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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.<br ... /> 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 ... Data processing hold back by technology limitation, workload and administrative burden ... be failing not only because of technology, but also because of work-process design, staff and organisation. ... 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
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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.<br ... /> 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 ... Data processing hold back by technology limitation, workload and administrative burden ... be failing not only because of technology, but also because of work-process design, staff and organisation. ... 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
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General Accountability Office
, issued in 2016
Risk cases: 6
IT security in the Federal Administration
The SFAO has audited the Admin PKI – the basic infrastructure and offering for the issuing of digital certificates – within the Federal Office of Information Technology, Systems and Telecommunication ... (FOITT). The examination concentrated on assessing the development and current operation as well as future prospects. Admin PKI refers to all processes and the hardware and software needed for issuing ... certificates of different grades. ... Technical and organizational deficiencies work together against data security ... Only minor deficiencies were revealed in the Windows environment but only in case of Microsoft products.Providers' lack of both assertiveness and synergy adds to 'the great unknown' of authonomous ... entities' networks.
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The SFAO has audited the Admin PKI – the basic infrastructure and offering for the issuing of digital certificates – within the Federal Office of Information Technology, Systems and Telecommunication ... (FOITT). The examination concentrated on assessing the development and current operation as well as future prospects. Admin PKI refers to all processes and the hardware and software needed for issuing ... certificates of different grades. ... Technical and organizational deficiencies work together against data security ... Only minor deficiencies were revealed in the Windows environment but only in case of Microsoft products.Providers' lack of both assertiveness and synergy adds to 'the great unknown' of authonomous ... entities' networks.
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Swiss Federal Audit Office
, issued in 2011
Risk cases: 4
Managing the risk of legacy ICT to public service delivery
within a business function but superseded by newer and more effective technologies or changed business needs"). ... 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 ... 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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within a business function but superseded by newer and more effective technologies or changed business needs"). ... 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 ... 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
Audit of the key ICT project regarding a consumption tax platform Federal Customs Administration (FCA)
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 ... 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 ... 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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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 ... 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 ... 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
Results of the development of the state’s information systems
The National Audit Office has repeatedly audited the management and development of the state’s information technology (IT) area in the last ten years. The last audit was performed in 2005. After that ... , several measures have been implemented in the state to organise the development better and to guarantee that the systems are compatible. This audit gives an opinion of the results of development project ... management and the state’s coordination mechanism in this process. ... ... Success and failure depend on preparation ... Conclusions of performance IT audit based on a sample of government projects: business portal, land register, e-police, fire safety monitoring system, childcare information system and the document ... management system of the Defence Forces. Key problems and discussion with auditees are presented.
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The National Audit Office has repeatedly audited the management and development of the state’s information technology (IT) area in the last ten years. The last audit was performed in 2005. After that ... , several measures have been implemented in the state to organise the development better and to guarantee that the systems are compatible. This audit gives an opinion of the results of development project ... management and the state’s coordination mechanism in this process. ... ... Success and failure depend on preparation ... Conclusions of performance IT audit based on a sample of government projects: business portal, land register, e-police, fire safety monitoring system, childcare information system and the document ... management system of the Defence Forces. Key problems and discussion with auditees are presented.
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National Audit Office of Estonia
, issued in 2010
Risk cases: 3
Lessons learned from government ICT-projects
This audit has been performed on request of the Dutch parliament. Some newspapers mentioned government losses of four to five billion euro's on a yearly bases. These news items caused the parliament ... to request this audit. The audit has been performed in only 5 months time and consisted of the re-use of earlier performed audits. We have 'recycled' earlier findings about ICT-projects. ... 'Expensive' does not always mean 'High Quality', so... do not feed the spiral ... Excellent analysis of systemic errors commited when designing Government IT projects. The report aims at the essence of problems which are encountered far from information technologies - in: politics ... , business, psychology... Do not be mislead by date of report, it is evergreen for all who really want to know why IT projects fail.
