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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.
Full description
US Government Accountability Office
, issued in 2019
Risk cases: 3
Conflicts of interest
First, recognise the conflicts of interest are a real risk the British NAO gathered a significant amount of intelligence on conflicts, particularly in the health and education sectors. These are areas of government where services are increasingly commissioned and delivered by parties at arm’s-length to departments. Conflicts of interest can occur naturally as a product of the way a system is designed and most often arise from operational situations.
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First, recognise the conflicts of interest are a real risk the British NAO gathered a significant amount of intelligence on conflicts, particularly in the health and education sectors. These are areas of government where services are increasingly commissioned and delivered by parties at arm’s-length to departments. Conflicts of interest can occur naturally as a product of the way a system is designed and most often arise from operational situations.
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National Audit Office
, issued in 2015
Risk cases: 8
Central government staff costs
Results of staff reductions The British NAO found that departments had significantly reduced numbers of their civil servants and of course salary costs at the same time. But they reduced staff numbers mainly by minimising recruitment, and the age profile of the civil service has changed. NAO pays a lot attention to what effect this has had on the future pipeline of talent and skills. It reminds also that the departments need long-term operating models to work efficiently with the staff reduced.
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Results of staff reductions The British NAO found that departments had significantly reduced numbers of their civil servants and of course salary costs at the same time. But they reduced staff numbers mainly by minimising recruitment, and the age profile of the civil service has changed. NAO pays a lot attention to what effect this has had on the future pipeline of talent and skills. It reminds also that the departments need long-term operating models to work efficiently with the staff reduced.
Full description
National Audit Office
, issued in 2015
Risk cases: 5
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.
Full description
General Accountability Office
, issued in 2016
Risk cases: 2
OMB and Agencies Need to Focus Continued Attention on Implementing Reform Law
How to invest efficiently in IT IT investments are large and growing position in annual budgets. Historically, they have frequently failed, incurred cost overruns and schedule slippages, or contributed little to mission-related outcomes. GAO recommendations focus on the oversight and execution of the data center consolidation initiative, the accuracy and reliability of the IT Dashboard, and incremental development policies.
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How to invest efficiently in IT IT investments are large and growing position in annual budgets. Historically, they have frequently failed, incurred cost overruns and schedule slippages, or contributed little to mission-related outcomes. GAO recommendations focus on the oversight and execution of the data center consolidation initiative, the accuracy and reliability of the IT Dashboard, and incremental development policies.
Full description
General Accountability Office
, issued in 2016
Risk cases: 3
Products sold on the European market: unravelling the system of CE marking
Problems with general picture The Netherlands National Court of Audit was interested in finding out whether anyone keeps track of all the actors involved in the process of system of European Union product markings. The interest was aroused by an observation that the vast majority of the questions raised about the system were prompted by incidents and that the questioners did not generally appear to be interested in the operation of the system as a whole...
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Problems with general picture The Netherlands National Court of Audit was interested in finding out whether anyone keeps track of all the actors involved in the process of system of European Union product markings. The interest was aroused by an observation that the vast majority of the questions raised about the system were prompted by incidents and that the questioners did not generally appear to be interested in the operation of the system as a whole...
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The Netherlands Court of Audit
, issued in 2017
Risk cases: 5
Improved Planning and Performance Measures Are Needed to Help Ensure Successful Technology Modernization
Massive modernization effort needs coordination Social security issues can touch lives of many. Information technology in this area are increasingly costly and difficult to maintain. GAO is recommending to develop comprehensive metrics to effectively gauge modernization progress; complete comprehensive strategic planning, including its enterprise architecture; and define the new roles and responsibilities to help ensure effective oversight.
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Massive modernization effort needs coordination Social security issues can touch lives of many. Information technology in this area are increasingly costly and difficult to maintain. GAO is recommending to develop comprehensive metrics to effectively gauge modernization progress; complete comprehensive strategic planning, including its enterprise architecture; and define the new roles and responsibilities to help ensure effective oversight.
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General Accountability Office
, issued in 2012
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
Working of Inland Container Depots and Container Freight Stations
NEW! Online report on audit of SAI India With this first digital audit report of the Comptroller and Auditor General of India, new chapter has been opened in our profession: the online form is primary versus printable pdf. Advantages: high level of readability, live responsive charts, easy browsing and search of what users find interesting. The reported performance audit concerned 'dry ports', or multimodal logistics centres, which play growing role in domestic and international trade. It shows how gaps in concept and lax attitude to internal control can result on capacities, speed of trade, and enviromental safety.
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NEW! Online report on audit of SAI India With this first digital audit report of the Comptroller and Auditor General of India, new chapter has been opened in our profession: the online form is primary versus printable pdf. Advantages: high level of readability, live responsive charts, easy browsing and search of what users find interesting. The reported performance audit concerned 'dry ports', or multimodal logistics centres, which play growing role in domestic and international trade. It shows how gaps in concept and lax attitude to internal control can result on capacities, speed of trade, and enviromental safety.
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Comptroller and Auditor General of India
, issued in 2017
Risk cases: 5
FEMA Needs to Address Management Weaknesses to Improve Its Systems
Controls in emergency management GAO audited the agency of the Department of Homeland Security, responsible for federal efforts to mitigate, respond to, and recover from disasters. American auditors recommend that the agency fully define its investment board’s roles and responsibilities and procedures for selecting and overseeing investments, update its strategic plan and complete plans for IT modernization, and establish time frames for completing workforce planning efforts. The agency should also establish policies and guidance for implementing key IT management controls.
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Controls in emergency management GAO audited the agency of the Department of Homeland Security, responsible for federal efforts to mitigate, respond to, and recover from disasters. American auditors recommend that the agency fully define its investment board’s roles and responsibilities and procedures for selecting and overseeing investments, update its strategic plan and complete plans for IT modernization, and establish time frames for completing workforce planning efforts. The agency should also establish policies and guidance for implementing key IT management controls.
Full description
General Accountability Office
, issued in 2016
Risk cases: 4