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Electronic Health Records - VA Needs to Identify and Report Existing System Costs
Difficulties after 30 years of decentralized development The US Department of Veterans Affairs provides health care services to approximately 9 million veterans and their families. However, the IT system they use is more than 30 years old, is costly to maintain, and does not fully support exchanging health data. The US GAO, analyzed the system's modenization plans and found serious problems with definition and cost estimation.
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Difficulties after 30 years of decentralized development The US Department of Veterans Affairs provides health care services to approximately 9 million veterans and their families. However, the IT system they use is more than 30 years old, is costly to maintain, and does not fully support exchanging health data. The US GAO, analyzed the system's modenization plans and found serious problems with definition and cost estimation.
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US Government Accountability Office
, issued in 2019
Risk cases: 3
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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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
Homeland Security. Oversight of Neglected Human Resources Information Technology Investment Is Needed
Human resources IT investments get stuck in management's lack of interest Although the Human Resources Information Technology (HRIT) investment was initiated about 12 years ago with the intent to consolidate, integrate, and modernize the department's human resources IT infrastructure, the Department of Homeland Security (DHS) has made very limited progress in achieving these goals. HRIT's minimally involved executive steering committee during a time when significant problems were occurring was a key factor in the lack of progress. This is particularly problematic given that the department's ability to efficiently and effectively carry out its mission is significantly hampered by its fragmented human resources. DHS's ineffective management of HRIT, such as the lack of an updated schedule and a life-cycle cost estimate, also contributed to the neglect this investment has experienced. DHS will be limited in efficiently tracking and reporting accurate, comprehensive performance and learning management data across the organization, and could risk further implementation delays.
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Human resources IT investments get stuck in management's lack of interest Although the Human Resources Information Technology (HRIT) investment was initiated about 12 years ago with the intent to consolidate, integrate, and modernize the department's human resources IT infrastructure, the Department of Homeland Security (DHS) has made very limited progress in achieving these goals. HRIT's minimally involved executive steering committee during a time when significant problems were occurring was a key factor in the lack of progress. This is particularly problematic given that the department's ability to efficiently and effectively carry out its mission is significantly hampered by its fragmented human resources. DHS's ineffective management of HRIT, such as the lack of an updated schedule and a life-cycle cost estimate, also contributed to the neglect this investment has experienced. DHS will be limited in efficiently tracking and reporting accurate, comprehensive performance and learning management data across the organization, and could risk further implementation delays.
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US Government Accountability Office
, issued in 2016
Risk cases: 1
Federal Agencies Need to Address Aging Legacy Systems
Be aware of legacy IT risks The US government spends about 75 percent of the total amount budgeted for information technology on operations and maintenance. GAO reviewed Office of Management and Budget and 26 agencies, covering years 2010 through 2017 and recommends to develop a goal for spending measure and finalize guidance to identify and prioritize legacy IT needing to be modernized or replaced.
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Be aware of legacy IT risks The US government spends about 75 percent of the total amount budgeted for information technology on operations and maintenance. GAO reviewed Office of Management and Budget and 26 agencies, covering years 2010 through 2017 and recommends to develop a goal for spending measure and finalize guidance to identify and prioritize legacy IT needing to be modernized or replaced.
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General Accountability Office
, issued in 2016
Risk cases: 3
ACQUISITION REFORM: DOD Should Streamline Its Decision-Making Process for Weapon Systems to Reduce Inefficiencies
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
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Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
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US Government Accountability Office
, issued in 2015
Risk cases: $risks.size()
ACQUISITION REFORM: DOD Should Streamline Its Decision-Making Process for Weapon Systems to Reduce Inefficiencies
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
Full description
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
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US Government Accountability Office
, issued in 2015
Risk cases: $risks.size()
ACQUISITION REFORM: DOD Should Streamline Its Decision-Making Process for Weapon Systems to Reduce Inefficiencies
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
Full description
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
Full description
US Government Accountability Office
, issued in 2015
Risk cases: $risks.size()
ACQUISITION REFORM: DOD Should Streamline Its Decision-Making Process for Weapon Systems to Reduce Inefficiencies
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
Full description
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
Full description
US Government Accountability Office
, issued in 2015
Risk cases: $risks.size()
ACQUISITION REFORM: DOD Should Streamline Its Decision-Making Process for Weapon Systems to Reduce Inefficiencies
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
Full description
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
Full description
US Government Accountability Office
, issued in 2015
Risk cases: $risks.size()
ACQUISITION REFORM: DOD Should Streamline Its Decision-Making Process for Weapon Systems to Reduce Inefficiencies
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
Full description
Refinement of decision-making processes The US Department of Defense (DOD) has long sought to improve the efficiency of its weapon system acquisition process, including the time and effort needed to complete the milestone decision process. Good practices of some DOD programs and five commercial firms were used by GAO to look for new momentum in refining the process.
Full description
US Government Accountability Office
, issued in 2015
Risk cases: $risks.size()