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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
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
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.
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Swedish National Audit Office
, issued in 2018
Risk cases: 3
Incorrect payments in social insurance - Control activities of the Swedish Social Insurance Agency
In 2014 the social insurance system accounted for six per cent of GDP. The long-term sustainability of a system of that magnitude requires that the public perceives its purpose to be important ... , that it is well administered and that it is as free of abuse as possible. It must also be financially stable over time, since major fluctuations impact other areas of the central government budget. When ... these things function as they should, the system is perceived to be legitimate and enjoys public confidence.<br/> According to available estimations, almost SEK 20 billion had been paid out incorrectly from ... Balance of priorities needed to reduce incorrect payments ... Role of social insurance in public finance is so substantial that reduction of incorrect payments' volume is matter of huge savings. The Swedish NAO noted positive initiatives by the Social Insurance ... Agency in this regard. However they found also, that serious problems can stem from giving higher priority to the speed of payment and customers satisfaction. They both are undoubtedly important features ... of each system, still, the prevention of incorrect payments needs strategic support to be really effective.
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In 2014 the social insurance system accounted for six per cent of GDP. The long-term sustainability of a system of that magnitude requires that the public perceives its purpose to be important ... , that it is well administered and that it is as free of abuse as possible. It must also be financially stable over time, since major fluctuations impact other areas of the central government budget. When ... these things function as they should, the system is perceived to be legitimate and enjoys public confidence.<br/> According to available estimations, almost SEK 20 billion had been paid out incorrectly from ... Balance of priorities needed to reduce incorrect payments ... Role of social insurance in public finance is so substantial that reduction of incorrect payments' volume is matter of huge savings. The Swedish NAO noted positive initiatives by the Social Insurance ... Agency in this regard. However they found also, that serious problems can stem from giving higher priority to the speed of payment and customers satisfaction. They both are undoubtedly important features ... of each system, still, the prevention of incorrect payments needs strategic support to be really effective.
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Swedish National Audit Office
, issued in 2016
Risk cases: 3
IT Police Systems
Implementation by the Polish Police of two IT projects (E-police station and Command Support System - CSS) was audited. Both systems were to relieve the Police officers and increase the quality ... and effectiveness of their work. Audit explained the reason of failure in the case of E-police station project and success in the case of CSS. Although some irregularities occurred in both cases, careful planning ... and organization of the project turned out to make the difference. Accordance with the public procurement law was not part of the audit as a separate investigation in that matter was carried by respective Polish ... ... A textbook example of how not to implement the IT projects ... Polish NIK compared the implementation of two flagship IT projects of the Police HQ: successful 'Command Support System' and problematic 'E-police station'. List of interesting problems appeared...
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Implementation by the Polish Police of two IT projects (E-police station and Command Support System - CSS) was audited. Both systems were to relieve the Police officers and increase the quality ... and effectiveness of their work. Audit explained the reason of failure in the case of E-police station project and success in the case of CSS. Although some irregularities occurred in both cases, careful planning ... and organization of the project turned out to make the difference. Accordance with the public procurement law was not part of the audit as a separate investigation in that matter was carried by respective Polish ... ... A textbook example of how not to implement the IT projects ... Polish NIK compared the implementation of two flagship IT projects of the Police HQ: successful 'Command Support System' and problematic 'E-police station'. List of interesting problems appeared...
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Supreme Audit Office of Poland
, issued in 2013
Risk cases: 5
Opportunities Exist for SEC to Improve Its Controls over Financial Systems and Data
The SEC is responsible for enforcing securities laws, issuing rules and regulations that provide protection for investors, and helping to ensure that the securities markets are fair and honest ... . In carrying out its mission, the SEC relies on computerized information systems to collect, process, and store sensitive information, including financial data. Having effective information security controls ... in place is essential to protecting these systems and the information they contain. <br/> This report details weaknesses GAO identified in the information security program at SEC during its audit ... IT security basics under scrutiny ... Financial audit by US GAO was accompanied by an IT examination focused on information security measures in the Securities and Exchange Commission (SEC). GAO found that SEC’s systems could ... be compromised, because of risks jeopardizing the confidentiality, integrity, and availability of sensitive financial information.
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The SEC is responsible for enforcing securities laws, issuing rules and regulations that provide protection for investors, and helping to ensure that the securities markets are fair and honest ... . In carrying out its mission, the SEC relies on computerized information systems to collect, process, and store sensitive information, including financial data. Having effective information security controls ... in place is essential to protecting these systems and the information they contain. <br/> This report details weaknesses GAO identified in the information security program at SEC during its audit ... IT security basics under scrutiny ... Financial audit by US GAO was accompanied by an IT examination focused on information security measures in the Securities and Exchange Commission (SEC). GAO found that SEC’s systems could ... be compromised, because of risks jeopardizing the confidentiality, integrity, and availability of sensitive financial information.
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General Accountability Office
, issued in 2016
Risk cases: 5
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
IT Support in the Judicial Chain
The Swedish National Audit Office has examined how well agencies in the judicial chain have handled known flaws in their IT support and whether the Government’s control mechanisms have provided ... the agencies with sufficient prerequisites to expand and improve IT support. ... ... Needed: good conditions by government, better steering and control by authorities ... Despite many years’ of work to modernize the IT support within the judiciary, there are still many deficiencies. The Government has not given the authorities good conditions enough to lead the work ... . The authorities, in their turn, need to improve their steering and control, as well as interact to a much higher degree.
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The Swedish National Audit Office has examined how well agencies in the judicial chain have handled known flaws in their IT support and whether the Government’s control mechanisms have provided ... the agencies with sufficient prerequisites to expand and improve IT support. ... ... Needed: good conditions by government, better steering and control by authorities ... Despite many years’ of work to modernize the IT support within the judiciary, there are still many deficiencies. The Government has not given the authorities good conditions enough to lead the work ... . The authorities, in their turn, need to improve their steering and control, as well as interact to a much higher degree.
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Swedish National Audit Office
, issued in 2011
Risk cases: 3
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
General and Creation Control of the Information Systems of the Ministry of Foreign Affairs
The objective of the audit was to assess general and creation control of the information systems of the Ministry of Foreign Affairs. Since the beginning of 2009, the Ministry of Foreign Affairs has ... achieved considerable progress in the management of the information systems. The auditors reviewed and assessed all key elements of the process. ... Overview of problems - area by area ... SAI Lithuania looked into all critical elements of a Ministry's information system, starting from IT architecture, through information security to automation of data processing.
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The objective of the audit was to assess general and creation control of the information systems of the Ministry of Foreign Affairs. Since the beginning of 2009, the Ministry of Foreign Affairs has ... achieved considerable progress in the management of the information systems. The auditors reviewed and assessed all key elements of the process. ... Overview of problems - area by area ... SAI Lithuania looked into all critical elements of a Ministry's information system, starting from IT architecture, through information security to automation of data processing.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 4