To: The Commissioner
From: Inspector General
Subject: Quick Response Evaluation: Office of Disability Adjudication and Review Management Information (A-07-09-29162)
The attached final report presents the results of our review. Our objective was to evaluate the Office of Disability Adjudication and Review's current management information and Information Technology Advisory Board proposals related to management information.
If you wish to discuss the final report, please call me or have your staff contact Steven L. Schaeffer, Assistant Inspector General for Audit, at (410) 965 9700.
Patrick P. O'Carroll, Jr.
QUICK
RESPONSE
EVALUATION
Office of Disability Adjudication and Review Management Information
A-07-09-29162
August 2009
Mission
By conducting independent and objective audits, evaluations and investigations, we inspire public confidence in the integrity and security of SSA's programs and operations and protect them against fraud, waste and abuse. We provide timely, useful and reliable information and advice to Administration officials, Congress and the public.
Authority
The Inspector General Act created independent audit and investigative units, called the Office of Inspector General (OIG). The mission of the OIG, as spelled out in the Act, is to:
Conduct and supervise independent and objective audits and investigations
relating to agency programs and operations.
Promote economy, effectiveness, and efficiency within the agency.
Prevent and detect fraud, waste, and abuse in agency programs and operations.
Review and make recommendations regarding existing and proposed legislation
and regulations relating to agency programs and operations.
Keep the agency head and the Congress fully and currently informed of problems
in agency programs and operations.
To ensure objectivity, the IG Act empowers the IG with:
Independence to determine what reviews to perform.
Access to all information necessary for the reviews.
Authority to publish findings and recommendations based on the reviews.
Vision
We strive for continual improvement in SSA's programs, operations and management by proactively seeking new ways to prevent and deter fraud, waste and abuse. We commit to integrity and excellence by supporting an environment that provides a valuable public service while encouraging employee development and retention and fostering diversity and innovation.
Background
OBJECTIVE
The objective of our review was to evaluate the Office of Disability Adjudication and Review's (ODAR) current management information (MI) and Information Technology Advisory Board (ITAB) proposals related to MI.
BACKGROUND
At the end of May 2009, over 750,000 hearings were pending in ODAR, and the average processing time was 494 days. As outlined in its Fiscal Year (FY) 2008 2013 Strategic Plan, the Social Security Administration (SSA) plans to reduce the number of pending hearings to a desired level of 466,000 and the average processing time to 270 days by FY 2013. According to SSA, a pending level of 466,000 hearings ensures a sufficient number of cases to maximize the efficiency of the hearings process.
The Acting Deputy Commissioner of SSA asked that we evaluate the impact of ODAR's current MI and ODAR's proposals on its ability to reduce the backlog to the desired pending level. To address his request, we
examined the workload ODAR would need to complete to process projected hearing
requests and reduce the backlog to the desired pending level by FY 2013;
identified MI currently available for officials to manage ODAR's workload, any
reported shortfalls in available MI, and any reported shortfalls in the use
of the MI to manage effectively; and
reviewed ODAR's proposals, along with their potential impact on (1) addressing
any shortfalls in ODAR's existing MI and (2) the likelihood SSA will meet its
goal of reducing the backlog to the desired pending level by FY 2013.
SSA's information technology (IT) planning is an on-going process that evaluates
existing and new IT initiatives to ensure SSA is fulfilling its strategic goals
and objectives. All IT projects start as IT proposals. The IT proposal is a
plan to invest SSA's IT resources and is the primary tool for describing the
scope of an IT project. ITAB uses available IT resources, its knowledge of SSA's
priorities and strategic goals, and its understanding of executive interest,
to provide guidance and approval for how SSA will invest IT resources. The Agency's
ITAB, chaired by the Chief Information Officer and comprised of the Deputy Commissioner
of SSA, all Deputy Commissioners for the business components, and other executive
staff, is the governing body for the Agency's IT investment decisions.
Results of Review
Regardless of whether the FY 2010 proposals are approved, it appears SSA will
achieve the desired pending hearings level by FY 2013 based on the currently
projected level of receipts. Specifically, if SSA follows its current administrative
law judge (ALJ) hiring plan and the current average ALJ productivity level remains
constant, ODAR's pending hearing level should fall below 466,000. However, the
timing of ALJ hiring will impact ODAR's ability to achieve this desired pending
level. Therefore, SSA should continue to work with the Office of Personnel Management
(OPM) to ensure ALJs are hired within the planned time frames.
According to interviews with ODAR regional management officials, sufficient MI is available to monitor hearing office and employee productivity. However, there are inefficiencies that need to be addressed. Staff in the ODAR regional offices we interviewed identified shortfalls in existing MI and suggested improvements to use MI more efficiently. To overcome some of these shortfalls, the regional offices create additional manual reports that allow them to better manage the hearings process. However, this is inefficient and time-consuming. As resources permit, ODAR should consider automating the manual reports that are most beneficial and most frequently used by its regional and hearing office management.
To assist ITAB in allocating resources to ODAR, we identified the benefits ODAR states the proposals would have on its current MI. One of the primary concerns expressed by ODAR was that current MI does not always allow executives to adequately plan for the future or to measure the results of certain business processes. For example, ODAR stated that it does not have sufficient MI to determine whether the backlog initiatives are achieving the intended results. Without such a process, SSA may be expending limited resources on initiatives that have no impact or a negative impact on the hearings process. According to ODAR, the proposed Quality Performance Management System (QPMS) Enhancements will provide the MI needed to determine whether the initiatives are achieving the intended results. ITAB should give careful consideration to the approval of the QPMS proposal. In the future, SSA should consider having an independent assessment of the MI ODAR collects, with a focus on identifying areas where weaknesses exist in providing information for strategic planning.
