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Enclosed is our final copy of the operational assessment review report on the Patient Care Management System, Department of Health & Human Services, dated, February 15, 2011; DAP No. 2010-57-853. The contents of this final report did not change from the draft report previously issued. The report was accepted by the Audit Committee at its meeting held on March 8, 2011 and formally received by the Wayne County Commission on March 17, 2011. 

You will be pleased to know that while we had some challenges with this engagement, we were ultimately able to resolve them satisfactorily. If you have any questions, concerns, or desire to discuss the final report in greater detail, we would be happy to do so at your convenience. This report is intended for your information and should not be used for any other purposes.