The E-onco information system, purchased to ensure interaction between doctors and cancer patients, especially to monitor the health parameters of patients at home, hasn’t achieved its intended purpose. It hasn’t been put into operation and doesn’t contain comprehensive and accurate information on patients, the conducted and planned examinations, says a Compliance Audit Report on the management of public property and financial resources by the Cancer Institute in 2022-2023, IPN reports.
“With reference to 11 information systems managed by the Institute, worth 1.5 million lei, it is noted that they are not fully functional and the provision of complete data necessary for the work of the medical institution is not ensured therefore. Also, although the medical systems are not fully used in work, depreciation costs in the amount of 118,000 lei were included in records and affected the information used to approve charges for medical services,” said Irina Pîntea, unit head at the General Audit II Division of the Court of Auditors.
As for medical devices, the audit found that the medical institution registered medical devices whose entry value was 12 million lei. These are not used in the process of providing medical services on the grounds that the necessary reagents, components or spare parts are absent. “We report that some medical devices, although expensive, were used for only two-six months from the date of commissioning. These situations point to the necessity of a complex assessment of medical devices managed by the institution. At the same time, although they are not used in the operating activities, wear worth 3 million lei was calculated for some of the medical devices, with the wear being an element in determining the costs of medical services,” noted the unit head.
“The processes of managing resources and costs related to the provided services met with difficulties and, in particular cases, didn’t meet the compliance criteria, which had an impact on the costs of medical services. Thus, costs associated with incentive pays, amounting to 39 million lei, were calculated and paid for non-performance indicators. The evaluation and validation of performance indicators was to be substantiated with information, analyses confirming both the level of achievement of indicators and the achievement of individual performance objectives.”
According to the audit, the medical institution admitted irregular costs and costs related to the remuneration of work in the amount of 59,000 lei as 15 employees were put on the timesheet as being at work while they weren’t on the territory of the Republic of Moldova.
