Introduction Strategic Planning Individual Departments Strategic Planning By design, county government is extremely decentralized. Taxpayers, however, expect their county leaders to operate efficiently within those constraints. Clearly defined organizational structure is the key to consistent communication and adequate oversight. The Smith County Commissioners Court requested my office to analyze several areas of the county's operation where they believe services can be maintained or improved while reducing overall costs. Expand and coordinate oversight of all county health care programs.
Counties provide a variety of health care programs for their residents.
Effective and efficient programs must comply with state and federal law while providing accessible, quality care at reasonable costs. An expanded oversight board encompassing all county-funded health care programs could effectively develop cost control measures and ensure adequate health care delivery. Develop and implement a strategic planning process. A county government must determine how it can best serve the interests of its citizens. It is important to seek community involvement in this process from the beginning.