ODAR is requesting ITAB approval for a total of 236.10 work years in FY 2010 to maintain existing systems and for 21 proposals. Under ITAB's current plans, all resource recipients, including ODAR, may only receive approximately the same number of work years in FY 2010 as they received in FY 2009. If this holds true, ODAR will receive 159.75 work years. We did not review the ITAB proposals submitted by all resource recipients. Therefore, we cannot opine on whether ODAR's proposals are the best use of ITAB's resources. However, we are not sure that the decision to hold all resource recipients to the FY 2009 level will result in the best use of limited resources, since this approach assumes that the needs of the resource recipients remain the same in FY 2010. ITAB should carefully consider the empirical cost and benefit data supporting all proposals, including ODAR's proposals.
ODAR'S ABILITY TO ELIMINATE THE BACKLOG
Regardless of whether ODAR's FY 2010 proposals are approved, it appears SSA will achieve the desired pending hearings level by FY 2013, based on the currently projected level of receipts, due primarily to the hiring of additional ALJs. We examined the workload ODAR would need to complete to process projected hearing requests and reduce the number of pending hearings to the desired level of 466,000 by FY 2013. We found that if SSA follows its current ALJ hiring plan, and the current average ALJ productivity level of 2.29 dispositions per ALJ per day remains constant, ODAR's pending level should fall to about 460,000 by FY 2013. According to the current ALJ hiring plan, SSA is hiring 157 ALJs who will come on duty in June and July 2009. In addition, SSA plans to hire 208 ALJs in FY 2010. The timing of ALJ hiring will impact ODAR's ability to achieve its desired pending level by FY 2013. The Commissioner has expressed concerns to the OPM Director that the ALJ register has not been updated for SSA to hire the 208 ALJs in FY 2010. SSA should continue to work with OPM to ensure ALJs are hired within the planned time frames. See Appendix C for details on our examination of the workload ODAR would need to complete to process projected hearing requests and achieve its desired pending level.
AVAILABLE MANAGEMENT INFORMATION
We identified MI available for officials to manage ODAR's workload, reported shortfalls in the available MI, and reported shortfalls in the use of the MI to manage effectively. We found that ODAR has a considerable amount of MI available to monitor hearing office and employee productivity as well as hearing offices' progress toward meeting productivity and processing time goals. ODAR has two main sources for MI: the Case Processing and Management System (CPMS) and the Disability Adjudication Reporting Tools (DART) system. CPMS provides a comprehensive workload management package with two functions: (1) Workload Control, which provides pending actions and real-time workload information and (2) MI, which provides completed workload information, updated nightly. We identified 71 reports available from the MI side of CPMS. DART is an ad hoc reporting system providing users access to pending and completed case information extracted daily from CPMS. We identified 66 MI reports available in DART.
We interviewed management officials in four ODAR regional offices to identify concerns or shortfalls with available MI in CPMS and DART. According to these interviews, CPMS and DART provide sufficient MI for ODAR to monitor hearing office and employee productivity. However, the ODAR regional officials we interviewed identified 18 shortfalls in existing MI and improvements to use MI more efficiently.
For example, regional officials indicated the following.
Some reports could be modified to better suit their needs, such as providing
weekly rather than monthly reports, combining information from multiple reports,
or providing the reports in Excel for easier sorting and filtering.
Reports could be available in real time rather than as of the previous day to
provide up-to-date MI.
User specifications for reports, such as user-defined dates or data to include
in the reports, could be improved.
To improve existing MI and address some of the shortfalls reported by the regional offices, ODAR is requesting ITAB approval for 10 MI-related proposals. We reviewed ODAR's MI proposals, along with their potential impact on addressing the 18 shortfalls identified in ODAR's existing MI. According to ODAR, 4 of the 18 shortfalls will be addressed with the approval of 3 of its MI proposals (see Appendix D, shortfalls 1 through 4). Specifically, ODAR stated the following with regard to each of these three proposals.
CPMS MI for FY 2010 will provide reports that focus on meeting weekly performance
goals versus monthly goals, which will allow for better management of ODAR's
workload.
QPMS Enhancements will provide the MI necessary to determine whether each of
ODAR's backlog initiatives is achieving the intended results as well as determine
whether all the initiatives are working collectively to significantly reduce
the overall disability hearings backlog.
CPMS Enhancements FY 2010 will integrate CPMS with other SSA systems and is
critical to deriving the MI improvements in the QPMS proposal.
For the remaining 14 shortfalls, ODAR stated
4 shortfalls warrant consideration for future MI proposals (see Appendix D,
shortfalls 5 through 8),
6 shortfalls will not be considered at this time because of resource limitations
(see Appendix D, shortfalls 9 through 14), and
4 shortfalls related to DART reports and may be addressed using existing resources
since DART enhancements are not part of the ITAB process as are CPMS enhancements
(see Appendix D, shortfalls 15 through 18).
According to our interviews with staff in the ODAR regional offices, several of these shortfalls create inefficiencies in the oversight of the hearings process. To overcome some of these inefficiencies, all four of the regional offices create additional MI reports that allow them to better manage the hearings process. For example, using information from CPMS and DART, the regional offices manually create additional reports in a format that is more useful to regional office management. One such manually created report allows regional office management to compare workloads among the hearing offices in their region and track progress toward meeting hearing office targets. In one regional office, two staff members spend 2 weeks each month manually creating reports officials need to effectively manage the hearings process in the region.
It is inefficient for the regional offices to create manual reports. In fact, significant time may be saved each month if the manual reports were automated in CPMS and DART. As resources permit, ODAR should consider automating the manual reports that are most beneficial and most frequently used by its regional and hearing office management.
