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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
/> This statement, which is based on ongoing work, summarizes GAO’s preliminary observations about (1) VHA’s, Medicare’s, and TRICARE’s claims processing timeliness in fiscal year 2015; (2) factors that have impeded ... hospital associations. Results from GAO’s analysis are not generalizable to all VHA claims processing locations or community providers. GAO shared the information provided in this statement with VHA ... 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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/> This statement, which is based on ongoing work, summarizes GAO’s preliminary observations about (1) VHA’s, Medicare’s, and TRICARE’s claims processing timeliness in fiscal year 2015; (2) factors that have impeded ... hospital associations. Results from GAO’s analysis are not generalizable to all VHA claims processing locations or community providers. GAO shared the information provided in this statement with VHA ... 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
Audit of the asset preservation and management activities of state-owned (partly state-owned) economic organisations – HungaroControl Hungarian Air Navigation Services Pte.Ltd.Co.
Compliance review of an air traffic services provider Lack of formal approval of the 2014 annual report was an issue found by Hungarian auditors in HungaroControl, a state-owned company, which provides training for air traffic personnel and carries out air navigation research and development.
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Compliance review of an air traffic services provider Lack of formal approval of the 2014 annual report was an issue found by Hungarian auditors in HungaroControl, a state-owned company, which provides training for air traffic personnel and carries out air navigation research and development.
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State Audit Office of Hungary
, issued in 2017
Risk cases: 1
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
Operation of the Hungarian State Holding Company in 2009
The State Audit Office of Hungary audited the Hungarian State Holding Company (hereinafter: HSHC). The aim of the audit was to evaluate if the practice of the property management system ... and activities were in harmony with the goals stipulated by the legislation, if the institutional system established for state property management and utilisation ensured the efficient functioning of the state ... assets and the preservation of its values. ... ... Effective property management requires effective data management ... The State Audit Office of Hungary audited the Hungarian State Holding Company and found that reliable data management is essential for effective property management. The IT project aimed ... in 2008 and 2009 as there were no reliable data available for an opinion on the financial report. ... at supporting state property management had serious deficiencies in the field of project management. As a consequence of the weaknesses in data management, the chartered accountant refused giving an opinion both
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The State Audit Office of Hungary audited the Hungarian State Holding Company (hereinafter: HSHC). The aim of the audit was to evaluate if the practice of the property management system ... and activities were in harmony with the goals stipulated by the legislation, if the institutional system established for state property management and utilisation ensured the efficient functioning of the state ... assets and the preservation of its values. ... ... Effective property management requires effective data management ... The State Audit Office of Hungary audited the Hungarian State Holding Company and found that reliable data management is essential for effective property management. The IT project aimed ... in 2008 and 2009 as there were no reliable data available for an opinion on the financial report. ... at supporting state property management had serious deficiencies in the field of project management. As a consequence of the weaknesses in data management, the chartered accountant refused giving an opinion both
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State Audit Office of Hungary
, issued in 2010
Risk cases: 2
Audit of the key ICT project regarding a consumption tax platform Federal Customs Administration (FCA)
The Swiss Federal Audit Office (SFAO) audited the key ICT project concerning a consumption tax platform from May to June 2015. The programme was launched in January 2014 with a budget of CHF 13.5 ... million. The instructing parties were the management of the Federal Customs Administration (FCA), the Swiss Alcohol Board (SAB) and the Federal Office of Information Technology, Systems ... and Telecommunication (FOITT). ... ... First attempt to ITC consumption tax project ... SAI Switzerland analised problems steming from insufficient specification of a complex ICT system project concerning a consumption tax platform. The project's budget turned out to cover only 70 ... % of the expected functions. Suspension of the project and restarting preparations stage followed.
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The Swiss Federal Audit Office (SFAO) audited the key ICT project concerning a consumption tax platform from May to June 2015. The programme was launched in January 2014 with a budget of CHF 13.5 ... million. The instructing parties were the management of the Federal Customs Administration (FCA), the Swiss Alcohol Board (SAB) and the Federal Office of Information Technology, Systems ... and Telecommunication (FOITT). ... ... First attempt to ITC consumption tax project ... SAI Switzerland analised problems steming from insufficient specification of a complex ICT system project concerning a consumption tax platform. The project's budget turned out to cover only 70 ... % of the expected functions. Suspension of the project and restarting preparations stage followed.
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Swiss Federal Audit Office
, issued in 2015
Risk cases: 1
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 ... be for both effectiveness and financial management. ... 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
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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 ... be for both effectiveness and financial management. ... 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
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State Audit Office of Latvia
, issued in 2010
Risk cases: 3
Storage of Electronic Documents and Data at the National Archives of Latvia
to electronic information systems, the role of the archives has become unclear — whether an inhabitant can rely on that the archives will be able to issue statements in the areas, which are currently processed ... in electronic form, many years later.<br/> The audit concerning the storage of electronic documents was carried out in order to assess the development of the area of electronic document circulation and storage ... in the country, realising, that NAL have extensive possibilities for improving the storage of electronic documents. Audit was performed in the Ministry of Culture, National Archives of Latvia, Centre for Culture ... ... Do Archives ensure the storage of e-documents? ... National archives fulfil an important function for storing the documentary heritage and became one of the most important sources of information. But after electronic documents have entered our daily ... lives and majority of state administration processes have been transferred to electronic information systems, the archives still have a lot of work to do for improving the storage of electronic documents ... . SAI Latvia analysed causes of over 12 years with no progress in this domain.
