{"id":1238527,"date":"2025-03-10T22:10:00","date_gmt":"2025-03-11T02:10:00","guid":{"rendered":"https:\/\/www.prime-wow.com\/?p=1238527"},"modified":"2025-03-10T22:10:00","modified_gmt":"2025-03-11T02:10:00","slug":"new-zealands-16-billion-public-health-system-runs-on-a-single-excel-sheet","status":"publish","type":"post","link":"https:\/\/www.prime-wow.com\/?p=1238527","title":{"rendered":"New Zealand’s $16 Billion Public Health System Runs on a Single Excel Sheet"},"content":{"rendered":"
The Register’s Simon Sharwood reports: The body that runs New Zealand’s public health system uses a single Excel spreadsheet as the primary source of data to consolidate and manage its finances, which aren’t in great shape perhaps due to the sheet’s shortcomings. The spreadsheet-using agency is Health New Zealand (HNZ) which was established in 2022 to replace 20 district health boards in the expectation it would be more cost-effective and deliver more consistent services. The org has a budget of $NZ28 billion ($16 billion) and advised lawmakers it would stay within it for FY 23.24.<\/p>\n

That prediction was incorrect and HNZ blew its budget, leading to a review of its finances that last week delivered a damming report [PDF] that found the org lost “control of the critical levers that drive financial outcomes” and had an “inability to identify and respond to the disconnect between expenditure and revenue.” The Deloitte-penned report also found an Excel spreadsheet was the “primary data file used by HNZ to manage its financial performance” and was used for “consolidation, journals, business-critical reporting, and analysis.”<\/p>\n

The report also noted five big problems with the sheet used at HNZ:
\n– Financial information was often ‘hard-coded,’ making it difficult to trace to the source or have updated data flow through.
\n– Errors such as incorrectly releasing accruals or double-up releases were not picked up until following periods.
\n– Changes to prior periods and FTE errors in district financial reporting Excel submissions, would not flow through to consolidated file.
\n– The spreadsheet can be easy to manipulate information as there is limited tracking to source information where information is not flowing directly from accounting systems.
\n– It is highly prone to human error, such as accidental typing of a number or omission of a zero.
\nRelying on the spreadsheet also meant Health NZ moved slowly: The report found “monthly financial reporting usually took 12-15 days to consolidate and five days to analyze.”<\/p>\n

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Read more of this story<\/a> at Slashdot.<\/p>\n