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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 ... 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 ... 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 ... 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 ... 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
Digitisation of municipal services
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 ... 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 ... , 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 ... 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 ... , 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.
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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 ... 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 ... , 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 ... 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 ... , 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.
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Office of the Auditor General of Norway
, issued in 2016
Risk cases: 2
Managing the risk of legacy ICT to public service delivery
The cross-government report describes the case studies from four public services (state pension, Value Added Tax collection, prescription payment and consumer credit licensing services) selected ... to illustrate the range of approaches that small and large government bodies are taking to address the issues arising from legacy ICT (defined as "systems and applications that have been operationally embedded ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... Possible approaches to the problem of 'legacy ICT' ... UK’s government experience in managing the risks connected to legacy ICT provides valuable insight for others facing the same problem and are considering transforming their services.
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The cross-government report describes the case studies from four public services (state pension, Value Added Tax collection, prescription payment and consumer credit licensing services) selected ... to illustrate the range of approaches that small and large government bodies are taking to address the issues arising from legacy ICT (defined as "systems and applications that have been operationally embedded ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... Possible approaches to the problem of 'legacy ICT' ... UK’s government experience in managing the risks connected to legacy ICT provides valuable insight for others facing the same problem and are considering transforming their services.
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National Audit Office
, issued in 2013
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 ... . 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 ... Report: The National Audit Office audited the quality of public services, analysing the compatibility of provision of these services with the principles of good administration. The principles of good ... ... 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 ... . 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 ... Report: The National Audit Office audited the quality of public services, analysing the compatibility of provision of these services with the principles of good administration. The principles of good ... ... 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
The development and use of identification services in public administration
The audit examined the implementation and coordination of projects aimed at developing identification services in public administration, cooperation among authorities in this area and compliance ... with legislation in procuring services. The audit also examined development, control and monitoring structures regarding identification services. The audit focused on electronic identification services that are used ... in public administration's electronic transactions. ... ... Unhealthy competition linked with lack of coordinatnion and with procurement irregularities ... See what may go wrong with the IT public procurement. Check out what is the basis to avoid irregularities or omissions in complying with public procurement legislation. National Audit Office ... of Finland identified also risks resulting from lack of horizontal coordination.
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The audit examined the implementation and coordination of projects aimed at developing identification services in public administration, cooperation among authorities in this area and compliance ... with legislation in procuring services. The audit also examined development, control and monitoring structures regarding identification services. The audit focused on electronic identification services that are used ... in public administration's electronic transactions. ... ... Unhealthy competition linked with lack of coordinatnion and with procurement irregularities ... See what may go wrong with the IT public procurement. Check out what is the basis to avoid irregularities or omissions in complying with public procurement legislation. National Audit Office ... of Finland identified also risks resulting from lack of horizontal coordination.
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National Audit Office of Finland
, issued in 2008
Risk cases: 3
Public access point to the Polish e-Administration
Coordinated audit series (46 auditees) focused on a web solution applied to give an easy access to Government e-services (the project planned to be completed in 2013) The audit was performed in 2008 ... and public report issued in March 2009. Primary goal of th presentation was intended to illustrate the use of 'e-Government Algorithm' elaborated by EUROSAI IT Working Group in 2005. One of issues mede better ... known by the audit was 'Project Frameworks vs Public Procurement'. ... ... Buyer, provider and methodologies need a balance ... Presentation based on a vast audit by Polish SAI which subject was of big network project aiming to provide one access point to Government and Selfgovernments services. The presentation illustrates ... old EUROSAI IT Wg 'Algorithm approach' and focuses on procurement systemic problems.
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Coordinated audit series (46 auditees) focused on a web solution applied to give an easy access to Government e-services (the project planned to be completed in 2013) The audit was performed in 2008 ... and public report issued in March 2009. Primary goal of th presentation was intended to illustrate the use of 'e-Government Algorithm' elaborated by EUROSAI IT Working Group in 2005. One of issues mede better ... known by the audit was 'Project Frameworks vs Public Procurement'. ... ... Buyer, provider and methodologies need a balance ... Presentation based on a vast audit by Polish SAI which subject was of big network project aiming to provide one access point to Government and Selfgovernments services. The presentation illustrates ... old EUROSAI IT Wg 'Algorithm approach' and focuses on procurement systemic problems.
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Supreme Audit Office of Poland
, issued in 2008
Risk cases: 3
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.
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 ... 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 ... 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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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 ... 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 ... 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
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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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
State funds spent on development, operation and using of data centres services
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 ... 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 ... 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 ... supply of services, as well as opposite results of workforce reduction. ... 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
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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 ... 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 ... 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 ... supply of services, as well as opposite results of workforce reduction. ... 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
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Supreme Audit Office of Czech Republic
, issued in 2015
Risk cases: 7
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 ... 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 ... stipulate that improvements of the solutions can be implemented post launch? - Are the e-government services user-friendly, and is the take-up satisfactory? 2) The study included the following five ... ... 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 ... are unable to use digital services. ... 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
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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 ... 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 ... stipulate that improvements of the solutions can be implemented post launch? - Are the e-government services user-friendly, and is the take-up satisfactory? 2) The study included the following five ... ... 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 ... are unable to use digital services. ... 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
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National Audit Office of Denmark
, issued in 2013
Risk cases: 2