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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
Maintenance efficiency in the rail network
The primary objective of railway politics is to contribute to ensure that users of the transport service have good railway options. The Norwegian National Rail Administration is organised under ... the Ministry of Transport and Communications, and its responsibilities include operation, maintenance and development of the State's railway infrastructure. The maintenance activities must safeguard safety ... , fixed assets and operational stability of the railway system. The most important objective for the maintenance is to reduce the scope of operational interruptions, and to facilitate better punctuality ... ... Rail network maintenance - negative balance of costs and results ... SAI Norway evaluated efficiency of the railway maintenance and found that its costs increased nearly 110 per cent in years 2006–2014. Negative development in uptime and regularity dominated the first ... part of the examined period, from 2006 to 2011. It turned positive from 2011, but in 2014 results were still worse than in 2006. The results have lagged behind the Ministry's target figures for most ... of the period.
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The primary objective of railway politics is to contribute to ensure that users of the transport service have good railway options. The Norwegian National Rail Administration is organised under ... the Ministry of Transport and Communications, and its responsibilities include operation, maintenance and development of the State's railway infrastructure. The maintenance activities must safeguard safety ... , fixed assets and operational stability of the railway system. The most important objective for the maintenance is to reduce the scope of operational interruptions, and to facilitate better punctuality ... ... Rail network maintenance - negative balance of costs and results ... SAI Norway evaluated efficiency of the railway maintenance and found that its costs increased nearly 110 per cent in years 2006–2014. Negative development in uptime and regularity dominated the first ... part of the examined period, from 2006 to 2011. It turned positive from 2011, but in 2014 results were still worse than in 2006. The results have lagged behind the Ministry's target figures for most ... of the period.
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Office of the Auditor General of Norway
, issued in 2016
Risk cases: 2
Insufficient monitoring of consultancy work in large-scale IT projects
Insufficient monitoring of consultancy work in large-scale IT projects The German Federal Ministry of the Interior did not sufficiently plan, monitor and control consultancy work in two large-scale IT projects, not being thus able to evaluate the amount of work done and pay accordingly. It was recommended by SAI the establishment of a quality management system and its application mandatory for large-scale IT projects
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Insufficient monitoring of consultancy work in large-scale IT projects The German Federal Ministry of the Interior did not sufficiently plan, monitor and control consultancy work in two large-scale IT projects, not being thus able to evaluate the amount of work done and pay accordingly. It was recommended by SAI the establishment of a quality management system and its application mandatory for large-scale IT projects
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Bundesrechnungshof
, issued in 2017
Risk cases: 1
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.
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US Government Accountability Office
, issued in 2019
Risk cases: 4
Audit of the Government, Government-guaranteed and Municipal Debt Management Information Systems in the Ministry of Finance of the Republic of Bulgaria
The main audit question studied during the audit was: Are the government, government-guaranteed (SDMS) and municipal debt management information systems (CMDR) at the Ministry of Finance effective ... ? The audit covered the period from 01.01.2013 to 31.12.2013 and investigated four major areas: IT system strategy and general management; IT security and controls against disasters; Operational controls ... and Documentation; Application Controls. ... ... Even effective and modern IT systems require improvements and updates to ensure their security and accountability ... For the management of the government, government-guaranteed and municipal debt the Ministry of Finance has established an advanced integrated information infrastructure. According to Bulgarian SAI ... the established system is effective and provides updated, complete and correct information. Nevertheless the audit report points out areas of security, application controls as well as documentation as the subjects ... that need further improvement and optimization.
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The main audit question studied during the audit was: Are the government, government-guaranteed (SDMS) and municipal debt management information systems (CMDR) at the Ministry of Finance effective ... ? The audit covered the period from 01.01.2013 to 31.12.2013 and investigated four major areas: IT system strategy and general management; IT security and controls against disasters; Operational controls ... and Documentation; Application Controls. ... ... Even effective and modern IT systems require improvements and updates to ensure their security and accountability ... For the management of the government, government-guaranteed and municipal debt the Ministry of Finance has established an advanced integrated information infrastructure. According to Bulgarian SAI ... the established system is effective and provides updated, complete and correct information. Nevertheless the audit report points out areas of security, application controls as well as documentation as the subjects ... that need further improvement and optimization.
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Bulgarian National Audit Office
, issued in 2014
Risk cases: 3
Management of Information Resources of the Ministry of Agriculture
The Ministry of Agriculture of the Republic of Lithuania has managed 32 information systems and registers. Of these, 24 ones are managed, developed and upgraded by a state enterprise subordinate ... to the Ministry of Agriculture, the Agricultural Information and Rural Business Centre. The annual amount allocated by the Ministry for the maintenance of the Centre totals LTL 17.5 million on average ... . The objective of the audit was to assess the general and development controls of the information resources of the Ministry of Agriculture. The audit was conducted at the Ministry of Agriculture and the state ... ... Without appropiate IT management it is hard to achieve reliable, consistent and secure systems for agriculture ... Since 1996 the Ministry has been using information systems of varying complexity for collecting and processing data, including personal data. The Ministry of Agriculture of the Republic of Lithuania ... has managed 32 information systems and registers. SAI of Lithuania revealed that systems were not well mantained what affected use of funds devoted to the systemsand also their legality and security.
