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Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
Estonia’s population is aging and the share of elderly people is increasing, as fewer children are being born and people are living longer. This creates a constantly growing need for health ... make the health system more efficient, improves people’s health via more effective prevention, raises the awareness of patients and also contributes to the more reasonable use of health resources ... and social services and patients are also becoming more and more demanding about the volume and quality of the services provided. The more extensive and systematic implementation of e-health solutions helps ... ... Why state, doctors and patients do not benefit from e-Health as much as they could? ... The report reviews whether the objectives set to the e-Health – ambitious multiyear program of Estonian Government - have been achieved. They are: higher quality of the health service and more ... efficient organisation of health care. As SAI Estonia found out, wide range problems started from two basic points: lack of strategic manager and unrealisitc schedule.
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Estonia’s population is aging and the share of elderly people is increasing, as fewer children are being born and people are living longer. This creates a constantly growing need for health ... make the health system more efficient, improves people’s health via more effective prevention, raises the awareness of patients and also contributes to the more reasonable use of health resources ... and social services and patients are also becoming more and more demanding about the volume and quality of the services provided. The more extensive and systematic implementation of e-health solutions helps ... ... Why state, doctors and patients do not benefit from e-Health as much as they could? ... The report reviews whether the objectives set to the e-Health – ambitious multiyear program of Estonian Government - have been achieved. They are: higher quality of the health service and more ... efficient organisation of health care. As SAI Estonia found out, wide range problems started from two basic points: lack of strategic manager and unrealisitc schedule.
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National Audit Office of Estonia
, issued in 2014
Risk cases: 3
Managing the risk of legacy ICT to public service delivery
The cross-government report describes the case studies from four public services (state pension, Value Added Tax collection, prescription payment and consumer credit licensing services) selected ... to illustrate the range of approaches that small and large government bodies are taking to address the issues arising from legacy ICT (defined as "systems and applications that have been operationally embedded ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... Possible approaches to the problem of 'legacy ICT' ... UK’s government experience in managing the risks connected to legacy ICT provides valuable insight for others facing the same problem and are considering transforming their services.
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The cross-government report describes the case studies from four public services (state pension, Value Added Tax collection, prescription payment and consumer credit licensing services) selected ... to illustrate the range of approaches that small and large government bodies are taking to address the issues arising from legacy ICT (defined as "systems and applications that have been operationally embedded ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... Possible approaches to the problem of 'legacy ICT' ... UK’s government experience in managing the risks connected to legacy ICT provides valuable insight for others facing the same problem and are considering transforming their services.
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National Audit Office
, issued in 2013
Risk cases: 3
Business Continuity Management
Audit Office (SFAO) previously carried out a cross-section audit in 2009 on the BCM measures at nine administrative units of the central Federal Administration. This year’s audit focused ... Business Continuity Management is a process whereby all necessary measures are taken to ensure that a company can accomplish its core tasks on time even in extraordinary situations. The Swiss Federal ... on the decentralised Federal Administration as well as the Swiss Federal Railways (rail transport and ticket sales) and Swiss Post (PostFinance, Swiss Post Solutions, PostBus). ... ... A cross-section audit on business continuity management (BCM) ... The audit points, among others, at a necessary but difficult process chain: Policy - Analysis - Strategy - Planning - Training.
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Audit Office (SFAO) previously carried out a cross-section audit in 2009 on the BCM measures at nine administrative units of the central Federal Administration. This year’s audit focused ... Business Continuity Management is a process whereby all necessary measures are taken to ensure that a company can accomplish its core tasks on time even in extraordinary situations. The Swiss Federal ... on the decentralised Federal Administration as well as the Swiss Federal Railways (rail transport and ticket sales) and Swiss Post (PostFinance, Swiss Post Solutions, PostBus). ... ... A cross-section audit on business continuity management (BCM) ... The audit points, among others, at a necessary but difficult process chain: Policy - Analysis - Strategy - Planning - Training.
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Swiss Federal Audit Office
, issued in 2010
Risk cases: 1
Performance Audit of Public Debt Management Information Systems
and External Financing Department – Ministry’s organizational unit responsible for public debt management. Audit team evaluated the activities of the IT service provider - LEPL Financial-Analytical Service ... The usage and development of the information technologies in public financial management is an important priority of the country at the phase of intensive implementation of electronic governance ... (E-Governance). The fact that information systems play crucial role in the business processes of the Ministry of Finance affects the state and the public in general. <br/> Bearing in mind the role and importance ... ... More effective IT governance needed ... Importance of effective performance of public debt management e-systems may be explained by the world’s increased dependence on such systems. In parallel with the performance audit of debt management ... information systems of the Ministry Of Finance of Georgia, Supreme Audit Institutions of 11 countries also studied this topic, both in terms of systems’ performance and their practical application by local ... financial institutions. Audit conducted by the State Audit Office of Georgia has revealed security and governance shortcomings related to management and usage of these systems.
