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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 ... VHA’s timeliness in processing claims; (3) community providers’ experiences; and (4) VHA’s recent actions and plans to improve its claims processing and payment timeliness. To conduct its ongoing work ... 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 ... VHA’s timeliness in processing claims; (3) community providers’ experiences; and (4) VHA’s recent actions and plans to improve its claims processing and payment timeliness. To conduct its ongoing work ... 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
Digitisation of municipal services
and the private sector. The municipal sector is a significant provider of public services, and digitisation of municipal services is therefore essential for achieving this goal.<br/>The audit surveyed the status ... The purpose of digitisation is to increase the quality and efficiency of public services. It is a goal to make online services the norm for public administration's communication with citizens ... , assessed the significance of and possible obstacles to digitisation of municipal services. The audit examined how the Ministry of Local Government and Modernisation's use of policy instruments contributes ... ... Municipalities have not digitised their services to any extent ... Digitisation increases the quality and efficiency of public services and municipal sector is a significant provider of public services. Report of Riksrevisjonen of Norway shows however ... , that municipalities need a substantial support to execute this demanding task. To provide them with help, the central government has to coordinate own efforts first.
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and the private sector. The municipal sector is a significant provider of public services, and digitisation of municipal services is therefore essential for achieving this goal.<br/>The audit surveyed the status ... The purpose of digitisation is to increase the quality and efficiency of public services. It is a goal to make online services the norm for public administration's communication with citizens ... , assessed the significance of and possible obstacles to digitisation of municipal services. The audit examined how the Ministry of Local Government and Modernisation's use of policy instruments contributes ... ... Municipalities have not digitised their services to any extent ... Digitisation increases the quality and efficiency of public services and municipal sector is a significant provider of public services. Report of Riksrevisjonen of Norway shows however ... , that municipalities need a substantial support to execute this demanding task. To provide them with help, the central government has to coordinate own efforts first.
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Office of the Auditor General of Norway
, issued in 2016
Risk cases: 2
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
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
Managing the risk of legacy ICT to public service delivery
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 ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... 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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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 ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... 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
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
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 ... Report: The National Audit Office audited the quality of public services, analysing the compatibility of provision of these services with the principles of good administration. The principles of good ... ... 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 ... Report: The National Audit Office audited the quality of public services, analysing the compatibility of provision of these services with the principles of good administration. The principles of good ... ... 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
The development and use of identification services in public administration
The audit examined the implementation and coordination of projects aimed at developing identification services in public administration, cooperation among authorities in this area and compliance ... with legislation in procuring services. The audit also examined development, control and monitoring structures regarding identification services. The audit focused on electronic identification services that are used ... in public administration's electronic transactions. ... ... Unhealthy competition linked with lack of coordinatnion and with procurement irregularities ... See what may go wrong with the IT public procurement. Check out what is the basis to avoid irregularities or omissions in complying with public procurement legislation. National Audit Office ... of Finland identified also risks resulting from lack of horizontal coordination.
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The audit examined the implementation and coordination of projects aimed at developing identification services in public administration, cooperation among authorities in this area and compliance ... with legislation in procuring services. The audit also examined development, control and monitoring structures regarding identification services. The audit focused on electronic identification services that are used ... in public administration's electronic transactions. ... ... Unhealthy competition linked with lack of coordinatnion and with procurement irregularities ... See what may go wrong with the IT public procurement. Check out what is the basis to avoid irregularities or omissions in complying with public procurement legislation. National Audit Office ... of Finland identified also risks resulting from lack of horizontal coordination.
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National Audit Office of Finland
, issued in 2008
Risk cases: 3
Usability of public digital services directed at businesses
G2B - in search of user friendliness Danish Rigsrevisionen finds that the digital services directed at businesses, examined during this audit, are not sufficiently user-friendly from start to finish, and the authorities need to focus more on ensuring that relevant solutions are interlinked in a userfriendly manner.
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G2B - in search of user friendliness Danish Rigsrevisionen finds that the digital services directed at businesses, examined during this audit, are not sufficiently user-friendly from start to finish, and the authorities need to focus more on ensuring that relevant solutions are interlinked in a userfriendly manner.
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National Audit Office of Denmark
, issued in 2015
Risk cases: 3
Public access point to the Polish e-Administration
Coordinated audit series (46 auditees) focused on a web solution applied to give an easy access to Government e-services (the project planned to be completed in 2013) The audit was performed in 2008 ... and public report issued in March 2009. Primary goal of th presentation was intended to illustrate the use of 'e-Government Algorithm' elaborated by EUROSAI IT Working Group in 2005. One of issues mede better ... known by the audit was 'Project Frameworks vs Public Procurement'. ... ... Buyer, provider and methodologies need a balance ... Presentation based on a vast audit by Polish SAI which subject was of big network project aiming to provide one access point to Government and Selfgovernments services. The presentation illustrates ... old EUROSAI IT Wg 'Algorithm approach' and focuses on procurement systemic problems.
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Coordinated audit series (46 auditees) focused on a web solution applied to give an easy access to Government e-services (the project planned to be completed in 2013) The audit was performed in 2008 ... and public report issued in March 2009. Primary goal of th presentation was intended to illustrate the use of 'e-Government Algorithm' elaborated by EUROSAI IT Working Group in 2005. One of issues mede better ... known by the audit was 'Project Frameworks vs Public Procurement'. ... ... Buyer, provider and methodologies need a balance ... Presentation based on a vast audit by Polish SAI which subject was of big network project aiming to provide one access point to Government and Selfgovernments services. The presentation illustrates ... old EUROSAI IT Wg 'Algorithm approach' and focuses on procurement systemic problems.
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Supreme Audit Office of Poland
, issued in 2008
Risk cases: 3