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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
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 ... VHA’s timeliness in processing claims; (3) community providers’ experiences; and (4) VHA’s recent actions and plans to improve its claims processing and payment timeliness. To conduct its ongoing work ... 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 ... 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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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 ... VHA’s timeliness in processing claims; (3) community providers’ experiences; and (4) VHA’s recent actions and plans to improve its claims processing and payment timeliness. To conduct its ongoing work ... 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 ... 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
The Board of Audit and Inspection (BAI) conducted an audit on the information systems in the area of service delivery to improve the system’s efficiency and convenience.
government has commissioned toward improving the country’s information infrastructure within a short period of time.<br/> The government is investing 1 trillion won every year in an e-government project ... Korea was recognized as an Information Technology (IT) powerhouse by the international community of the UN in 2010. Such an achievement is attributable to the significant investments that the Korean ... for citizens in the welfare and employment sectors by utilizing the renewed information infrastructure.<br/> However, the information system of some government ministries proved to have overlapping functions ... Enormous IT investments require tremendous coordination ... Korean government is investing 1 trillion won in e-government projectsevery year. Thus, the country has earned a reputation for the IT powerhouse. Apart from undeniable advantages, the huge scale ... and the speed, the information technologies are implemented with, cause some problems to be tackled. The SAI Korea turns special atention to two of them: overlapping functionalities and interconnectivity issues.
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government has commissioned toward improving the country’s information infrastructure within a short period of time.<br/> The government is investing 1 trillion won every year in an e-government project ... Korea was recognized as an Information Technology (IT) powerhouse by the international community of the UN in 2010. Such an achievement is attributable to the significant investments that the Korean ... for citizens in the welfare and employment sectors by utilizing the renewed information infrastructure.<br/> However, the information system of some government ministries proved to have overlapping functions ... Enormous IT investments require tremendous coordination ... Korean government is investing 1 trillion won in e-government projectsevery year. Thus, the country has earned a reputation for the IT powerhouse. Apart from undeniable advantages, the huge scale ... and the speed, the information technologies are implemented with, cause some problems to be tackled. The SAI Korea turns special atention to two of them: overlapping functionalities and interconnectivity issues.
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Board of Audit and Inspection of Korea
, issued in 2011
Risk cases: 3
Quality of public services in information society in 2010
The National Audit Office found that irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007 ... if this is acceptable to the person in question. Even though state and local government agencies have made efforts to implement the principles of good administration, the National Audit Office cannot affirm ... . Information about the services is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person ... ... The quality of public services has been improved but still isn’t good enough ... Irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007. Information about the services ... is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person.
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The National Audit Office found that irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007 ... if this is acceptable to the person in question. Even though state and local government agencies have made efforts to implement the principles of good administration, the National Audit Office cannot affirm ... . Information about the services is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person ... ... The quality of public services has been improved but still isn’t good enough ... Irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007. Information about the services ... is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person.
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National Audit Office of Estonia
, issued in 2010
Risk cases: 2
Report to on the user-friendliness and user involvement in the development of e-government services in Denmark
is to provide an assessment of the authorities’ efforts to ensure that e-government services are user-friendly. The report answers the following questions: - Have the authorities involved the users ... The e-government user-friendliness requirements are divided into five overall categories: language, design and flow, data and functionality, and accessibility. 1) The objective of the study ... in the development of the e-government services? - Have the authorities conducted post-launch assessments of the user-friendliness of the e-government services, and do the contracts with the suppliers of the solutions ... ... User-friendliness of public services should be consistenty required and tested ... The Danish Rigsrevisionen is of the opinion that the user-friendliness of the services can be improved if the authorities meet all the requirements of the Danish Agency for Digitisation concerning ... the matter. The audit covered user-friendliness related problems in case of five systems, before and after the launch. The systems take-up was also considered, as well as communicating with citizens who ... are unable to use digital services.
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is to provide an assessment of the authorities’ efforts to ensure that e-government services are user-friendly. The report answers the following questions: - Have the authorities involved the users ... The e-government user-friendliness requirements are divided into five overall categories: language, design and flow, data and functionality, and accessibility. 1) The objective of the study ... in the development of the e-government services? - Have the authorities conducted post-launch assessments of the user-friendliness of the e-government services, and do the contracts with the suppliers of the solutions ... ... User-friendliness of public services should be consistenty required and tested ... The Danish Rigsrevisionen is of the opinion that the user-friendliness of the services can be improved if the authorities meet all the requirements of the Danish Agency for Digitisation concerning ... the matter. The audit covered user-friendliness related problems in case of five systems, before and after the launch. The systems take-up was also considered, as well as communicating with citizens who ... are unable to use digital services.
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National Audit Office of Denmark
, issued in 2013
Risk cases: 2
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 has the effort made by the ministry and the NHA in this respect been adequately underpinned by the regions? 3) Have the regions ensured implementation of the SMR by the end of 2013, and has the NHA ... 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 ... 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 ... and processes leading to implementation problems, governance not involving key players, and IT security organisation.
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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 has the effort made by the ministry and the NHA in this respect been adequately underpinned by the regions? 3) Have the regions ensured implementation of the SMR by the end of 2013, and has the NHA ... 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 ... 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 ... and processes leading to implementation problems, governance not involving key players, and IT security organisation.
