Audit Into E-Health Contracts
Audit Into E-Health Contracts
Audit Into E-Health Contracts
.,
~
~
jI
~
~
~
,
~
i
)
~
3
rJ
)
~
)
~
, -';
;~j.;;
~,;;;~:'::;..'
~ ".:""{,,., ~'..",.
.:
:",::,;..,) "'::1;
~
~
~
@
~
~J~l
@
~
f;
~
i!
~,
Office of the Comptroller
~
~
Audit and Consulting Services
~! l'Jovember
2010
~'-:
~
Revjc~' of Inf{Jrmatwn Systems Operntj{Jlls Final Reporl
2010
1.0 Introduction
During the courseof assignmentsin the Depw"tmentof Health, circumstance
were broughtLothe attentionof Office of the ComptfolJer(DoC) staff regardin,
potentia] conflicts of interest, concerns around the procurement process fo
professionalser\'icesandpossibledeficienciesin conU"actmanagementpractices.
'r
~
The revjew will focus on contracts for information technology professional '-4
;
serVIces.
.--
IJ
'IJ
,.-
~
'J
We reviewed the organizationalstructureof the Innovation, E-Health and Office ,-
of Sustainabilitybranchas well asthe Information TechnologyServicesbranchof '~
the Departmentof Health. (~
-
~
We interviewed the
as well asthe
and the ~
~
was also interviewed
PurchasingAct (PPA); ?
-
Contracts to ensure tirnelines, deliverables and rates were clearly
..-
specified;
Invoicesto ensureproper approvalswere obtainedand rates chargedwere
consistentwith the contracttermsand;
Contract extensions/amendments
to ensure deliverables and costs are
adequatelysupported
We consultedwith the Departmentof Supply and Servjcesto ensureour accurate "-
-
understandingand interpretatjon of the PPA. As well, we consulted with the "-
-
Offjce of Human Resourcesregarding the conflict of interest policy and its
application. The Office of Human resources obtained ~
-
...
...
-
"
Criteria were developedto respond to review objecti'fes. These criteria were
reviewedandsignedoff by seniormanagementof the department.
.
..
..
..
Audit & Co/lsu/ting Service!
~
Re,'ie\l' of Informati()]] SystemsOperations 'inal T{cport
2{)10 (.-
r'""
C
G
G
5.0 Conclusion {J
,...
{J
t::.
,.~
(..,.
Based on the findings of the review perfoffi1ed,OoC feels that the concerns -.
broughtforwardby DOH staff aloevalidated. 'c...
e
OW' study revealedthat in general, employeeswere not aWaI"eand were not .-,
requu'edto sign off on PNB's Conflict of Interest Policy. The re,'iew revealed
conflicts of interestexisted in the branchesof the Departmentof Health under t;..
re,'iew, Theseconflicts included ProjectManagershavingaccessto information e
of competitorsand contractorsbeing in positions which could afford them the L
opportunityto influence decisionswhich would impact their firm 0]' competitor
e:.
firn1s,
t:::
During the review of contract managementprocesses,exceptionswere noted t:.
where su"ongcontract managementpractices were not enforced. Large cost
overrunsand the delayedsigning of agreedstatementsof work were amongthe t..
issuesnoted c:..
i'-
;..
Rcvic\\' of Inform~ltiol1 Systems Oper~ltjol1s Filial J{cporl
2/Jl/J
6.0 Findings
There mL,st not be, nor appear to be, any col1flict bernieen the private
interest of the employee and the employee's responsibili1)! to the public.
,
I~e,'jc~' of Informiltiol! Systems Operations ji'jnal I{eport
2()lO c:.
c.:..
f'
,
Technology Services branch requiring them to familiarize themselves wjth AD.
2915. As well, new employees aloerequired to sign off as proof of havjng J"eadand c
understood the conflict of inteJ"estpolicy" 1;,-"
,-
\(.,
6.2 Existenceof Conflicts of Interest
((:,
6.3 ContractManagement
Discussjons with the DOH as wel] as review of contractor's jnvoices indicated
that adequateinterna] controls are in place to ensure that contractors are paid the
couect amountand proper approvals are obtained.
There were 110exceptions lloted by OoC whell comparing the per diem rates
specified in the contracts to the actual rates charged all the illvoices. AIl invoices
~
I{cvie," of Information SystemsOperations Final Report
20111
reviewed had proper spending authority approval and showed e\/idence that they
were reviewed by t11eproject manager to ensure t11ealJocation of hours charged to
t11eproject was correct. Timesheets were generally attached to t11ein\/oices for
support.
DoC found exceptionsaround tl1e paymentprocessfor tl1e'
- , , project.A purchase
order for this
project in the amountof $395,000plus HST wasissuedon October28th,2008 for
Phase I of the project. Paymentswere made according to tl1e terms of the
purchaseorderand by May, 2009 the $395,000plus HST had beenpaId to the
vendor,
During May/June of 2009, invoices totalling approximately $150,000 were paid to
. ~'ithout a corresponding increase in the purchase order. The
purchase order was amended on July 21, 2009 to increase its value by $1.45
million for Phase2 of tl1e project. Although billings fO1'Phase 2 of the p1'oject
began in May 2009, a Statement of '\J\70rkfO1'this phase was not signed until
November 251h, 2009. The second phase of this project spam1edapP1.oximate1y12
months (Apri12009 to March 2010), meaning the conu'l:lctorwas working without
a sigI1ed Statementof '\J\70rkfor 8 of the 12 months of the second phase of the
project.
