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Program Evaluation & Justification Review Rehabilitation Program Administered by the Department of Labor and Employment Security, Report No. 98-04, July 1998
 
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  • The performance-based program budgeting "cost per case" measures, as defined, fail to consider the cost of services provided by VR and BSCI staff such as counseling and case management. To ensure a more complete measure of the cost per case, we recommend that the department revise the "cost per case" measure to include both external expenditures and internal (VR and BSCI) case costs.
  • Currently, performance information is not available to identify the cost of services. Without good information, there is no way to gauge whether customers are receiving the best services for the least number of dollars. To ensure information is available to identify whether customers are receiving the best services for the least dollars. We recommend that the department collect performance information to identify the cost of services and develop performance standards.
  • With the move toward giving preference to the most severely disabled, providers are the most ready form of adding service capacity for this population. However, the current contracting system does not provide adequate opportunity for providers to compete and succeed in the provision of services. To improve the VR components' current contracting system, we recommend that the department ensure the contracting system:
  • considers the delivery of intermediate outcomes and the quality of outcomes, including customer and employer satisfaction;
  • reflects the diversity of barriers to employment in the contract reimbursement system; and
  • adjusts contract payment rates for groups of customers who have more significant barriers to employment.
  • The BSCI component is faced with limitations in program revenue and an increasing population of individuals eligible for program services. To fully maximize funding and optimize customer outcomes under limited resources, we recommend that the department:
  • periodically monitor trust fund remittances in the future, and encourage accurate remittances to the trust fund through education of the courts and county clerks;
  • consider the type and level of services and number of customers that could be served under different levels of funding limitations; and
  • establish a plan to serve the maximum number of customers with the highest level of quality while meeting trust fund objectives.

Which Government Program Summaries contain related information?

Vocational Rehabilitation
Department of Health

What other OPPAGA-related materials are available?

  • Report No. 05-14 OPPAGA Report: Vocational Rehabilitation Program’s Performance Has Been Mixed Since the Abolishment of Occupational Access and Opportunity Commission, published in March 2005.
  • Report No. 03-51 Progress Report: Agency Implements Recommendations to Improve Vocational Rehabilitation Services, published in September 2003.
  • Report No. 03-02 Justification Review: Brain and Spinal Cord Injury Program Reports Meeting Goal, Could Recover Additional Revenues, published in January 2003.
  • Report No. 02-06 Special Examination: Responsibilities Not Fulfilled by Occupational Access and Opportunity Commission; Program Performance Declines, published in January 2002.
  • Report No. 98-67 PB² Performance Report for the Rehabilitation Program, published in  February 1999.
  • Report No. 97-53 Review of the Fiscal Year 1996-97 Performance of the Department of Labor and Employment Security's Rehabilitation Program Compared to General Appropriations Act Performance Standards, published in February 1998.
  • Report No. 97-32 Follow-up Report on the Review of the Brain and Spinal Cord Injury Program Administered by the Department of Labor and Employment Security, published in January 1998.
  • Report No. 95-23 Review of the Brain and Spinal Cord Injury Program Within the Division of Vocational Rehabilitation of the Department of Labor and Employment Security, published in January 1996.

Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
e-mail address: oppaga@oppaga.fl.gov


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