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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 ... 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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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 ... 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
Management of Information Resources of the Ministry of the Interior
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 ... information systems. Whereas the Ministry has failed to implement some of the public audit recommendations of 2007 and 2010,6 we analysed, whether there have been any positive changes in the field of IT ... management. Their impact is important not only because the Ministry manages 16 information resources, which ensure data availability to the population, efficient activity of the services, and operation ... ... 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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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 ... information systems. Whereas the Ministry has failed to implement some of the public audit recommendations of 2007 and 2010,6 we analysed, whether there have been any positive changes in the field of IT ... management. Their impact is important not only because the Ministry manages 16 information resources, which ensure data availability to the population, efficient activity of the services, and operation ... ... 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
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
Management and protection of assets in the field of the information-communication technologies at the ME SR
The Supreme Audit office of the Slovak Republic (SAO SR) has conducted the audit at the Ministry of Environment of the Slovak Republic (ME SR) for the audit period 2011 and 2012 to examine ... the compliance with the generally binding legal regulations and the general statues in the field of the information-communication technologies (ICT) and the information systems of the public administration (ISPA ... ) with emphasis on the use of the information technology (IT) services provided by the third parties. The vast amount of irregularities was found, especially many cases of failure to comply with the standards ... ... Started from contracting, ended in security ... The perceptive and filled with findings audit - conducted by the Slovak SAI - discovered the list of issues which started in careless contracting procedures, failure to update the development concept ... and ended in exposing the organization to high security risks.
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The Supreme Audit office of the Slovak Republic (SAO SR) has conducted the audit at the Ministry of Environment of the Slovak Republic (ME SR) for the audit period 2011 and 2012 to examine ... the compliance with the generally binding legal regulations and the general statues in the field of the information-communication technologies (ICT) and the information systems of the public administration (ISPA ... ) with emphasis on the use of the information technology (IT) services provided by the third parties. The vast amount of irregularities was found, especially many cases of failure to comply with the standards ... ... Started from contracting, ended in security ... The perceptive and filled with findings audit - conducted by the Slovak SAI - discovered the list of issues which started in careless contracting procedures, failure to update the development concept ... and ended in exposing the organization to high security risks.
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Supreme Audit Office of the Slovak Republic
, issued in 2012
Risk cases: 4
Whether Disclosure of the Public Sector Data Is Ensured
Strategy more important than declarations Why open data are so dificult to become reality? Lithuania possesses the elements required to disclose data but lacks a strategic approach. The report by SAI Lithuania reviews all critical elements of this problem. Most of them look like a pattern reproduced by other countries. And one important thing: the SAI Lithuania opened their own data - exactly on the day of publication of the audit report!
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Strategy more important than declarations Why open data are so dificult to become reality? Lithuania possesses the elements required to disclose data but lacks a strategic approach. The report by SAI Lithuania reviews all critical elements of this problem. Most of them look like a pattern reproduced by other countries. And one important thing: the SAI Lithuania opened their own data - exactly on the day of publication of the audit report!
Full description
National Audit Office of the Republic of Lithuania
, issued in 2016
Risk cases: 9
The Swedish Transport Administrations support to research and innovation
Robust internal control required to manage innovations The Swedish agency dealing with transport innovations did not use sufficient control over its research funds, shows the audit of the Swedish National Audit Office. The deficiencies include risk analysis, administrative procedures and management of taxpayers' money.
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Robust internal control required to manage innovations The Swedish agency dealing with transport innovations did not use sufficient control over its research funds, shows the audit of the Swedish National Audit Office. The deficiencies include risk analysis, administrative procedures and management of taxpayers' money.
Full description
Swedish National Audit Office
, issued in 2018
Risk cases: 3
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
Good Practice in Annual Reports 2016-17
Reporting: a real skill The Building Public Trust Awards, sponsored by PwC, have been running for 15 years and the British NAO co-sponsors the public sector award. The Good Practices in annual reports 2016-2017 present eye-opening examples of how to make complex reports easily understandable and how to clearly outline goals and achievement of them.
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Reporting: a real skill The Building Public Trust Awards, sponsored by PwC, have been running for 15 years and the British NAO co-sponsors the public sector award. The Good Practices in annual reports 2016-2017 present eye-opening examples of how to make complex reports easily understandable and how to clearly outline goals and achievement of them.
Full description
National Audit Office
, issued in 2018
Risk cases: 4
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