Concernsaroundcontractmanagementwere identified relating to the
- The contractfor this project was awmoded to
throughRFP for an original amountof $3.1 million.
[
A numberof changerequestsrecommendedand appro\1ed by the ProjectSteering
r Committeeincreased
this amountby an additional$3.8million.
f
The rationale for increasesis documentedin eithe]"a sho]"tmemo from the p]"oject
r manage]" or on the Change Request fornls, Interviews with staff
f suggested that the DOH should have been mOl"eaggressive in holding
r accountable to thei]" initia] estimates, Sollie of the docu]nentation drafted by the
p]"oject]nanage]"SUppo11ing the initia] $2 million PhaseIII increase was
~ only created afte]' concerns from the ," of Contracts and Revenue we]"e
~ brouuht
b forward to the ,
f
Although the documentation justifies the increase in overalJ project costs, OoC
f
believes that the causeof some cost overruns are the responsibility of the vendor
f and should notincreasefees charged to PNB. Reasonsdocumentedon an October
~ 15, 2008 Inter-Office memo and on an ApriJ 12th,2010 Project Change Request
~ Form which were presented to the, - to support
increasesin feesinclude:
~
~
,
i
I~e,'ie\\ of Inform!ltio)J Systems Operations li'j/lal J{cporl
2//]() ,(..,.
r
fJ
r
J
"Assumptionsmade by/ in providing tJleir initiaJ estimatesnever
materializedand/or were found to be invalid basedon the analysisv.'ol'k ~
dol1eon Pha.~e
] and2 of theproject." ~
"...
'~
"Loss of resources 011 development team- A few of the
development team have moved on to new opportunities outside of ~
Co
~
It appearsthat. initial1y underestimatedtIle cost of completing tIle project.
However, signeda legally binding contractto provide the servicesat an C
Our review did however reveal violations of the PPA, In particular, in .Tune2008,
a contract was signed witIl - for tile period July I, 2008 to .Tune30th,
2010 with 2 optional 1 year renewals, At the time of signing this contract, the /
~
Department of Health did not have proper approval from DSS, A memo from ..
.
DSS found ill tI1e contractor's file clearly states tIlat the apP]'oval is only until ,
March 31, 2009 at which time: it was felt by DSS, that the department should be r
~
in a position to ejther go to public tender, rec]'uit a qualified resou]'ce 0]' eliminate ~
the requirement for tI1e ]'esou]'ceto provide se]'vices to the Department, DSS ~
~
confirmed that the DOH did not have the authority to ]'eleasepayment beyond
Mat'ch 2009 at tile time of signing, OoC questioned tile -
~
I{evic\\ of Information Systems OperHti(lns 'inal Rep(Jrt
20]0
who was unableto explain why a two yeal' conuacl wassigned\~'ben,at the time
of signing,approval~'as only grantedfOl'the first 9 monthsof the contract.
The pcu-ticulcu-
contI-actbegan with DOH in Janum"y2007 [OJ-a period of 3_5
months with a cost of $24,000- Cun-ently, the same original purchase ordeJ-
continuesto beextendedand is now at $463,000plus tax andset to expire in June
2011-
As statedin theRegulation(94-157),
D
3;
~
~
li
'icw of 111: -matiolJ S )1; Fin, J{eporl
2,(11()
G
G
0 SummaryofRecommendaf1:ons
.' .,
(oJ
G
r
'i.J
Employee and contractor houLd s'ign off as' I/7.Cll'ing :mc! understoodI ,..-
,
291')" nn I I anmtaJ basis. r emvlo)lees. this' ,could )r]Jo/-ated as' ]Jar
G
T/1.eZraJ1.lutal peJ:formr:znce revz W. As stated 111 ALJ-L
theSeniorExecutive )fficer oj my col~f/icl ~finteres1 siluc 711il1 whic/7 the'l' llt:i C.-
themselves. Documenation shc lId be maintained ,-
'(.,...
~
Managers and directors rhould .familiarize rhemselvej' with th.e m.eaning anI
dt:finition C!fan apparen col1jLicf q[ inlcres'l , A suggestec!reading co/.uc!be th,
ff
~-
c
/"17., t].,;o t/"l7");r '")1' 1;..1"0...1 1.." 1"1..",7',."".. 1")'Boarc! of Canada Sec1-etariat.
rlr,rrl111o,.,t
v
E::.
ContractoJ \' sh.ould not occup management p .'itions' 111ithinthe department.
I1Th.erethe ,'ituation is unavoidt; e. th.econtracto should be stricth' limited to the f.::.
financial '~formation which acce Jarticula 11Jith
competitor s information,
,..
"..
--
7ed nl 01'\-1 h.oul all1' ,btainec hecommen, 'lent
po;