupational Therapy.
- Average Time for Complaint Resolution: Physical Therapy (Days).
- Average Time for Complaint Resolution: Occupational Therapy (Days).
- Percent of Complaints Resulting in Disciplinary Action: Physical Therapy.
- Percent of Complaints Resulting in Disciplinary Action: Occupational Therapy.
One key licensing performance measure-Percent of New Individual Licenses Issued Online-was certified with qualification because the Council did not calculate the performance measure according to the performance measure definition and because it did not have a documented review of the performance measure calculation.
One key licensing performance measure-Total Number of Business Facilities Registered-was inaccurate because the Council did not calculate the performance measure according to the performance measure definition and there was more than a 5 percent error rate in the sample of documentation that auditors tested.
Factors prevent certification of two key enforcement performance measures-Number of Jurisdictional Complaints Received: Physical Therapy and Number of Jurisdictional Complaints Received: Occupational Therapy-because the Council did not have all the documentation available for its calculations of these performance measures and because the Council's controls were not adequate to ensure the accuracy of these performance measures.
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