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National Audit Office of Denmark
, issued in 2014
Risk cases: 2
Digitisation of municipal services
The purpose of digitisation is to increase the quality and efficiency of public services. It is a goal to make online services the norm for public administration's communication with citizens ... and the private sector. The municipal sector is a significant provider of public services, and digitisation of municipal services is therefore essential for achieving this goal.<br/>The audit surveyed the status ... , assessed the significance of and possible obstacles to digitisation of municipal services. The audit examined how the Ministry of Local Government and Modernisation's use of policy instruments contributes ... ... Municipalities have not digitised their services to any extent ... , that municipalities need a substantial support to execute this demanding task. To provide them with help, the central government has to coordinate own efforts first. ... Digitisation increases the quality and efficiency of public services and municipal sector is a significant provider of public services. Report of Riksrevisjonen of Norway shows however
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The purpose of digitisation is to increase the quality and efficiency of public services. It is a goal to make online services the norm for public administration's communication with citizens ... and the private sector. The municipal sector is a significant provider of public services, and digitisation of municipal services is therefore essential for achieving this goal.<br/>The audit surveyed the status ... , assessed the significance of and possible obstacles to digitisation of municipal services. The audit examined how the Ministry of Local Government and Modernisation's use of policy instruments contributes ... ... Municipalities have not digitised their services to any extent ... , that municipalities need a substantial support to execute this demanding task. To provide them with help, the central government has to coordinate own efforts first. ... Digitisation increases the quality and efficiency of public services and municipal sector is a significant provider of public services. Report of Riksrevisjonen of Norway shows however
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Office of the Auditor General of Norway
, issued in 2016
Risk cases: 2
Effectiveness of development of broadband network or high-speed internet
The National Audit Office audited whether the state has made every effort to ensure that everyone can have unlimited access to fast internet connection by 2020. The National Audit Office also ... analysed whether the network of fibre-optical cables or the basic broadband network, which is built with European Union support and should guarantee high-speed internet connection, has helped to achieve ... this goal. ... ... ... Slower broadband paid by customers ... The Estonian Information Society Development Plan foresees that high-speed internet of 30 Mbit/s should be accessible to all people in Estonia by 2020 and that 60% of the population will be using ... superfast internet of over 100 Mbit/s. To achieve these goals, the state, with the help of European Union support, decided to establish a broadband network which is not further than 1.5 km from 98% of homes ... and institutions. Private companies have not entirely met the Government's expectations. The Estonian SAI has looked for an answer: Why?
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The National Audit Office audited whether the state has made every effort to ensure that everyone can have unlimited access to fast internet connection by 2020. The National Audit Office also ... analysed whether the network of fibre-optical cables or the basic broadband network, which is built with European Union support and should guarantee high-speed internet connection, has helped to achieve ... this goal. ... ... ... Slower broadband paid by customers ... The Estonian Information Society Development Plan foresees that high-speed internet of 30 Mbit/s should be accessible to all people in Estonia by 2020 and that 60% of the population will be using ... superfast internet of over 100 Mbit/s. To achieve these goals, the state, with the help of European Union support, decided to establish a broadband network which is not further than 1.5 km from 98% of homes ... and institutions. Private companies have not entirely met the Government's expectations. The Estonian SAI has looked for an answer: Why?
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National Audit Office of Estonia
, issued in 2015
Risk cases: 3
Evaluation of the effectiveness of implementation and compliance with regulatory enactments and the legal framework of the project “E-government Portfolio”
The objective of the audit is to evaluate the effectiveness of implementation and compliance with regulatory enactments and the legal framework of the project “Egovernment Portfolio” of the national ... programme of the European Regional Development Fund (hereinafter: ERDF) of the European Union (hereinafter: EU), “Development and improvement of the infrastructural foundation for electronic governance”. ... ... Funds to absorb but no efficient project methodology? Be prepared for troubles ... Wide list of problems that can be met when more care is received by 'absorb funds' objective than by clear vision what and how can be improved. SAI Latvia's analysis shows how dangerous it can ... be for both effectiveness and financial management.
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The objective of the audit is to evaluate the effectiveness of implementation and compliance with regulatory enactments and the legal framework of the project “Egovernment Portfolio” of the national ... programme of the European Regional Development Fund (hereinafter: ERDF) of the European Union (hereinafter: EU), “Development and improvement of the infrastructural foundation for electronic governance”. ... ... Funds to absorb but no efficient project methodology? Be prepared for troubles ... Wide list of problems that can be met when more care is received by 'absorb funds' objective than by clear vision what and how can be improved. SAI Latvia's analysis shows how dangerous it can ... be for both effectiveness and financial management.
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State Audit Office of Latvia
, issued in 2010
Risk cases: 3
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.. ... to take some burden off doctors, streamline medical care, prevent fraud and improve efficiency. But will it be created at all? ... 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
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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.. ... to take some burden off doctors, streamline medical care, prevent fraud and improve efficiency. But will it be created at all? ... 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
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Sumpreme Audit Office
, issued in 2013
Risk cases: 3
Correct information at the right time in healthcare and nursing – collaboration without effect?
The Swedish National Audit Office has conducted an audit to determine whether Government initiatives have contributed to the objective that authorised healthcare staff shall have access to the right ... patient information at the right time by means of direct electronic access. ... ... Information share is crucial for competitive health care ... the Government and the municipalities must improve if the investments in better access to common patient information shall get impact in practice. ... Health and social care staff has very limited access to patient information from other care-giving institutions, which may lead to health damage and wrong-treatment. The cooperation between
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The Swedish National Audit Office has conducted an audit to determine whether Government initiatives have contributed to the objective that authorised healthcare staff shall have access to the right ... patient information at the right time by means of direct electronic access. ... ... Information share is crucial for competitive health care ... the Government and the municipalities must improve if the investments in better access to common patient information shall get impact in practice. ... Health and social care staff has very limited access to patient information from other care-giving institutions, which may lead to health damage and wrong-treatment. The cooperation between
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Riksrevisionen (Swedish National Audit Office)
, issued in 2011
Risk cases: 3