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This audit has been performed on request of the Dutch parliament. Some newspapers mentioned government losses of four to five billion euro's on a yearly bases. These news items caused the parliament ... to request this audit. The audit has been performed in only 5 months time and consisted of the re-use of earlier performed audits. We have 'recycled' earlier findings about ICT-projects. ... 'Expensive' does not always mean 'High Quality', so... do not feed the spiral ... Excellent analysis of systemic errors commited when designing Government IT projects. The report aims at the essence of problems which are encountered far from information technologies - in: politics ... , business, psychology... Do not be mislead by date of report, it is evergreen for all who really want to know why IT projects fail.
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Netherlands Court of Audits
, issued in 2007
Risk cases: 3
Protection of automatically processed personal data
Over the past few years, a number of legal, management, supervision, information, and methodological issues related to the protection of personal data have piled up. As they have not been fully ... resolved,the National Audit Office conducted an audit to assess the efficiency of the protection and supervision of automatically processed personal data and to check whether: - the regulation of personal data ... protection conforms to the data processing practices; - personal data is properly processed at public sector bodies; - the State Data Protection Inspectorate (SDPI) performs sufficient supervision ... ... Data protection needs a long term strategy ... Rapid development of information and communication technology continuously brings about issues of personal data protection. Due to lack of long-term vision in this area they are frequently ... not addressed by the existing legislation. Moreover, SAI of Lithuania revealed failures in organization and control of personal data protection by public sector.
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Over the past few years, a number of legal, management, supervision, information, and methodological issues related to the protection of personal data have piled up. As they have not been fully ... resolved,the National Audit Office conducted an audit to assess the efficiency of the protection and supervision of automatically processed personal data and to check whether: - the regulation of personal data ... protection conforms to the data processing practices; - personal data is properly processed at public sector bodies; - the State Data Protection Inspectorate (SDPI) performs sufficient supervision ... ... Data protection needs a long term strategy ... Rapid development of information and communication technology continuously brings about issues of personal data protection. Due to lack of long-term vision in this area they are frequently ... not addressed by the existing legislation. Moreover, SAI of Lithuania revealed failures in organization and control of personal data protection by public sector.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 2
Management of Information Resources of the Ministry of the Interior
works is being implemented7 and the Information Technology and Communications Department under the Ministry of the Interior was appointed one of the four public IT service providers. <br/> The purpose ... of 2016. For data analysis, data from other periods was used. The audit was conducted in the Ministry of the Interior. We also collected information at the Information Technology and Communications ... Many activities of the Ministry of the Interior require the use of information resources that are of great significance to the entire State, such as the state and departmental registers, and public ... ... Process maturity examination can help in IT audit ... Main risk areas in case of this audit were strategic and organisational - Ministry’s weak ownership of IT resources, insufficient audit and internal control function. SAI Lithuania auditors found ... also flaws in change management and security processes. But the finding, which gave them the key to the root cause of problems, was connected with maturity assessment of the auditee's IT processes.
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works is being implemented7 and the Information Technology and Communications Department under the Ministry of the Interior was appointed one of the four public IT service providers. <br/> The purpose ... of 2016. For data analysis, data from other periods was used. The audit was conducted in the Ministry of the Interior. We also collected information at the Information Technology and Communications ... Many activities of the Ministry of the Interior require the use of information resources that are of great significance to the entire State, such as the state and departmental registers, and public ... ... Process maturity examination can help in IT audit ... Main risk areas in case of this audit were strategic and organisational - Ministry’s weak ownership of IT resources, insufficient audit and internal control function. SAI Lithuania auditors found ... also flaws in change management and security processes. But the finding, which gave them the key to the root cause of problems, was connected with maturity assessment of the auditee's IT processes.
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National Audit Office of the Republic of Lithuania
, issued in 2016
Risk cases: 4
Performance Audit of Public Debt Management Information Systems
The usage and development of the information technologies in public financial management is an important priority of the country at the phase of intensive implementation of electronic governance ... (E-Governance). The fact that information systems play crucial role in the business processes of the Ministry of Finance affects the state and the public in general. <br/> Bearing in mind the role and importance ... of information systems in the public debt management process and having considered legal requirements to information security, State Audit Office of Georgia conducted Performance Audit of Public Debt Management ... ... More effective IT governance needed ... Importance of effective performance of public debt management e-systems may be explained by the world’s increased dependence on such systems. In parallel with the performance audit of debt management ... information systems of the Ministry Of Finance of Georgia, Supreme Audit Institutions of 11 countries also studied this topic, both in terms of systems’ performance and their practical application by local ... financial institutions. Audit conducted by the State Audit Office of Georgia has revealed security and governance shortcomings related to management and usage of these systems.
