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Abstract
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As part of its 2005-07 audit work plan, JLARC chose to review the state's public health system. This review provides information in three areas: 1) Washington's public health system is primarily decentralized to local governments, which is common across the nation; 2) the partners in the public health system have been slow to implement statutory reporting requirements, but measures and an assessment process are now in place and evolving; and 3) standardized information is not currently available about the choices made at the local level for service delivery, but information that is available indicates wide variation in spending and compliance with minimum standards. The report includes a recommendation that the Department of Health should review statutory language on performance reporting and make suggestions for updates to reflect current practices.
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