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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
, GAO obtained fiscal year 2015 data on the timeliness of VHA’s, Medicare’s, and TRICARE’s claims processing. GAO visited 4 of 95 VHA claims processing locations (selected on the basis of variation ... in geographic location, performance, and workload); reviewed VHA documents and 156 claims from those 4 locations; and interviewed officials from VHA, Medicare, TRICARE, and selected community providers and state ... hospital associations. Results from GAO’s analysis are not generalizable to all VHA claims processing locations or community providers. GAO shared the information provided in this statement with VHA ... 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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, GAO obtained fiscal year 2015 data on the timeliness of VHA’s, Medicare’s, and TRICARE’s claims processing. GAO visited 4 of 95 VHA claims processing locations (selected on the basis of variation ... in geographic location, performance, and workload); reviewed VHA documents and 156 claims from those 4 locations; and interviewed officials from VHA, Medicare, TRICARE, and selected community providers and state ... hospital associations. Results from GAO’s analysis are not generalizable to all VHA claims processing locations or community providers. GAO shared the information provided in this statement with VHA ... 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
Audit of the procurement of ICT products with the potential to be standard products
ICT procurement system reviewed SFAO points out what is critical in ICT procurement. Requirements management is extremely important, as well as procurement strategies for relevant product groups. Legal rules should protect investments and support competition, but they can still be insufficient without appropriate reporting - if you want your system to adapt to changes.
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ICT procurement system reviewed SFAO points out what is critical in ICT procurement. Requirements management is extremely important, as well as procurement strategies for relevant product groups. Legal rules should protect investments and support competition, but they can still be insufficient without appropriate reporting - if you want your system to adapt to changes.
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Swiss Federal Audit Office
, issued in 2015
Risk cases: 4
Recovery of housing allowance - easy to make mistakes
Avoid mistakes in housing allowance recovery Housing allowance recovery rules are complex and outdated. What more, ad hoc changes can result in unpredicted deficiencies. The Swedish NAO found that monitoring and evaluation based analysis is of critical importance to avoid problems on the administration side - and what much more important: on the side of financialy vulnerable households.
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Avoid mistakes in housing allowance recovery Housing allowance recovery rules are complex and outdated. What more, ad hoc changes can result in unpredicted deficiencies. The Swedish NAO found that monitoring and evaluation based analysis is of critical importance to avoid problems on the administration side - and what much more important: on the side of financialy vulnerable households.
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Swedish National Audit Office
, issued in 2018
Risk cases: 4
Federal Human Resources Data
Internal control weaknesses may put mission at risk GAO audited the Enterprise Human Resources Integration payroll data warehose. The American auditors pointed at problems that may impede 'leverage of these data to meet its mission and allow others to make full use' of them. The critical internal contols areas to be improved in this cas are: completeness, accuracy, and validity of information, authorization, documentation, monitoring, results' evaluation.
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Internal control weaknesses may put mission at risk GAO audited the Enterprise Human Resources Integration payroll data warehose. The American auditors pointed at problems that may impede 'leverage of these data to meet its mission and allow others to make full use' of them. The critical internal contols areas to be improved in this cas are: completeness, accuracy, and validity of information, authorization, documentation, monitoring, results' evaluation.
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General Accountability Office
, issued in 2016
Risk cases: 2
General and Creation Control of the Information Systems of the Ministry of Foreign Affairs
The objective of the audit was to assess general and creation control of the information systems of the Ministry of Foreign Affairs. Since the beginning of 2009, the Ministry of Foreign Affairs has ... achieved considerable progress in the management of the information systems. The auditors reviewed and assessed all key elements of the process. ... Overview of problems - area by area ... SAI Lithuania looked into all critical elements of a Ministry's information system, starting from IT architecture, through information security to automation of data processing.
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The objective of the audit was to assess general and creation control of the information systems of the Ministry of Foreign Affairs. Since the beginning of 2009, the Ministry of Foreign Affairs has ... achieved considerable progress in the management of the information systems. The auditors reviewed and assessed all key elements of the process. ... Overview of problems - area by area ... SAI Lithuania looked into all critical elements of a Ministry's information system, starting from IT architecture, through information security to automation of data processing.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 4
Housing in England: overview
Efforts to support housing Even if housebuilding in England has not kept pace with need and there has been a reduction in social rented homes, significant advantages can be enjoyed: an increase in home ownership and in the number of private rented homes. The quality of housing improved in recent years too. The National Audit Office has reviewed critical elements of the housing being one of the government's key priorities. Looking for risks, they found that a potential conflict of objectives can lead to tensions in delivery.
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Efforts to support housing Even if housebuilding in England has not kept pace with need and there has been a reduction in social rented homes, significant advantages can be enjoyed: an increase in home ownership and in the number of private rented homes. The quality of housing improved in recent years too. The National Audit Office has reviewed critical elements of the housing being one of the government's key priorities. Looking for risks, they found that a potential conflict of objectives can lead to tensions in delivery.
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National Audit Office
, issued in 2017
Risk cases: 2
Whether Disclosure of the Public Sector Data Is Ensured
Strategy more important than declarations Why open data are so dificult to become reality? Lithuania possesses the elements required to disclose data but lacks a strategic approach. The report by SAI Lithuania reviews all critical elements of this problem. Most of them look like a pattern reproduced by other countries. And one important thing: the SAI Lithuania opened their own data - exactly on the day of publication of the audit report!
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Strategy more important than declarations Why open data are so dificult to become reality? Lithuania possesses the elements required to disclose data but lacks a strategic approach. The report by SAI Lithuania reviews all critical elements of this problem. Most of them look like a pattern reproduced by other countries. And one important thing: the SAI Lithuania opened their own data - exactly on the day of publication of the audit report!
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National Audit Office of the Republic of Lithuania
, issued in 2016
Risk cases: 9
Building and Implementing the Phoenix Pay System
Expensive IT project became a failure Phoenix project (development of states pay system) was an incomprehensible failure of project management and oversight. Phoenix executives prioritized certain aspects, such as schedule and budget, over other critical ones, such as functionality and security. Phoenix executives did not understand the importance of warnings that the Miramichi Pay Centre, departments and agencies, and the new system were not ready. They did not provide complete and accurate information to deputy ministers and associate deputy ministers of departments and agencies, including the Deputy Minister of Public Services and Procurement, when briefing them on Phoenix readiness for implementation.
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Expensive IT project became a failure Phoenix project (development of states pay system) was an incomprehensible failure of project management and oversight. Phoenix executives prioritized certain aspects, such as schedule and budget, over other critical ones, such as functionality and security. Phoenix executives did not understand the importance of warnings that the Miramichi Pay Centre, departments and agencies, and the new system were not ready. They did not provide complete and accurate information to deputy ministers and associate deputy ministers of departments and agencies, including the Deputy Minister of Public Services and Procurement, when briefing them on Phoenix readiness for implementation.
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Office of theAuditor Generalof Canada
, issued in 2018
Risk cases: 3
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
Opportunities Exist for FAA to Improve Airport Terminal Area Safety Efforts
Inefficient use of data The US GAO examined various issues related to runway safety and to update its prior work on airport terminal areas. Their findings point at inefficient use of data, which may lead to more risk and to inefficient targeting their limited resources.
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Inefficient use of data The US GAO examined various issues related to runway safety and to update its prior work on airport terminal areas. Their findings point at inefficient use of data, which may lead to more risk and to inefficient targeting their limited resources.
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US Government Accountability Office
, issued in 2019
Risk cases: 3