PROPOSALS RELATED TO MI
ODAR is requesting ITAB's approval for 21 proposals, of which 10 proposals
are related to MI. We asked ODAR to explain how each of the 10 MI proposals
will assist in eliminating the backlog. Overall, ODAR expects the proposals
will assist its efforts to eliminate the hearings backlog and prevent its recurrence
by providing MI needed to (1) better manage the hearing workload thereby increasing
productivity, (2) allow ODAR to measure the effectiveness of the initiatives
in reducing the backlog, and
(3) allow decisions earlier in the process thereby removing cases from the backlog.
To assist SSA in its ITAB process, we have identified the benefits ODAR states the proposals would have on ODAR's current MI (see Appendix E). For example, ODAR states the proposal "CPMS MI for FY 2010" is expected to improve existing MI by providing reports that focus on meeting weekly performance goals instead of monthly goals thereby enabling ODAR to better manage its workload. Given the historical problems with ODAR's backlog of claims and lengthy processing times, better management of its workload is warranted and may help prevent recurrence of the backlog. Another proposal, "Health Information Technology (HIT) for ODAR," is part of ODAR's plan for preparing to incorporate electronic medical evidence into its business process. It is important for ODAR to prepare for HIT as it appears to be the avenue for SSA to receive medical evidence in the future.
One of the primary concerns expressed by ODAR was that MI is not sufficient for ODAR executives to perform strategic planning. Specifically, ODAR stated that current MI does not always allow executives to adequately plan for the future or measure the results of certain business processes. Strategic planning serves a variety of purposes in an organization, such as assisting management in
establishing goals and objectives consistent with the mission in a defined
time frame and within the organization's capacity for implementation;
ensuring the most effective use is made of the organization's resources by focusing
them on key priorities;
providing a base from which progress can be measured and establishing a mechanism
for informed change when needed;
providing a clearer focus of an organization, producing more efficiency and
effectiveness and increased productivity; and
solving major problems.
As an example of what ODAR considers to be insufficient MI, ODAR states that
existing MI provides limited information needed to determine whether the backlog
initiatives are achieving the intended results as well as determining whether
the initiatives are working together to reduce the backlog. Given the resources
being expended on the backlog initiatives, SSA should have a process to determine
whether the initiatives are achieving the intended results. Without such a process,
SSA may be expending limited resources on initiatives that have no, or even
a negative, impact on the hearings process. If the backlog initiatives are having
a negative impact, they could minimize some of the benefits of hiring additional
ALJs and hinder ODAR's ability to eliminate the hearing backlog by FY 2013.
According to ODAR, the ITAB proposal QPMS Enhancements will provide the MI needed
to determine whether the initiatives are achieving the intended results. Therefore,
SSA, through its ITAB process, should give careful consideration to approving
the QPMS proposal if it is proven to provide the MI needed to assess the effectiveness
of the backlog initiatives.
We did not analyze all MI collected by ODAR. Therefore, we cannot opine on its
completeness or effectiveness. However, executives should have the MI needed
to strategically plan the future of ODAR and solve or prevent major problems,
such as preventing the recurrence of the hearings backlog. SSA should consider
having an independent assessment of the MI ODAR collects with a focus on identifying
areas where weaknesses exist in providing MI to executives for strategic planning.
ITAB RESOURCES AVAILABLE
As previously stated, it appears that SSA will achieve the desired hearings pending level by FY 2013 based on the currently projected level of receipts, if it follows its current ALJ hiring plan and the current average ALJ productivity level remains constant. Therefore, we do not see the proposals as critical to SSA's achieving its desired pending level. However, that does not mean the proposals are not important to prevent recurrence of the backlog, improve current MI, or improve ODAR's business processes.
ODAR is requesting ITAB's approval for a total of 236.10 work years in FY 2010, which represents 7 percent of the 3,596 work years available for all SSA FY 2010 ITAB proposals (see Appendix F). The 236.10 work years consists of
14.37 work years to maintain existing systems,
128.63 work years for 10 proposals related to MI, and
93.10 work years for 11 proposals not related to MI.
According to ITAB's current plans, for FY 2010, resource recipients may only receive approximately the same number of work years they received in FY 2009. If this holds true, ODAR will receive 159.75 work years. Accordingly, ODAR will not receive 76.35 of the work years it has requested.
There are various approaches to expend the limited ITAB resources available to ODAR. If resources are expended based on ODAR's ranking of the 21 proposals and approval of the QPMS proposal, the 159.75 work years would allow ODAR to
maintain existing systems (14.37 work years),
proceed with the top 10 ranked proposals (135.66 work years), and
proceed with QPMS Enhancements (6.60 work years).
Using this approach, ODAR could use 94.10 work years to proceed with 6 of its 10 proposals related to MI and 48.16 work years to proceed with 5 of the 11 proposals not related to MI as shown in the following table.
Proposals Related to MI FY 2010 Work Years Requested
CPMS MI for FY 2010 18.48
HIT for ODAR 19.58
ODAR Replacement Automated Call Order 15.68
CPMS Enhancements FY 2010 24.45
Auto Scheduling 2010 9.31
QPMS Enhancements Release 4 6.60
Total 94.10Proposals Not Related to MI
Desktop Video Units/Representative Video 3.50
ODAR Appeals Review Processing System for 2010 Release 5 16.78
Enhancements for Findings Integrated Template/Document Generation System FY
2010 10.30
Electronic Certified Administrative Record Release 4 6.76
Auto Scheduling Release 1 10.82
Total 48.16
We did not review the ITAB proposals submitted by all resource recipients. Therefore, we cannot opine on whether ODAR's proposals are the best use of ITAB's resources. However, we are not sure that the ITAB decision to hold all resource recipients to the same work year levels as FY 2009 will result in the best use of limited resources, since this approach assumes that the needs of the resource recipients remain the same in FY 2010. We believe ITAB should carefully consider the empirical cost and benefit data supporting all proposals, including ODAR's proposals.
