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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
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 ... 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 ... be for both effectiveness and financial management.
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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 ... 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 ... be for both effectiveness and financial management.
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State Audit Office of Latvia
, issued in 2010
Risk cases: 3
Quality of public services in information society in 2010
The National Audit Office found that irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007 ... . Information about the services is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person ... . A positive example is registration of a person’s place of residence, which has become considerably easier and user-friendlier than in 2007 as a result of the development of the state portal. <br/> 2007 Audit ... ... The quality of public services has been improved but still isn’t good enough ... Irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007. Information about the services ... is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person.
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The National Audit Office found that irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007 ... . Information about the services is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person ... . A positive example is registration of a person’s place of residence, which has become considerably easier and user-friendlier than in 2007 as a result of the development of the state portal. <br/> 2007 Audit ... ... The quality of public services has been improved but still isn’t good enough ... Irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007. Information about the services ... is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person.
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National Audit Office of Estonia
, issued in 2010
Risk cases: 2
Working of Inland Container Depots and Container Freight Stations
NEW! Online report on audit of SAI India With this first digital audit report of the Comptroller and Auditor General of India, new chapter has been opened in our profession: the online form is primary versus printable pdf. Advantages: high level of readability, live responsive charts, easy browsing and search of what users find interesting. The reported performance audit concerned 'dry ports', or multimodal logistics centres, which play growing role in domestic and international trade. It shows how gaps in concept and lax attitude to internal control can result on capacities, speed of trade, and enviromental safety.
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NEW! Online report on audit of SAI India With this first digital audit report of the Comptroller and Auditor General of India, new chapter has been opened in our profession: the online form is primary versus printable pdf. Advantages: high level of readability, live responsive charts, easy browsing and search of what users find interesting. The reported performance audit concerned 'dry ports', or multimodal logistics centres, which play growing role in domestic and international trade. It shows how gaps in concept and lax attitude to internal control can result on capacities, speed of trade, and enviromental safety.
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Comptroller and Auditor General of India
, issued in 2017
Risk cases: 5
RURAL BROADBAND DEPLOYMENT: Improved Consistency with Leading Practices Could Enhance Management of Loan and Grant Programs
Green Book can help in broadband development US GAO applied its COSO based Green Book to review consistency of support programs for rural information infrastructure.
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Green Book can help in broadband development US GAO applied its COSO based Green Book to review consistency of support programs for rural information infrastructure.
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US Government Accountability Office
, issued in 2017
Risk cases: 7
Management of State Information Resources
The objective of the audit was to assess effectiveness of the management of the state information resources and of the use of their possibilities: suitability of the chosen state resources management ... model; rationality of the use of the State Budget funds when managing information resources; use of the possibilities of the state information resources to improve the performance of the public sector ... . Audit procedures were performed in all major institutions which form and implement the policy of information resources: Ministry of Transport and Communications, Ministry of the Interior, Ministry ... Well targeted requirements, interconnected information resources and broad use - why so difficult to be gained? ... The leading idea of the 'Approach to Management of State Information Resources' programme was to entrench a comprehensive management of data resources. After five years preparations, the desired ... momentum was still not the case. SAI Lithuania analysed roots of the problems: concept, poor use of funds, lack of interconnections, unsatified users.
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The objective of the audit was to assess effectiveness of the management of the state information resources and of the use of their possibilities: suitability of the chosen state resources management ... model; rationality of the use of the State Budget funds when managing information resources; use of the possibilities of the state information resources to improve the performance of the public sector ... . Audit procedures were performed in all major institutions which form and implement the policy of information resources: Ministry of Transport and Communications, Ministry of the Interior, Ministry ... Well targeted requirements, interconnected information resources and broad use - why so difficult to be gained? ... The leading idea of the 'Approach to Management of State Information Resources' programme was to entrench a comprehensive management of data resources. After five years preparations, the desired ... momentum was still not the case. SAI Lithuania analysed roots of the problems: concept, poor use of funds, lack of interconnections, unsatified users.
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National Audit Office of the Republic of Lithuania
, issued in 2013
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
For the sake of security – intelligence sharing between the Police Authority and the Swedish Security Service
Cooperation between Police and Security Service The Swedish NAO audited whether the Police Authority and the Swedish Security Service share intelligence effectively to prevent and combat violent extremism and terrorism. In this highly non-typical environment, some universal rules turned out to be still valid. We would like to emphasise role of : organizational patterns, information access rights and sincere feedback.
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Cooperation between Police and Security Service The Swedish NAO audited whether the Police Authority and the Swedish Security Service share intelligence effectively to prevent and combat violent extremism and terrorism. In this highly non-typical environment, some universal rules turned out to be still valid. We would like to emphasise role of : organizational patterns, information access rights and sincere feedback.
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Swedish National Audit Office
, issued in 2018
Risk cases: 3
Staff scheduling in government institutions
Scheduling irregular hours work Danish Rigsrevisionen shows in their study problems with staff scheduling in government institutions where employees are required to work irregular hours. Optimized staff scheduling contributed to reducing payroll costs. On the other hand, problems with rearrangement of work, recording working hours, optimisation of staffing levels and analysis of overtime triggers - add up to high costs of workforce. IT is not always used as ally either.
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Scheduling irregular hours work Danish Rigsrevisionen shows in their study problems with staff scheduling in government institutions where employees are required to work irregular hours. Optimized staff scheduling contributed to reducing payroll costs. On the other hand, problems with rearrangement of work, recording working hours, optimisation of staffing levels and analysis of overtime triggers - add up to high costs of workforce. IT is not always used as ally either.
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National Audit Office of Denmark
, issued in 2015
Risk cases: 5
Risks of e-Governance Strategy Dominated by Outsourcing
Audit of IT service in Ministry of Public Assets gave an opportunity to analize risks related to outsourcing dominated e-Governance strategy. Important findings were identified in preparation ... and testing stages, stemming from poor Business Case. ... ... IT outsourcing risks ... Presentation based on audit of IT services in Polish Ministry of Public Assets. Outsourcing risks were classified and next identified at Business Case, preparation and teststing stages.
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Audit of IT service in Ministry of Public Assets gave an opportunity to analize risks related to outsourcing dominated e-Governance strategy. Important findings were identified in preparation ... and testing stages, stemming from poor Business Case. ... ... IT outsourcing risks ... Presentation based on audit of IT services in Polish Ministry of Public Assets. Outsourcing risks were classified and next identified at Business Case, preparation and teststing stages.
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Supreme Audit Office of Poland
, issued in 2010
Risk cases: 4