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 ... 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 ... /> 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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Storage of Electronic Documents and Data at the National Archives of Latvia
Ever since electronic documents with legal force equivalent to that of paper documents have entered our daily lives and the majority of state administration processes have been transferred ... to electronic information systems, the role of the archives has become unclear — whether an inhabitant can rely on that the archives will be able to issue statements in the areas, which are currently processed ... in electronic form, many years later.<br/> The audit concerning the storage of electronic documents was carried out in order to assess the development of the area of electronic document circulation and storage ... ... Do Archives ensure the storage of e-documents? ... lives and majority of state administration processes have been transferred to electronic information systems, the archives still have a lot of work to do for improving the storage of electronic documents ... National archives fulfil an important function for storing the documentary heritage and became one of the most important sources of information. But after electronic documents have entered our daily ... . SAI Latvia analysed causes of over 12 years with no progress in this domain.
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State funds spent on development, operation and using of data centres services
The aim of the audit was to scrutinise the management of funds spent on building and operating the national data centre (hereinafter “STC1 data centre”), including the expenditure of selected ... organisational units of the state on buying hosting, server-housing and other related services. The audited period was between 2010 and 2014; where relevant, the preceding period was also scrutinised. Audited ... entities: Ministry of the Interior (“MoI”); Ministry of Finance (“MoF”); STÁTNÍ TISKÁRNA CENIN, state firm (state banknote printing firm, hereinafter “STC” or “the state firm”). The audit was conducted ... ... Risks steming from uncoordinated strategy ... SAI of Czech Republic analysed consequences of failures in strategic IT management at the state level. Lack of coordination and implementation rules reduced practical role of the ministry whose task ... was to guard high quality standards for all crucial IT systems in the state administration. Next consecquences were (among others) risk of uneconomical results of large IT investment and risk of inefficient ... supply of services, as well as opposite results of workforce reduction.
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IT security in the Federal Administration
(FOITT). The examination concentrated on assessing the development and current operation as well as future prospects. Admin PKI refers to all processes and the hardware and software needed for issuing ... The SFAO has audited the Admin PKI – the basic infrastructure and offering for the issuing of digital certificates – within the Federal Office of Information Technology, Systems and Telecommunication ... certificates of different grades. ... Technical and organizational deficiencies work together against data security ... Only minor deficiencies were revealed in the Windows environment but only in case of Microsoft products.Providers' lack of both assertiveness and synergy adds to 'the great unknown' of authonomous ... entities' networks.
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Material–technical supply of the State Police
. The audit included inspections performed at the State Police, the Ministry of the Interior and the Information Centre and focused on: the Biometric data processing system and the Criminal Procedure ... The main aim of the audit was to obtain assurance about whether the State budget funds allocated for material–technical supply of functions of the State Police were legitimate and efficient ... information system. ... ... Essential role of pre-project evaluation ... SAI of Latvia reveals chain of events that lead to unsuccessful implemenation of two important IS of the State police. What started with an absence of the strategy ended up with budget, time ... overruns and an IS not ready for effiecient use.
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Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
for the hospitals have made an adequate effort to develop and implement the Shared Medication Record (SMR). With the SMR, data on the citizens’ medication can be shared across hospitals, general practitioners, etc ... . and relevant health staff and the patients have direct digital access to updated medical data round the clock. The report answers the following questions: 1) Has the Ministry of Health and the NHA provided ... The purpose of the examination was to assess whether the department of the Danish Ministry of Health, the Danish National eHealth Authority (NHA) and the five regions that are responsible ... ... Involvement of key participants necessary from the very beginning ... and processes leading to implementation problems, governance not involving key players, and IT security organisation. ... Digitally based Shared Medication Record is basis of the complex healthcare system. Rigsrevisionen analysed unsolved issues related to unclear business case, insufficient analysis of work flows
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Audit of the key ICT project federal GEVER programme Federal Chancellery
During the first stage, two new GEVER (electronic records and process management) products were procured in an open WTO tender within the framework of the two-product strategy (federal GEVER WTO ... procurement project). CHF 1.6 million was spent on these. The departments and Federal Chancellery (departments/FCh) had to choose one of the two products within three months of the contract being awarded. ... ... Advanced process management system's cost-effectiveness and deadlines at risk ... Ever since 1990, sequential controls and file management have been part of the Federal Administration's IT landscape (GEVER business administration). Significant obstacles have to be overcome ... in order to ensure the successful creation and introduction of GEVER. Previous efforts did not have any widespread success and led to a diverse GEVER landscape. The federal GEVER project has now laid ... the foundations for simplification and centralisation.
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Performance Audit of the Management of ICT in the Criminal Justice Sector
The Norwegian OAG has assesed how the Ministry of Justice and Public Security has discharged its responsibility for effiecient case processing through developing and applying Information ... and Communications Technology (ICT) in the criminal justice sector ... ... Unclear signals from a Ministry weaken development of ICT in the justice chain ... Points by SAI Norway: development of an overall rolling action plan based on the current ICT (Information and Communication Technology) strategy for the justice sector, performance-oriented ... reporting from the subordinate agencies, ensuring that the new ICT Police System takes into account other sub-sectors need for electronic interaction.
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Is the project 'E-health in Latvia' a step towards the right direction?
the objective? 2) Are the actual activities performed by the National Health Service justified for achievement of the set objectives? 3) Will necessary information security and personal data protection be ensured ... Objective of the audit was to verify efficiency and productivity of the actions by the institutions in charge for implementation of the e-health, as well as to audit economy and productivity of use ... of funds invested in the project for achievement of set objectives and gaining the planned benefits. Audit covered such main questions: 1) Will the e-health policy be able to solve problems and achieve ... E-health is a step forward in right direction, but not all objectives will be reached! ... a step towards the right direction then. However, as found the Latvian SAI, the e-health policy will not be implemented within the initially planned scope and deadline and within set data security levels ... Project “E-health in Latvia” supports healthy lifestyle, it will provide valuable and accessible information and will promote more efficient provision of services to patients. It is undoubtedly ... , thus the objective of this policy – to promote more effective provision of healthcare services will be attained only partially.
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The management of the State Property and Funds while Information Systems Building for the Ministry of Defence
The aim of the audit was to examine management during process of extension and modernization of the current information systems and at building of new information systems for the needs ... of the Ministry of Defence or the Army of the Czech Republic. Operating of information systems is inseparably linked with the communication infrastructure, thus the technological shift to ICT was reviewed also ... in this connection. The stationary ICT systems are determined to support management of the Ministry of Defence in period of peace. They are also supposed as a tool of crisis management. The auditing operation covered ... ... Information systems not balanced with infrastructure ... Both organizational changes and inflexibility produce unbalanced plans which cause deiscrepancies between IS and infrastructure.
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