Matters for Consideration
To ensure SSA achieves the desired pending hearings level by FY 2013, SSA should
continue to work with OPM to ensure ALJs are hired within the planned time frames.
To address inefficiencies in existing MI, ODAR should consider automating the
manual reports that are most beneficial and most frequently used by its regional
and hearing office management.
To ensure ODAR executives have sufficient MI to adequately plan for the future and measure the results of certain business processes, such as the backlog initiatives, ITAB should give careful consideration to the approval of the QPMS proposal if it is proven to provide the MI needed to assess the effectiveness of the backlog initiatives. In the future, SSA should consider having an independent assessment of the MI ODAR collects, with a focus on identifying areas where weaknesses exist in providing information for strategic planning.
We did not review the ITAB proposals submitted by all resource recipients. Therefore, we cannot opine on whether ODAR's proposals are the best use of ITAB's resources. ITAB should carefully consider the empirical cost and benefit data supporting all proposals, including ODAR's proposals.
Appendices
APPENDIX A - Acronyms
APPENDIX B - Scope and Methodology
APPENDIX C - Ability to Eliminate Backlog by Fiscal Year 2013
APPENDIX D - Shortfalls in Management Information Reported by Regional Officials
APPENDIX E - Fiscal Year 2010 Management Information Technology Initiatives
APPENDIX F - Work Years Requested for Technology Proposals
APPENDIX G - OIG Contacts and Staff Acknowledgments
Appendix A
Acronyms
ACTII Audio Cassette Transcription Invoice and Inquiry
AFS Attorney Fee System
ALJ Administrative Law Judge
ARPS Appeals Review Processing System
ARRA American Recovery and Reinvestment Act of 2009
CPMS Case Processing and Management System
DARES Disability Adjudication Reporting and Evaluation System
DART Disability Adjudication Reporting Tools
DCO Deputy Commissioner for Operations
DGS Document Generation System
DVU Desktop Video Unit
eCAR Electronic Certified Administrative Record
eCAT Electronic Claims Analysis Tool
FIT Findings Integrated Template
FY Fiscal Year
HIT Health Information Technology
IT Information Technology
ITAB Information Technology Advisory Board
MI Management Information
MTAS Mainframe Time and Attendance System
NDMIS National Docketing and Management Information System
ODAR Office of Disability Adjudication and Review
OIG Office of the Inspector General
OPM Office of Personnel Management
QPMS Quality Performance Management System
SLA Service Level Agreement
SSA Social Security Administration
VHR Verbatim Hearing Recording
Appendix B
Scope and Methodology
To achieve the objective of our review, we:
Reviewed applicable laws and regulations and pertinent parts of the Hearings, Appeals, and Litigation Law Manual related to the Office of Disability Adjudication and Review's (ODAR) management information (MI).
Reviewed manuals, guides, and other documentation related to the Case Processing and Management System (CPMS) and the Disability Adjudication Reporting Tools system.
Reviewed CPMS MI reports to obtain ODAR's Fiscal Year (FY) 2009 workload statistics.
Obtained details on ODAR's FY 2010 Information Technology Advisory Board technology proposals.
Interviewed the Deputy Commissioner for ODAR and officials in ODAR's Office of Management; Office of the Chief Administrative Law Judge; and regional offices in Boston, Atlanta, Chicago, and Kansas City.
The entity reviewed was ODAR. Our work was conducted at the Office of Audit and ODAR's regional office in Kansas City, Missouri; ODAR's Headquarters in Falls Church, Virginia; and ODAR's regional offices in Boston, Massachusetts; Atlanta, Georgia; and Chicago, Illinois. We conducted our work from May through July 2009. We conducted our review in accordance with the President's Council on Integrity and Efficiency's Quality Standards for Inspections.
Appendix C
Ability to Eliminate Backlog by Fiscal Year 2013
We analyzed the Office of Disability Adjudication and Review's (ODAR) ability
to eliminate the backlog by Fiscal Year (FY) 2013 based on the Social Security
Administration's (SSA) plan to hire 157 administrative law judges (ALJ) in June
and July 2009 and 208 ALJs in FY 2010. With these new ALJs, and if productivity
levels and currently projected level of receipts remain constant, we estimate
ODAR will reach a pending level below 466,000 cases by FY 2013, thus meeting
SSA's desired level.
FY 2009-2013 Workload with Planned ALJ Hires
Fiscal Year 2009 2010 2011 2012 2013
Projected Receipts 641,000 698,000 736,000 699,000 670,000
ALJs Available 1,066.32 1,198.00 1,315.99 1,327.05 1,327.05
ALJ Dispositions 610,470 685,855 753,402 759,738 759,738
Attorney Dispositions 35,348 35,348 35,348 35,348 35,348
Total Dispositions 645,818 721,203 788,750 795,086 795,086
Beginning Pending 760,813 755,995 732,792 680,042 583,956
Closing Pending 755,995 732,792 680,042 583,953 458,870
Appendix D
Shortfalls in Management Information Reported by Regional Officials
We interviewed management officials in 4 of the Office of Disability Adjudication
and Review's (ODAR) 10 regions to identify concerns with available management
information (MI). Specifically, the regional officials identified shortfalls
in the MI available in the Case Processing and Management System (CPMS) and
Disability Adjudication Reporting Tools (DART) system. According to ODAR, four
of the shortfalls identified may be addressed by a Fiscal Year (FY) 2010 ODAR
Information Technology Advisory Board (ITAB) proposal.
