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Reports

Published

Actions for Code Red: Hospital Emergency Departments

Code Red: Hospital Emergency Departments

Health
Service delivery
Shared services and collaboration

All three hospitals followed the Department of Health’s guidelines for judging capacity and had systems in place to notify hospital staff and ambulance crews of changes in status. We found discrepancies in the records kept by all three hospitals when compared to the records maintained by the Department of Health. Our view however, is that these records do not need to be a perfect match for the intended purpose, which is to guide ambulance crews to the sh

Published

Actions for Review of Eight Agencies' Annual Reports

Review of Eight Agencies' Annual Reports

Whole of Government
Management and administration

Overall, we found there have been some improvements in the quality of annual reports since 2000. Most agencies now report key outcomes and results, provide performance data and trends and employ both qualitative and quantitative measures of performance. However, there was considerable variation in the quality of performance information in annual reports. Some agencies still focus on reporting activities and projects rather than outcomes and results. And

Published

Actions for Waiting Times for Elective Surgery in Public Hospitals

Waiting Times for Elective Surgery in Public Hospitals

Health
Information technology
Internal controls and governance
Management and administration
Service delivery

We recognise that managing waiting times is a difficult and complex task. Waiting times are influenced by many factors, some of which are outside the control of NSW Health. There are, however, steps which NSW Health could, and should, take to ensure that the processes to manage waiting times are efficient and effective. By all measures used by NSW Health, patients are waiting longer for elective treatment today than six or seven years ago. In March 2003

Published

Actions for Managing Hospital Waste

Managing Hospital Waste

Health
Management and administration

In 1998 NSW Health developed Waste Management Guidelines to promote continuous improvement in waste management across the public health sector. Systematic implementation of the Guidelines was impeded in 1999- 2000 by resistance from the waste industry and transport workers. Since then, NSW Health has not actively promoted waste management in public hospitals. As a consequence Area Health Services (AHSs) and hospitals have developed separate and individua

Published

Actions for Outsourcing Information Technology

Outsourcing Information Technology

Whole of Government
Information technology
Management and administration
Procurement

Agencies have managed the planning of outsourcing in a competent way. All agencies satisfactorily managed the contractual aspects of outsourcing. The Audit Office is of the opinion, however, that there is no objective evidence to demonstrate that agencies have achieved their goals in outsourcing IT. Most agencies had identified the current and expected costs and risks of outsourcing. Agencies were not able to demonstrate that the actual costs of outsourc

Published

Actions for Electronic Procurement of Hospital Supplies

Electronic Procurement of Hospital Supplies

Health
Information technology
Management and administration
Procurement

Reform of procurement in the NSW public health system is a huge, complex and difficult task. Much thought has been given to this reform. An immense amount of planning and preparatory work is required, and is apparent. In our opinion, at this time, the NSW public health system is making only limited progress towards achieving the economies in purchasing that its size and market dominance could deliver. While millions of dollars in savings are potentially

Published

Actions for Better Practice Guide

Better Practice Guide

Whole of Government
Management and administration

The Audit Office’s performance audit report, The Management of Intellectual Property (October 2001) addressed issues at the whole-of-government level and examined IP management in fourteen agencies. This Better Practice Guide draws on the audit report and seeks to build upon initiatives undertaken by the Premier’s Department and other agencies. Some of these initiatives are included under the heading of ‘Additional Information’ at the end of the guide.

Published

Actions for Management of Intellectual Property

Management of Intellectual Property

Whole of Government
Management and administration

The Audit Office is of the opinion that the good management of Intellectual Property (IP) by the public sector depends on an adequate and coordinated framework to guide agencies in developing their own policies. The current framework for IP is incomplete because it does not help agencies to develop policy, identify the IP assets that need to be managed, integrate management of IP with agency objectives, access expert help when they need it, enc

Published

Actions for Use of the internet and related technologies to improve public sector performance

Use of the internet and related technologies to improve public sector performance

Whole of Government
Cyber security
Information technology
Procurement
Service delivery
Shared services and collaboration
Workforce and capability

Notwithstanding the considerable effort, it is not apparent that the Government's vision can be fully achieved without increased efforts. Based on the current position, to ensure that the Government's vision can be achieved the Audit Office is of the view that the following key issues need to be urgently addressed:  more robust mechanisms are needed to monitor, review and report publicly on progress and benefits a greater emphasis sho

Published

Actions for Internal financial reporting including a better practice guide

Internal financial reporting including a better practice guide

Whole of Government
Financial reporting

The Audit Office observed that there is diversity in the form, content and quality of reports produced by the agencies. This reflects, in the main, that agencies tailor reports to meet local needs and conditions. It is considered that improvement is needed. A more consistent approach to financial reporting through the use of minimum standards is suggested. The Audit Office is of the view that agencies would benefit from a systematic approach to the repor