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The usage and development of the information technologies in public financial management is an important priority of the country at the phase of intensive implementation of electronic governance ... (E-Governance). The fact that information systems play crucial role in the business processes of the Ministry of Finance affects the state and the public in general. <br/> Bearing in mind the role and importance ... of information systems in the public debt management process and having considered legal requirements to information security, State Audit Office of Georgia conducted Performance Audit of Public Debt Management ... ... More effective IT governance needed ... Importance of effective performance of public debt management e-systems may be explained by the world’s increased dependence on such systems. In parallel with the performance audit of debt management ... information systems of the Ministry Of Finance of Georgia, Supreme Audit Institutions of 11 countries also studied this topic, both in terms of systems’ performance and their practical application by local ... financial institutions. Audit conducted by the State Audit Office of Georgia has revealed security and governance shortcomings related to management and usage of these systems.
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State Audit Office Of Georgia
, issued in 2014
Risk cases: 5
Use of European Union funds in promoting information society
The National Audit Office audited the use of the aid allocated from the structural funds of the European Union (hereinafter EU aid) in the information technology (IT) area of the state. The National ... Audit Office checked whether the distribution of funds for the development of the information society has been balanced and transparent, and whether the distribution of aid is adequately supervised ... . Balanced distribution of aid means that development of the information society entails paying attention (and ideally providing proportional funding) to information systems aimed at the public sector, private ... Riigikontroll auditeeris Euroopa Liidu struktuurifondidest ehk tõukefondidest eraldatud toetuste (edaspidi ELi toetusraha) kasutamist riigi infotehnoloogia (IT) valdkonnas. Uuriti, kas raha jagamine ... infoühiskonna arendamise eesmärgil on olnud tasakaalustatud ja läbipaistev ning kas toetuste jagamise üle tehakse piisavat järelevalvet. Riigikontrolli hinnangul on riik infoühiskonna arengukava rakendamiseks ... toetuste jagamisel keskendunud liiga riigile suunatud IT-arenduste rahastamisele ning jätnud tagaplaanile ettevõtete konkurentsivõime parandamisele ja kolmandale sektorile suunatud IT arendusprojektide ... Balance needed for success of Information Society Development Plan ... 50% of aid has been granted primarily for the development of information systems of state agencies, i.e. as much as the other two target groups - business and citizens - put together. Information ... , true suppervision and measurement of progress are listed by the Estonian SAI as next key elements necessary to keep balanced development of strategy for Information Society.
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The National Audit Office audited the use of the aid allocated from the structural funds of the European Union (hereinafter EU aid) in the information technology (IT) area of the state. The National ... Audit Office checked whether the distribution of funds for the development of the information society has been balanced and transparent, and whether the distribution of aid is adequately supervised ... . Balanced distribution of aid means that development of the information society entails paying attention (and ideally providing proportional funding) to information systems aimed at the public sector, private ... Riigikontroll auditeeris Euroopa Liidu struktuurifondidest ehk tõukefondidest eraldatud toetuste (edaspidi ELi toetusraha) kasutamist riigi infotehnoloogia (IT) valdkonnas. Uuriti, kas raha jagamine ... infoühiskonna arendamise eesmärgil on olnud tasakaalustatud ja läbipaistev ning kas toetuste jagamise üle tehakse piisavat järelevalvet. Riigikontrolli hinnangul on riik infoühiskonna arengukava rakendamiseks ... toetuste jagamisel keskendunud liiga riigile suunatud IT-arenduste rahastamisele ning jätnud tagaplaanile ettevõtete konkurentsivõime parandamisele ja kolmandale sektorile suunatud IT arendusprojektide ... Balance needed for success of Information Society Development Plan ... 50% of aid has been granted primarily for the development of information systems of state agencies, i.e. as much as the other two target groups - business and citizens - put together. Information ... , true suppervision and measurement of progress are listed by the Estonian SAI as next key elements necessary to keep balanced development of strategy for Information Society.
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National Audit Office of Estonia
, issued in 2012
Risk cases: 2