Shortfalls in MI and Related MI Proposal
Shortfall Proposal That Will Address Shortfall ODAR's Response to Shortfall
1 CPMS reports could be enhanced to include time and attendance information
so management can easily compare an employee's workload with the amount of time
actually worked. CPMS Enhancements FY 2010 (Appendix E, Item 4) The proposal
will create an application (or incorporate the Mainframe Time and Attendance
System [MTAS] Hours application) to pull work hour data from MTAS/WebTA and
provide a standardized automated method for input of hearing office Monthly
Activity Hours and Counts Collection information with data integrity consistent
throughout ODAR using data directly from ODAR's timekeeping system(s). Given
the complexity of this request and the large number of work years that would
be needed, ODAR is conducting planning and analysis for FY 2010 to determine
viable options.
2 There is currently no MI available with weekly workloads. CPMS MI for FY 2010
(Appendix E, Item 1) ODAR has some existing weekly reports, and this initiative
is simply expanding the number of those reports.
3 CPMS and DART reports do not include target information, such as what the
targets are and where the region is in meeting those targets. " CPMS MI
for FY 2010 (Appendix E, Item 1)
Quality Performance Management System Enhancements Release 4 (Appendix E, Item
7)
CPMS Enhancements FY 2010 (Appendix E, Item 4) This is being developed through
the application Disability Adjudication Reporting and Evaluation System (DARES).
ODAR has implemented the Web-based Backlog Reduction Initiatives Dashboard (a
graphical experience) or Bridge that will be linked to DARES to provide high-level
MI. The Office of Systems, in partnership with ODAR and the Office of Quality
Performance, is developing DARES.
4 Some CPMS and DART reports are very slow to run, especially toward the end
of the month. CPMS MI for FY 2010 (Appendix E, Item 1) Performance issues have
been caused in large part by workload imbalances during the last week of the
month. ODAR thinks this will be improved once the MI reports are available weekly.
There is an existing project to look at systems performance issues, not part
of the ITAB process using robotics.
5 Regions would like to see any data that may affect a case propagated into
CPMS, such as earnings data, death information, time spent out of the country,
incarceration data. Not Applicable This is going to occur with some queries,
where the queries will automatically be uploaded to the electronic folder and
is in FY 2009 ITAB submissions. Some of the other items have not been requested
and appear to be good ideas to explore in the future.
6 Regions would like the manual logs used to track flexiplace cases automated.
Not Applicable Given that ODAR has four unions, all with separate flexiplace
agreements, changes cannot be made until or unless contracts are renegotiated.
7 In some situations, hearing offices do not receive a request for hearing until
the case has already become aged, eliminating the region's ability to process
the case in its processing time goal. Regions would like a way to identify these
cases so they do not reflect negatively on the hearing office or region. Not
Applicable ODAR has met with the Deputy Commissioner for Operations (DCO), and
DCO is pursuing some systems fixes to ensure that requests for hearing do not
languish in a field office, and they are pursuing some systems changes to prevent
cases from not being inadvertently held.
8 Status codes for workup contract pulling and temporary transfers out for decision
typing could be eliminated to reduce the chance for inaccurate data inputs.
Not Applicable The status code for workup contract pulling is still being used,
and ODAR can explore eliminating the status code for temporary transfers out
for decision typing, which is rarely used because decisions are rarely dictated.
9 Regions would like the flexiplace status codes in CPMS enhanced to enable
them to track the time a case is worked at the flexiplace location and the time
the case is worked in the hearing office. According to the region, the time
is currently combined on MI reports. Not Applicable There was a separate proposal
for FY 2010 to address flexiplace management. However, it was removed from the
FY 2010 proposals because of resource limitations.
10 For reports provided to regions by the Office of the Chief Administrative
Law Judge, the regions would like to be able to drill down to the hearing office
level to obtain specific information on targets, etc. for each office. Not Applicable
This is something that has been explored in the past but is extremely labor
intensive and would expend a large amount of resources and that is why it has
not been provided.
11 CPMS and DART reports could be enhanced to allow users to establish "preferences"
or "favorites" with only the parameters or fields that the user specifies.
Once established, the user selects their "preference" or "favorite"
to obtain a report with the desired information. This functionality may also
decrease the time it takes for the report to load since fewer fields will be
pulled in. Not Applicable ODAR has not included this formally in any proposals
and has raised the issue, however, with the Office of Systems on several occasions
but have been informally told that this would be very labor intensive and expend
a large number of systems work years. However, as a result of DART updates,
users can mark reports/listings as favorites.
12 Regional office management would like CPMS and DART summary reports that
include the summary information for each hearing office within the region. Currently,
management must access a report for each hearing office to make comparisons
among the hearing offices within the regions. Not Applicable ODAR has this existing
functionality in many of the CPMS MI reports (e.g. Workload Summary by Status,
Monthly Activity Report, etc.).
13 Management would like to see the summary information available in real-time
rather than viewing day-old data. Not Applicable ODAR has formally included
this item in several ITAB submissions, but the primary issue is a significant
risk of decreased systems performance. Although it would be beneficial to have
this, the return on investment appears to be limited and it would take a significant
amount of resources to make this happen.
14 Management would like to have one place to access MI, rather than going to
CPMS for some reports and DART for other reports. Not Applicable DART gives
users the ability to create some MI reports that would not otherwise be available
and allows ODAR to develop applications without relying on Office of Systems'
resources.
15 Some DART reports are only available in Adobe or HTML format, making it difficult
for the Region to import data into Excel to perform further analysis on the
data. Not Applicable ODAR did not address shortfalls relating to any of the
DART reports because those reports are created by ODAR and are not part of the
ITAB process. As a result of DART updates, users can see all representatives'
schedules (see shortfall 18).
16 Some DART reports that allow users to enter specific dates for the report
should also have the option to select from ODAR's reporting months. Since ODAR's
reporting months are not identical to the calendar months, users wanting monthly
data may pull in excess or incomplete data by entering an incorrect starting
or ending date for a month.
17 Other DART reports do not allow the user to enter a specific date. Instead,
the report is only available as of the current date.
