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VETERANS’ HEALTH CARE - Preliminary Observations on VHA’s Claims Processing Delays and Efforts to Improve the Timeliness of Payments to Community Providers
Due to increases in expenditures and utilization of VA care in the community services in recent years, VHA has had difficulty processing claims in a timely manner. In planning to consolidate its ... existing VA care in the community programs, as required by law, the agency said it will examine strategies for improving the timeliness and accuracy of its payments to community providers.<br ... /> This statement, which is based on ongoing work, summarizes GAO’s preliminary observations about (1) VHA’s, Medicare’s, and TRICARE’s claims processing timeliness in fiscal year 2015; (2) factors that have impeded ... Data processing hold back by technology limitation, workload and administrative burden ... US GAO analyzed all factors of slower processing and user unfriendliness that occur sometimes to the veterans healthcare. The main focus is data processing - and it has been proved that it can ... be failing not only because of technology, but also because of work-process design, staff and organisation.
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General Accountability Office , issued in 2016
Risk cases: 6
Informatisation of hospitals
The goals of the audit were: 1. Assesment to what degree service providers are prepared to implement the electronic health information system. 2. Assessment of government activities related ... to the construction of the health information system within the framework of the "Healthcare Informatisation Program" ... ... Sometimes it is really not about the money.. ... Informatisation of healthcare is one of the most money-consuming IT activities of the State. Polish NIK shows how a poor concept can delay modernization of hospitals. The new IT system was expected ... to take some burden off doctors, streamline medical care, prevent fraud and improve efficiency. But will it be created at all?
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Sumpreme Audit Office , issued in 2013
Risk cases: 3
Audit on the broadband internet infrastructure access
Poland has been granted over PLN 4 billion from the European Regional Development Fund to build the broadband internet access infrastructure. As part of three operational programmes 90 percent ... of assumed financing was contracted, namely PLN 3.9 billion. By the end of 2015, Poland should complete the investment and account for the expenses. According to NIK there is a risk that the infrastructure ... construction will not be completed by the deadline and the EU funds may not be used to the full. ... ... Simpler regulations and better supervision needed ... of delays. Some of the projects are in danger of not being completed on time and some of the EU funds may not be fully used. ... Polish SAI audited a project, which aim had been to develop broadband internet network across the country. They revealed that legal obstacles, idleness and lack of supervision were the main causes
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Supreme Audit Office of Poland , issued in 2015
Risk cases: 2
Effectiveness of the Tax Administration of the Republic of Slovenia in the execution of modernisation projects of the Slovenian duty information system and decreasing the number of duty sub-accounts
The Tax Administration of the Republic of Slovenia (hereinafter: the Tax Administration) is responsible for collecting taxes, fees and other compulsory levies (hereinafter: duties ... ). These are the revenue of the state budget, municipal budgets, the Health Insurance Institute of Slovenia, the Institute for Pension and Disability Insurance of Slovenia (hereinafter: duties recipients) and indirectly ... of the European Union budget. In order to improve its operations, the Tax Authority decided to modernise the Slovenian duties’ collection information system. It used this opportunity to implement also a second ... ... Shaky coordination of investments in important systems ... of the project, involving additional spendings, delays and errors in data processing. ... Slovenian SAI traced a series of problems in management of crucial IT investments in tax administration. Apart from promising goals, unclear business case gave a start to many problems at next stages
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Court of Audit of the Republic of Slovenia , issued in 2014
Risk cases: 7
Software Developement Effective Practices and Federal Chalenges in Applying Agile Methods
To identify effective practices in applying Agile for software developement solutions and federal challenges in implementing Agile techniques. ... Agile project approach in government practice ... Useful products delivered in a short time are basis for often applauded features of agile project approach. Applied by many private companies, it tends as well to be more and more popular among state ... administrations. American GAO reviewed set of agile projects and revealed - apart from advantages - a set of commonly occurring problems: poor team work, lack of time and deficit of customers’ trust.
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General Accountability Office , issued in 2012
Risk cases: 4
Cyber Attacks: Securing Agencies’ICT Systems
Cyber crime is an international problem, and it is estimated that in 2012, 5.4 million Australians fell victim to such crimes, with an estimated cost to the economy of $1.65 billion ... . In the government sector, the Australian Signals Directorate (ASD)3 has estimated that between January and December 2012, there were over 1790 security incidents against Australian Government agencies. Of these, 685 ... were considered serious enough to warrant a Cyber Security Operations Centre response. <br/> The protection of Australian Government systems and information from unauthorised access and use is a key ... ... Cyber-security strategy needs consistent implementation and periodic reviews ... List of 35 mitigation controls against cyber intrusions are a basic tool of information security strategy of the Australian Government. Top four are: 1. application whitelisting, 2. patching ... application, 3. patching operating systems, 4. minimising administrative privileges. Analysis by the ANAO helps to fill gaps and to direct next steps.
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The Australian National Audit Office , issued in 2014
Risk cases: 3
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