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and External Financing Department – Ministry’s organizational unit responsible for public debt management. Audit team evaluated the activities of the IT service provider - LEPL Financial-Analytical Service ... The usage and development of the information technologies in public financial management is an important priority of the country at the phase of intensive implementation of electronic governance ... (E-Governance). The fact that information systems play crucial role in the business processes of the Ministry of Finance affects the state and the public in general. <br/> Bearing in mind the role and importance ... ... More effective IT governance needed ... Importance of effective performance of public debt management e-systems may be explained by the world’s increased dependence on such systems. In parallel with the performance audit of debt management ... information systems of the Ministry Of Finance of Georgia, Supreme Audit Institutions of 11 countries also studied this topic, both in terms of systems’ performance and their practical application by local ... financial institutions. Audit conducted by the State Audit Office of Georgia has revealed security and governance shortcomings related to management and usage of these systems.
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State Audit Office Of Georgia
, issued in 2014
Risk cases: 5
The protection of research data at the Danish universities
The protection of research data at the Danish universities It is Rigsrevisionen’s assessment that the five largest universities are not adequately protecting their research data against unknown IT equipment. As a result, foreign actors may relatively easy gain unauthorized access to the universities’ research data.This is not considered satisfactory by Rigsrevisionen. The study shows that the five largest universities have defined guidelines for researchers’ use of software and hardware centrally, but that they have failed to centralise efforts to maintain a satisfactory level of security for research data. This is due mainly to the fact that, at some universities, researchers are allowed to bring their own devices,and at all the universities, researchers are allowed to have local administrator privileges, which gives them access to install software. Additionally, all five universities know of incidents where unknown hardware has been connected to their network.
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The protection of research data at the Danish universities It is Rigsrevisionen’s assessment that the five largest universities are not adequately protecting their research data against unknown IT equipment. As a result, foreign actors may relatively easy gain unauthorized access to the universities’ research data.This is not considered satisfactory by Rigsrevisionen. The study shows that the five largest universities have defined guidelines for researchers’ use of software and hardware centrally, but that they have failed to centralise efforts to maintain a satisfactory level of security for research data. This is due mainly to the fact that, at some universities, researchers are allowed to bring their own devices,and at all the universities, researchers are allowed to have local administrator privileges, which gives them access to install software. Additionally, all five universities know of incidents where unknown hardware has been connected to their network.
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National Audit Office of Denmark
, issued in 2018
Risk cases: 3
Management and implementation of 1BestariNet
and monitoring of 1BestariNet Project. The audit was carried out at 1BestariNet’s Project Management Office, Ministry of Education Malaysia (Education Technology Division, Procurement and Asset Management Division ... and documents related to 1BestariNet project, data analysis, physical check on the 1BestariNet network, walk through system, visit to the 1BestariNet Data Centre located at the vendor’s premise, interviews ... 1BestariNet Service Project (1BestariNet) is an initiative undertaken by the Malaysian Ministry of Education (MOE) to replace and enhance ICT connectivity in schools. It is an enhancement ... ... To answer big risks in IT systems development you need all levels of organisation ... Audit of 1BestariNet is presented by the Malaysian National Audit Department together with other IT projects reviewed. A result is this concise and instructive list of lessons learnt and failures ... to be avoided. To maximize performance and minimize vendor lock-in you need a lot of concerted effort by top and line management, as well as users ready to work with new tools.
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and monitoring of 1BestariNet Project. The audit was carried out at 1BestariNet’s Project Management Office, Ministry of Education Malaysia (Education Technology Division, Procurement and Asset Management Division ... and documents related to 1BestariNet project, data analysis, physical check on the 1BestariNet network, walk through system, visit to the 1BestariNet Data Centre located at the vendor’s premise, interviews ... 1BestariNet Service Project (1BestariNet) is an initiative undertaken by the Malaysian Ministry of Education (MOE) to replace and enhance ICT connectivity in schools. It is an enhancement ... ... To answer big risks in IT systems development you need all levels of organisation ... Audit of 1BestariNet is presented by the Malaysian National Audit Department together with other IT projects reviewed. A result is this concise and instructive list of lessons learnt and failures ... to be avoided. To maximize performance and minimize vendor lock-in you need a lot of concerted effort by top and line management, as well as users ready to work with new tools.
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National Audit Department of Malaysia
, issued in 2013
Risk cases: 4
The National Offender Management Information System (NOMIS)
for project’s cost reduction, the aims of the revised National Offender Management Service (NOMS) and the progress made, the impact of the delays and rescoping on the costs and benefits achieved, and NOMS ... This report examines the reasons for the delays and cost increases to the original integrated information system and, since the moratorium imposed by the Minister of State in order to seek options ... ’ fitness to deliver. The aim of one integrated information system (C-NOMIS i.e. National Offender Management Information System) was to improve information sharing about offenders; address the lack ... Rescoping necessary, but not fully successful ... An initiative to build a single offender management IT system for the prison and probation services has not delivered value for money. The NAO investigation found the project had been hampered ... by poor management leading to a three-year delay, a doubling in project costs and reductions in scope and benefits.