18 DART reports showing representatives' schedules only display hearings scheduled
for the user's region and do not allow the user to view the representatives'
hearings scheduled in other regions.
Appendix E
Fiscal Year 2010 Management Information Technology Initiatives
The Office of Disability Adjudication and Review (ODAR) is requesting resources
to be allocated to 21 Fiscal Year (FY) 2010 Information Technology Advisory
Board (ITAB) proposals. Of the 21 proposals, 10 are directly related to improving
ODAR's management information (MI) as shown in Table 1. For these proposals,
ODAR provided information on how each proposal will improve MI and assist in
eliminating the backlog. According to ODAR, the other 11 proposals are related
to improving existing ODAR systems or processes (see Table 2).
Table 1
FY 2010 Technology Proposals Related to MI
Proposal Title Description How will the proposal improve MI? How will the proposal
assist in eliminating the backlog?
1 Case Processing and Management System (CPMS) MI for FY 2010 (to be considered
in conjunction with CPMS Enhancements FY 2010, Item 4 in this table) This proposal
will improve existing CPMS MI by providing reports that focus on meeting weekly
performance goals and support for creating customized MI reports. Enhancements
will include providing new quality review reports and improving the accuracy
of existing reports. This template contains numerous elements that are critical
to developing comprehensive MI for ODAR. There are many changes here, but the
primary item is changing the MI reports from monthly to weekly, which will focus
attention on meeting weekly goals and help eliminate some of the systems problems
often experienced at the end of the month. Other items will enable ODAR to better
manage its workload. Moving to weekly workload reporting is a Commissioner backlog
elimination initiative. Better management of the workload should lead to higher
productivity, although it would be difficult to attempt to quantify the cumulative
impact of all these items.
2 Health Information Technology (HIT) for ODAR This proposal will address changes
required to incorporate electronic health records into ODAR's business process.
The changes will use electronic information to facilitate case screening and
developing a quick disability decision analysis tool. There is limited MI on
what types of impairments are generally allowed at the hearing level, and this
initiative has the potential to offer much more MI than ODAR currently has to
evaluate trends and identify cases that are most likely to be allowances. It
will also provide data on project-specific items, such as how many cases include
HIT medical evidence of record, how it affected processing time, and whether
it provides an effective screening tool. If this can better identify cases with
a high probability of reversal, it could have a significant impact on the backlog
by enabling ODAR to make on-the-record decisions without the need for a hearing.
3 ODAR Replacement Automated Call Order Call orders are required for medical
experts, vocational experts, and verbatim hearing recording (VHR) contractors.
The proposal would replace ODAR's existing automated call order system that
is no longer supported by the developers. The new system will provide management
reports related to the cost of ODAR's use of medical experts, vocational experts,
and VHR contractors. This is a critical item. It will provide additional MI
on the use of experts and other contractors, as well as staff availability and
funding. Productivity gains would result in the scheduling process as call orders
are used on virtually every case. Replacement is necessary given that ODAR's
existing system is nearing the end of its life-cycle.
4 CPMS Enhancements FY 2010 (to be considered in conjunction with CPMS MI for
FY 2010, Item 1 in this table) This proposal is to integrate CPMS with other
Social Security Administration (SSA) systems to reduce the need for manual key
entry and to assist in ODAR's implementation of a standardized business process.
Additional enhancements will include multiple time saving improvements, such
as avoiding duplicate work efforts by identifying cases that have been screened
for on-the-record decisions. Some of these items could enable ODAR to manage
the workload better. Historically, CPMS templates deal with the front-end of
CPMS and the CPMS MI deals with the back end, meaning that it uses the data
entered on the front-end. These front-end enhancements are critical in deriving
the MI identified in the proposal CPMS MI for FY 2010 (see Item 1 in this table).
It also contains the items necessary to develop in-line quality assurance. The
total impact of all the various items could be significant and result in greater
productivity and subsequently enable ODAR to more effectively deal with the
backlog.
5 Auto Scheduling 2010 ODAR plans to develop a system to electronically schedule
hearings with business partners such as claimant representatives and medical
experts. Auto scheduling will not improve ODAR's existing MI. Any MI generated
will be to measure the impact of the initiative on such areas as the number
of hearings scheduled, the postponement rate, and the reasons for postponements.
These are critical data elements when projecting future performance. The scheduling
of hearings is almost entirely manual, and this software has the potential to
significantly improve the ability to schedule more hearings and hold more hearings
by using an automated calendar function to schedule hearing sites, expert witnesses,
contract hearing reporters, and judges. It is a very critical piece of reducing
the hearings backlog. This is high on the priority list to eliminate a labor-intensive
manual process.
6 Electronic Claims Analysis Tool (eCAT) Release 6.0 E-cat is a Web-based application
designed to assist the adjudicator and aid in documenting, analyzing, and adjudicating
the disability claim in accordance with SSA regulations. The proposal would
increase the functionality and usability of eCAT. ODAR expects to introduce
eCAT functionality in a limited number of hearing offices to allow ODAR to become
familiar with this functionality. It should provide high level MI on decisional
accuracy and task times, including decision writing. Limited impact on eliminating
the backlog since ODAR expects to introduce eCAT functionality in a limited
number of hearing offices.
7 Quality Performance Management System (QPMS) Enhancements Release 4 This proposal
addresses various QPMS Enhancements needed to automate the measurement of ODAR's
productivity compared to established performance measures. Enhancements will
provide MI needed to assess whether each of ODAR's backlog initiatives is achieving
the intended results as well as determine whether all the initiatives are working
collectively to significantly reduce the overall national disability hearings
backlog. This is a critical item that will allow ODAR to track the impact of
all the backlog initiatives. Additional functionality is necessary and critical.
