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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.
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US Government Accountability Office
, issued in 2019
Risk cases: 3
Swedish Customs control – an accurate enterprise?
It is better to know your own errors Control activities play an important role in successful work of Customs Service. Lack of thoroughful analysis of own errors can lead to ineffective use of some tools, and as a result, to difficulty in focus identification.
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It is better to know your own errors Control activities play an important role in successful work of Customs Service. Lack of thoroughful analysis of own errors can lead to ineffective use of some tools, and as a result, to difficulty in focus identification.
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Swedish National Audit Office
, issued in 2019
Risk cases: 4
Smart tax administration system
Smart tax vs. shadow economy Lithuanian taxpayers use the e-services and the Lithuanian state uses a data analytics centre to handle part of the identified data modelling. The smart tax administration project's objetives are to enhance the positive processes. As the SAI Lithuania discovered, due to the implementation weaknesses, however, the project's success may be partially reduced.
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Smart tax vs. shadow economy Lithuanian taxpayers use the e-services and the Lithuanian state uses a data analytics centre to handle part of the identified data modelling. The smart tax administration project's objetives are to enhance the positive processes. As the SAI Lithuania discovered, due to the implementation weaknesses, however, the project's success may be partially reduced.
Full description
National Audit Office of the Republic of Lithuania
, issued in 2019
Risk cases: 5
Has Public Administration Used All Opportunities for Efficient Management of ICT Infrastructure?
Efficient Management of ICT Infrastructure Centralised management of ICT services and infrastructure would allow the institutions to optimise in long run their resources – financial, human, material and technical. However, we observed during the audit that the move towards ICT centralisation and single data centres has ceased. The different ministries and even the institutions subordinated to the same ministry do not cooperate sufficiently with each other regarding the ICT management, maintenance, and infrastructure placement. They rather choose to maintain their own, sometimes even several, data centres.
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Efficient Management of ICT Infrastructure Centralised management of ICT services and infrastructure would allow the institutions to optimise in long run their resources – financial, human, material and technical. However, we observed during the audit that the move towards ICT centralisation and single data centres has ceased. The different ministries and even the institutions subordinated to the same ministry do not cooperate sufficiently with each other regarding the ICT management, maintenance, and infrastructure placement. They rather choose to maintain their own, sometimes even several, data centres.
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State Audit Office of the Republic of Latvia
, issued in 2019
Risk cases: 3
Steps Needed to Identify Acquisition Training Needs for Non-Acquisition Personnel
Non-Acquisition staff can be crucial for acquisition Despite from hundreds of billions of dollars spent annually to acquire products and services, the US Department of Defense does not full information about staff to be trained. The information is needed about the non-acquisition staff, who can play crucial role in particular acquisitions. As GAO underlines, their identification is necessary to fully understand the training needs and... budget.
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Non-Acquisition staff can be crucial for acquisition Despite from hundreds of billions of dollars spent annually to acquire products and services, the US Department of Defense does not full information about staff to be trained. The information is needed about the non-acquisition staff, who can play crucial role in particular acquisitions. As GAO underlines, their identification is necessary to fully understand the training needs and... budget.
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US Government Accountability Office
, issued in 2019
Risk cases: 4
The BBC’s understanding of its audiences and users
Understand your audience, BBC Audience data and insights are critical to the success of broadcasters - which is also true in the case of the world renowned British Broadcasting Corporation. Auditors reviewed the BBC's main projects and the analyst team dedicated to collect and interpret the audience related information. Data coherence, review of performance and benefits traicing - belong to key areas in need of substantial refinements.
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Understand your audience, BBC Audience data and insights are critical to the success of broadcasters - which is also true in the case of the world renowned British Broadcasting Corporation. Auditors reviewed the BBC's main projects and the analyst team dedicated to collect and interpret the audience related information. Data coherence, review of performance and benefits traicing - belong to key areas in need of substantial refinements.
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National Audit Office
, issued in 2019
Risk cases: 6
VA ACQUISITION MANAGEMENT: Supply Chain Management and COVID-19 Response
Pandemic points up weaknesses of procurement solutions US Department of Veterans Affairs acquires hundreds of millions of dollars-worth of medical supplies each year. The Medical-Surgical Prime Vendor-Next Generation (MSPV-NG) is one of its key initiatives to modrnize its processes. GAO auditor pointed in their previous audits that the approach lacked an effective medical supply procurement strategy, clinician involvement, and reliable data systems. In time of the pandemic, the problem seems even more difficult to deal with.
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Pandemic points up weaknesses of procurement solutions US Department of Veterans Affairs acquires hundreds of millions of dollars-worth of medical supplies each year. The Medical-Surgical Prime Vendor-Next Generation (MSPV-NG) is one of its key initiatives to modrnize its processes. GAO auditor pointed in their previous audits that the approach lacked an effective medical supply procurement strategy, clinician involvement, and reliable data systems. In time of the pandemic, the problem seems even more difficult to deal with.
Full description
US Government Accountability Office
, issued in 2019
Risk cases: 4
The effectiveness of Official Development Assistance expenditure
Need of more coordination and transparency The audit of the UK's Official Development Assistance revealed among others: fragmented responsibilities and difficulties in review and reporting. These led to difficulties in assessment of effectiveness of the assistance and of progress in implementing the UK Aid Strategy.
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Need of more coordination and transparency The audit of the UK's Official Development Assistance revealed among others: fragmented responsibilities and difficulties in review and reporting. These led to difficulties in assessment of effectiveness of the assistance and of progress in implementing the UK Aid Strategy.
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National Audit Office
, issued in 2019
Risk cases: 4
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.
Full description
US Government Accountability Office
, issued in 2019
Risk cases: 3
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