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to electronic information systems, the role of the archives has become unclear — whether an inhabitant can rely on that the archives will be able to issue statements in the areas, which are currently processed ... in electronic form, many years later.<br/> The audit concerning the storage of electronic documents was carried out in order to assess the development of the area of electronic document circulation and storage ... in the country, realising, that NAL have extensive possibilities for improving the storage of electronic documents. Audit was performed in the Ministry of Culture, National Archives of Latvia, Centre for Culture ... ... Do Archives ensure the storage of e-documents? ... National archives fulfil an important function for storing the documentary heritage and became one of the most important sources of information. But after electronic documents have entered our daily ... lives and majority of state administration processes have been transferred to electronic information systems, the archives still have a lot of work to do for improving the storage of electronic documents ... . SAI Latvia analysed causes of over 12 years with no progress in this domain.
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State Audit Office of the Republic of Latvia
, issued in 2015
Risk cases: 3
Centralisation of support services of state authorities
Most goals of centralisation of support services were achived Centralisation of support services of state authorities has generally been successful, the quality of accounting has improved, and accounting has become more effective. The objective of saving on costs was not achieved. It would be beneficial to analyse the implementation of a similar model in local governments, i.e. concentrating the accounting services to central units in order to improve the quality of accounting and make work more effective. It would allow saving working time on doing routine accounting procedures and use this time more for financial management, which helps to use public funds better and more expediently.
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Most goals of centralisation of support services were achived Centralisation of support services of state authorities has generally been successful, the quality of accounting has improved, and accounting has become more effective. The objective of saving on costs was not achieved. It would be beneficial to analyse the implementation of a similar model in local governments, i.e. concentrating the accounting services to central units in order to improve the quality of accounting and make work more effective. It would allow saving working time on doing routine accounting procedures and use this time more for financial management, which helps to use public funds better and more expediently.
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National Audit Office of Estonia
, issued in 2018
Risk cases: 2
The National Government Service Centre – Has administration become more effective?
The purpose of this audit has been to investigate whether the Service Centre has made administrative operational support functions taken over from client agencies more effective, and to find ... explanations for the results so far achieved by the Service Centre. The audit has also aspired to illustrate how agencies that do not subscribe to the services regard their potential for doing so ... . These viewpoints have been analysed with a special focus on the conditions that applied to the Service Centre when it was formed and the measures taken by the Government and the Service Centre in the first years. ... ... Has Swedish public administration become more effective? ... The Service Centre – payroll and financial administration IT system for Swedish public agencies under the government – has achieved the target of a subscription rate of 25 per cent of the total ... number of state employees. However, subscription to the Service Centre was initially slower than the Government had predicted and meant lower revenues than expected in autumn 2013. The Service Centre ... then introduced a rigorous review of its expenditure, for example for some planned development initiatives for internal procedures and support systems.<br/>The Swedish NAO noted that the Government’s steering
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The purpose of this audit has been to investigate whether the Service Centre has made administrative operational support functions taken over from client agencies more effective, and to find ... explanations for the results so far achieved by the Service Centre. The audit has also aspired to illustrate how agencies that do not subscribe to the services regard their potential for doing so ... . These viewpoints have been analysed with a special focus on the conditions that applied to the Service Centre when it was formed and the measures taken by the Government and the Service Centre in the first years. ... ... Has Swedish public administration become more effective? ... The Service Centre – payroll and financial administration IT system for Swedish public agencies under the government – has achieved the target of a subscription rate of 25 per cent of the total ... number of state employees. However, subscription to the Service Centre was initially slower than the Government had predicted and meant lower revenues than expected in autumn 2013. The Service Centre ... then introduced a rigorous review of its expenditure, for example for some planned development initiatives for internal procedures and support systems.<br/>The Swedish NAO noted that the Government’s steering
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Swedish National Audit Office
, issued in 2016
Risk cases: 2
The Shared Services Centre
The necessary environment for the efficient management of the Shared Service Center is lacking The department's administration of the Shared Services Centre (SSC) has been effective for sharing resources between the departments and delivering selected back-office services to a small client base. However, the governance arrangements established to oversight the SSC have not positioned it well for the future and the departments have not yet determined if the arrangement is efficient and resulting in savings. ANAO found instances where the advisory board of SSC was not consulted or involved in decisions relating to the strategic direction, financial arrangements and expenditure priorities. Information reported to the board did not focus on areas of strategic importance and the quality and completeness of this information could be improved. The mechanisms established for setting out responsibilities and obligations and ensuring transparency for services delivered by the SSC was weak. Service standards and levels were not fixed and can change. The delineation of responsibilities between the SSC and its clients was not clear and there was no commitment by the SSC to certify the quality of its control framework.
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The necessary environment for the efficient management of the Shared Service Center is lacking The department's administration of the Shared Services Centre (SSC) has been effective for sharing resources between the departments and delivering selected back-office services to a small client base. However, the governance arrangements established to oversight the SSC have not positioned it well for the future and the departments have not yet determined if the arrangement is efficient and resulting in savings. ANAO found instances where the advisory board of SSC was not consulted or involved in decisions relating to the strategic direction, financial arrangements and expenditure priorities. Information reported to the board did not focus on areas of strategic importance and the quality and completeness of this information could be improved. The mechanisms established for setting out responsibilities and obligations and ensuring transparency for services delivered by the SSC was weak. Service standards and levels were not fixed and can change. The delineation of responsibilities between the SSC and its clients was not clear and there was no commitment by the SSC to certify the quality of its control framework.
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The Australian National Audit Office
, issued in 2016
Risk cases: 2