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for project’s cost reduction, the aims of the revised National Offender Management Service (NOMS) and the progress made, the impact of the delays and rescoping on the costs and benefits achieved, and NOMS ... This report examines the reasons for the delays and cost increases to the original integrated information system and, since the moratorium imposed by the Minister of State in order to seek options ... ’ fitness to deliver. The aim of one integrated information system (C-NOMIS i.e. National Offender Management Information System) was to improve information sharing about offenders; address the lack ... Rescoping necessary, but not fully successful ... An initiative to build a single offender management IT system for the prison and probation services has not delivered value for money. The NAO investigation found the project had been hampered ... by poor management leading to a three-year delay, a doubling in project costs and reductions in scope and benefits.
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National Audit Office
, issued in 2009
Risk cases: 4
Effectiveness of the execution of the eHealth project
to the national public health system in the period between 1st of January 2004 and 26th of September 2013. The audit has focused on the effectiveness of the Ministry in achieving the project’s goals, time ... The Court of Audit of the Republic of Slovenia has audited how effectively the Ministry of Health had managed the project eHealth - the national plan for developing information system support ... management, management of the human resources and financial oversight. The goal of the Ministry was to implement a modern information system, which would support secure eHealth operations and effective ... ... Clear concept, good planning and financial control are indispensable conditions for a successful IT project ... The Court of Audit of the Republic of Slovenia analysed a Government eHealth project. Its goal was to implement a modern information system, which would support the health services and health related ... data. The Court has pointed at a long list of project management fundamentals to be corrected.
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to the national public health system in the period between 1st of January 2004 and 26th of September 2013. The audit has focused on the effectiveness of the Ministry in achieving the project’s goals, time ... The Court of Audit of the Republic of Slovenia has audited how effectively the Ministry of Health had managed the project eHealth - the national plan for developing information system support ... management, management of the human resources and financial oversight. The goal of the Ministry was to implement a modern information system, which would support secure eHealth operations and effective ... ... Clear concept, good planning and financial control are indispensable conditions for a successful IT project ... The Court of Audit of the Republic of Slovenia analysed a Government eHealth project. Its goal was to implement a modern information system, which would support the health services and health related ... data. The Court has pointed at a long list of project management fundamentals to be corrected.
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Court of Audit of the Republic of Slovenia
, issued in 2013
Risk cases: 5
Effectiveness of the Tax Administration of the Republic of Slovenia in the execution of modernisation projects of the Slovenian duty information system and decreasing the number of duty sub-accounts
project aiming at lessening taxpayers’ administrative burdens by decreasing the number of duty sub-accounts. The modernisation of the Tax Authority’s duties’ collection information system had brought about ... The Tax Administration of the Republic of Slovenia (hereinafter: the Tax Administration) is responsible for collecting taxes, fees and other compulsory levies (hereinafter: duties ... ). These are the revenue of the state budget, municipal budgets, the Health Insurance Institute of Slovenia, the Institute for Pension and Disability Insurance of Slovenia (hereinafter: duties recipients) and indirectly ... ... Shaky coordination of investments in important systems ... Slovenian SAI traced a series of problems in management of crucial IT investments in tax administration. Apart from promising goals, unclear business case gave a start to many problems at next stages ... of the project, involving additional spendings, delays and errors in data processing.
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project aiming at lessening taxpayers’ administrative burdens by decreasing the number of duty sub-accounts. The modernisation of the Tax Authority’s duties’ collection information system had brought about ... The Tax Administration of the Republic of Slovenia (hereinafter: the Tax Administration) is responsible for collecting taxes, fees and other compulsory levies (hereinafter: duties ... ). These are the revenue of the state budget, municipal budgets, the Health Insurance Institute of Slovenia, the Institute for Pension and Disability Insurance of Slovenia (hereinafter: duties recipients) and indirectly ... ... Shaky coordination of investments in important systems ... Slovenian SAI traced a series of problems in management of crucial IT investments in tax administration. Apart from promising goals, unclear business case gave a start to many problems at next stages ... of the project, involving additional spendings, delays and errors in data processing.
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Court of Audit of the Republic of Slovenia
, issued in 2014
Risk cases: 7
Quality of public services in information society in 2010
. A positive example is registration of a person’s place of residence, which has become considerably easier and user-friendlier than in 2007 as a result of the development of the state portal. <br/> 2007 Audit ... The National Audit Office found that irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007 ... . Information about the services is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person ... ... The quality of public services has been improved but still isn’t good enough ... Irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007. Information about the services ... is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person.
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. A positive example is registration of a person’s place of residence, which has become considerably easier and user-friendlier than in 2007 as a result of the development of the state portal. <br/> 2007 Audit ... The National Audit Office found that irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007 ... . Information about the services is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person ... ... The quality of public services has been improved but still isn’t good enough ... Irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007. Information about the services ... is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person.
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National Audit Office of Estonia
, issued in 2010
Risk cases: 2