This template not only allows ODAR to track current progress, provides critical
data needed to assess the ability to meet future goals. It is critical to measure
the effectiveness of the backlog initiatives in reducing the backlog of cases.
8 Audio Cassette Transcription Invoice and Inquiry (ACTII) and Attorney Fee
System (AFS) Conversion ODAR uses ACTII to track the status and location of
audio cassettes containing the transcripts of hearings. ODAR uses AFS to track
both fee petitions and fee agreements in cases at the hearing level or higher.
The proposal would upgrade the ACTII and AFS systems to ensure they continue
to work with SSA's changing computer network. This is an Office of Appellate
Operations item to eliminate two stand-alone database applications. Given ODAR's
impending upgrade of the operating system and the fact these applications may
not work in the new environment, this is a critical item, even though it does
not specifically relate to reducing the backlog. This item has initiative-specific
MI as opposed to enterprise-wide MI. Given ODAR's impending upgrade of the operating
system and the fact these applications may not work in the new environment,
this is a critical item, even though it does not specifically relate to reducing
the backlog.
9 Conversion of the Findings Integrated Templates (FIT) and Document Generation
System (DGS) Into a Web-Based Application FIT is a Commissioner's initiative
that includes more than 1,700 decision templates designed to improve the quality
and consistency of administrative law judge decisions. DGS processes text information
to generate standard notices to claimants and other parties. The proposal includes
development of a Web-based tool that allows claimant representatives to submit
proposed hearing decisions and supports hearing office employees' ability to
work at alternate duty stations. The system will be integrated with CPMS and
include MI related to notices or decisional outcomes. Impact on MI would be
limited given that this is strictly a planning and analysis template, meaning
that ODAR will not receive any additional functionality at this point, but once
a new system is developed, there are many uses for MI that do not currently
exist. The future development effort is expected to greatly enhance ODAR's MI
since the new format will allow ODAR to mine data on overall aspects of the
hearing decisions. Impact on eliminating the backlog would be limited given
that this is strictly a planning and analysis template.
10 CPMS MI Release 10 This proposal will enhance existing CPMS MI reports to
include case pending and disposition information, additional information to
track the use of state and local video hearing networks to conduct SSA video
hearings, and comprehensive MI related to remands. This is a carryover template
and these items have the potential to improve CPMS by offering things that ODAR
has requested for several years. Many of these gaps, however, have been filled,
at least in part by Disability Adjudication Reporting Tools (DART) reports so
the overall impact would be limited and the priority is low, relative to some
of the other items. There would be some productivity gains as much time is spent
by managers going between workload listings, CPMS MI, and DART. Better MI improves
the productivity of ODAR's managers and provides greater accountability.
Table 2
FY 2010 Technology Proposals Not Related to MI
Proposal Title Description
1 Desktop Video Units (DVU)/Representative Video Implement DVUs to be used in
administrative law judges' offices, field offices, and external sites to reduce
the need for new hearing rooms, reduce travel costs, and provide claimants more
access to hearing proceedings.
2 ODAR Appeals Review Processing System (ARPS) for 2010 Release 5 Enhancements
and upgrades to ARPS that will allow the Appeals Council to more efficiently
process electronic claims at both the Appeals Council and Federal Court levels.
3 Enhancements for FIT/DGS FY 2010 Increase the functionality available in FITS
and DGS to provide additional automation, improve decision and notice quality,
and increase productivity.
4 Electronic Certified Administrative Record (eCAR) Release 4 The U.S. District
Court requires that a certified copy of the administrative record be filed with
the Federal court when SSA files its answers to a complaint challenging the
denial of benefits. The eCAR will allow SSA to accomplish this within the electronic
folder. The Office of Appellate Operations within ODAR is responsible for preparing
the certified administrative record. The proposal would enhance eCAR functionality,
address court redaction requirements, and allow fully electronic filing of records
to the courts.
5 Auto Scheduling Release 1 Allow hearing offices to schedule hearings electronically
with business partners, including claimant representatives and experts.
6 Service Level Agreement (SLA) for ODAR Identifies and implements ODAR SLAs
for Electronic Disability to track goals such as system availability, response
time, and problem management customer service.
7 Transferring National Docketing and MI System (NDMIS) to OS NDMIS consists
of identification information about a variety of administrative and civil litigation
and communications that may result, or has resulted, in litigation brought against,
or by, SSA. The proposal facilitates Office of General Counsel transfer of NDMIS
to the Office of Systems to develop interfaces with other Agency applications
and be consistent with seamless processing.
8 Automated Noticing Develop a process to automatically create and centralize
mail notices and other correspondence using CPMS.
9 Compact Disc Burning Network Performance Increase bandwidth to reduce ODAR
offices' network slowdowns, improve operations, and allow users more time to
complete other tasks.
10 ePulling 2010 Plan and implement national rollout of ePulling software ensuring
performance is maintained at a level that meets the users' needs.
11 ODAR Case Preparation The ePulling initiative involves customized software
that can classify documents, pull out page-level data, identify potential duplicates,
and sequentially number pages in a document. The proposal involves continuing
the integration and piloting of the ePulling software ensuring performance is
maintained at levels that meet users' needs.
Appendix F
Work Years Requested for Technology Proposals
The Office of Disability Adjudication and Review (ODAR) is requesting the Social Security Administration (SSA) Information Technology Advisory Board's (ITAB) approval for a total of 236.10 work years in Fiscal Year (FY) 2010, which represents 7 percent of the 3,596 work years available for all SSA FY 2010 proposals. The 236.10 work years consists of
14.37 work years to maintain existing systems,
128.63 work years for 10 proposals related to MI, and
93.10 work years for 11 proposals not related to MI.
According to ITAB's current plan, in FY 2010, resource recipients may only receive approximately the same number of work years they received in FY 2009. If this holds true, ODAR will receive 159.75 work years. Accordingly, ODAR will not receive 76.35 of the work years it has requested.