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The Ministry of Agriculture of the Republic of Lithuania has managed 32 information systems and registers. Of these, 24 ones are managed, developed and upgraded by a state enterprise subordinate ... to the Ministry of Agriculture, the Agricultural Information and Rural Business Centre. The annual amount allocated by the Ministry for the maintenance of the Centre totals LTL 17.5 million on average ... . The objective of the audit was to assess the general and development controls of the information resources of the Ministry of Agriculture. The audit was conducted at the Ministry of Agriculture and the state ... ... Without appropiate IT management it is hard to achieve reliable, consistent and secure systems for agriculture ... Since 1996 the Ministry has been using information systems of varying complexity for collecting and processing data, including personal data. The Ministry of Agriculture of the Republic of Lithuania ... has managed 32 information systems and registers. SAI of Lithuania revealed that systems were not well mantained what affected use of funds devoted to the systemsand also their legality and security.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 2
Municipalities’ internal control system – Audit of the establishment and operation of the internal control system of municipalities – on the audit of Rudabánya
Incomplete internal control The SAI Hungary published the compliance audit of the establishment and operation of the internal control system, as well as certain investment decisions, their implementation and accounting at the Local Government of Rudabánya. Apart from positive findings, some accounting irregularities and insufficient controls established to ensure organisational integrity were pointed out.
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Incomplete internal control The SAI Hungary published the compliance audit of the establishment and operation of the internal control system, as well as certain investment decisions, their implementation and accounting at the Local Government of Rudabánya. Apart from positive findings, some accounting irregularities and insufficient controls established to ensure organisational integrity were pointed out.
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State Audit Office of Hungary
, issued in 2018
Risk cases: 2
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
Management of Police Information Resources
Police tasks of the necessary data are processed departmental registers, information systems, automated data processing systems and networks where information is stored, processed and transferred ... to the classified information. The police department has all of these information resources, so the audit focused on the activities and actions of the Department to ensure planning and organizing of the recourses ... , monitoring, evaluation and coordination and other aspects of registers and IS strategic management. The audited period was 2012-2014. For the analysis, there were used previous data and data of 2015 ... ... Fundamentals of IT organisation ... Review by SAI Lithuania makes readers aware that nowadays it is difficult to develop a larger IT system without whole conceptual infrastracture: planning composed into strategy of the organisation ... and well understood architecture of information. Well functioning IT management structures, which on the other hand may sound trivial, were proved here as the key to success.
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Police tasks of the necessary data are processed departmental registers, information systems, automated data processing systems and networks where information is stored, processed and transferred ... to the classified information. The police department has all of these information resources, so the audit focused on the activities and actions of the Department to ensure planning and organizing of the recourses ... , monitoring, evaluation and coordination and other aspects of registers and IS strategic management. The audited period was 2012-2014. For the analysis, there were used previous data and data of 2015 ... ... Fundamentals of IT organisation ... Review by SAI Lithuania makes readers aware that nowadays it is difficult to develop a larger IT system without whole conceptual infrastracture: planning composed into strategy of the organisation ... and well understood architecture of information. Well functioning IT management structures, which on the other hand may sound trivial, were proved here as the key to success.
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National Audit Office of the Republic of Lithuania
, issued in 2015
Risk cases: 4
The National Offender Management Information System (NOMIS)
This report examines the reasons for the delays and cost increases to the original integrated information system and, since the moratorium imposed by the Minister of State in order to seek options ... for project’s cost reduction, the aims of the revised National Offender Management Service (NOMS) and the progress made, the impact of the delays and rescoping on the costs and benefits achieved, and NOMS ... ’ fitness to deliver. The aim of one integrated information system (C-NOMIS i.e. National Offender Management Information System) was to improve information sharing about offenders; address the lack ... Rescoping necessary, but not fully successful ... An initiative to build a single offender management IT system for the prison and probation services has not delivered value for money. The NAO investigation found the project had been hampered ... by poor management leading to a three-year delay, a doubling in project costs and reductions in scope and benefits.
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This report examines the reasons for the delays and cost increases to the original integrated information system and, since the moratorium imposed by the Minister of State in order to seek options ... for project’s cost reduction, the aims of the revised National Offender Management Service (NOMS) and the progress made, the impact of the delays and rescoping on the costs and benefits achieved, and NOMS ... ’ fitness to deliver. The aim of one integrated information system (C-NOMIS i.e. National Offender Management Information System) was to improve information sharing about offenders; address the lack ... Rescoping necessary, but not fully successful ... An initiative to build a single offender management IT system for the prison and probation services has not delivered value for money. The NAO investigation found the project had been hampered ... by poor management leading to a three-year delay, a doubling in project costs and reductions in scope and benefits.
Full description
National Audit Office
, issued in 2009
Risk cases: 4