There are various approaches to expend the limited ITAB resources available to ODAR. If resources are expended based on ODAR's ranking of the 21 proposals and approval of the QPMS proposal, the 159.75 work years would allow ODAR to
maintain existing systems (14.37 work years),
proceed with the top 10 ranked proposals (135.66 work years), and
proceed with QPMS Enhancements (6.60 work years).
Using this approach ODAR could use
94.10 work years to proceed with 6 of its 10 proposals related to management information (MI) (see table on the following page, yellow highlighted proposals) and
48.16 work years to proceed with 5 of the 11 proposals not related to MI (see
table on the following page, green highlighted proposals).
Work Years Requested for ODAR ITAB Proposals
ODAR's ITAB Ranking Proposal Title Work Years Requested
FY 2010 FY 2011 Total
1 Case Processing and Management System (CPMS) Management Information for FY
2010 (to be considered in conjunction with CPMS Enhancements FY 2010, Item 5
in this table) 18.48 6.90 25.38
2 Health Information Technology for ODAR 19.58 0.00 19.58
3 ODAR Replacement Automated Call Order 15.68 0.00 15.68
4 CPMS Enhancements FY 2010 (to be considered in conjunction with CPMS MI for
FY 2010, Item 1 in this table) 24.45 40.7 65.15
5 Desktop Video Units/Representative Video 3.50 3.25 6.75
6 ODAR Appeals Review Processing System for 2010 Release 5 16.78 9.28 26.06
7 Enhancements for the Findings Integrated Templates (FIT) and Document Generation
System (DGS) FY 2010 10.30 3.40 13.70
8 Electronic Certified Administrative Record Release 4 6.76 0.00 6.76
9 Auto Scheduling Release 1 10.82 0.00 10.82
10 Auto Scheduling 2010 9.31 0.00 9.31
11 Electronic Claims Analysis Tool Release 6.0 12.48 0.00 12.48
12 QPMS Enhancements Release 4 6.60 0.07 6.67
13 Audio Cassette Transcription Invoice and Inquiry and Attorney Fee System
Conversion 13.90 0.00 13.90
14 Service Level Agreement for ODAR 6.16 5.00 11.16
15 Transferring National Docketing and MI System to the Office of Systems 6.48
0.00 6.48
16 Automated Noticing 9.85 4.10 13.95
17 Conversion of FIT/DGS into a Web-Based Application 7.95 0.00 7.95
18 Compact Disc Burning Network Performance 5.20 0.00 5.20
19 ePulling 2010 17.00 0.00 17.00
20 ODAR Case Preparation 0.25 0.00 0.25
21 CPMS MI Release 10 0.20 0.00 0.20
Total 221.73
72.70
294.43
Under the illustrated approach:
ODAR could proceed with yellow highlighted proposals related to MI
ODAR could proceed with green highlighted proposals not related to MI
ODAR could not proceed with purple highlighted proposals related to MI
ODAR could not proceed with blue highlighted proposals not related to MI
Appendix G
OIG Contacts and Staff Acknowledgments
OIG Contacts
Mark Bailey, Director, Kansas City Audit Division
Shannon Agee, Audit Manager
Acknowledgments
In addition to those named above:
Ken Bennett, IT Specialist
Tonya Eickman, Senior Auditor
Overview of the Office of the Inspector General
The Office of the Inspector General (OIG) is comprised of an Office of Audit
(OA), Office of Investigations (OI), Office of the Counsel to the Inspector
General (OCIG), Office of External Relations (OER), and Office of Technology
and Resource Management (OTRM). To ensure compliance with policies and procedures,
internal controls, and professional standards, the OIG also has a comprehensive
Professional Responsibility and Quality Assurance program.
Office of Audit
OA conducts financial and performance audits of the Social Security Administration's
(SSA) programs and operations and makes recommendations to ensure program objectives
are achieved effectively and efficiently. Financial audits assess whether SSA's
financial statements fairly present SSA's financial position, results of operations,
and cash flow. Performance audits review the economy, efficiency, and effectiveness
of SSA's programs and operations. OA also conducts short-term management reviews
and program evaluations on issues of concern to SSA, Congress, and the general
public.
Office of Investigations
OI conducts investigations related to fraud, waste, abuse, and mismanagement
in SSA programs and operations. This includes wrongdoing by applicants, beneficiaries,
contractors, third parties, or SSA employees performing their official duties.
This office serves as liaison to the Department of Justice on all matters relating
to the investigation of SSA programs and personnel. OI also conducts joint investigations
with other Federal, State, and local law enforcement agencies.
Office of the Counsel to the Inspector General
OCIG provides independent legal advice and counsel to the IG on various matters,
including statutes, regulations, legislation, and policy directives. OCIG also
advises the IG on investigative procedures and techniques, as well as on legal
implications and conclusions to be drawn from audit and investigative material.
Also, OCIG administers the Civil Monetary Penalty program.
Office of External Relations
OER manages OIG's external and public affairs programs, and serves as the principal
advisor on news releases and in providing information to the various news reporting
services. OER develops OIG's media and public information policies, directs
OIG's external and public affairs programs, and serves as the primary contact
for those seeking information about OIG. OER prepares OIG publications, speeches,
and presentations to internal and external organizations, and responds to Congressional
correspondence.
Office of Technology and Resource Management
OTRM supports OIG by providing information management and systems security.
OTRM also coordinates OIG's budget, procurement, telecommunications, facilities,
and human resources. In addition, OTRM is the focal point for OIG's strategic
planning function, and the development and monitoring of performance measures.
In addition, OTRM receives and assigns for action allegations of criminal and
administrative violations of Social Security laws, identifies fugitives receiving
benefit payments from SSA, and provides technological assistance to investigations.