Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
of health care – have been achieved. The four main e-health projects were reviewed in the audit: Electronic Health Record, Digital Prescription, Digital Registration and Digital Image. The problems ... . E-health solutions also save patients time. <br/> The purpose of the audit was to assess whether the objectives set to e-Health – higher quality of the health service and more efficient organisation ... 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 ... ... 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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The implementation of national IT projects in social and health care
IT management expenditure in public administration totalled about 2.1 billion euros in 2009. IT management expenditure by local authorities and federations of municipalities in the field of health ... care totalled about 270 million euros ino 2009. Health care's share of IT management expenditure in public administration thus amounted to about 13 per cent in 2009. ... ... IT-centred manner of project implementation can harm IT investments' results ... SAI Finland perfomed a vast review of IT projects in health and social protection. Many interesting findings cover structural problems, as 'Many separate systems with no future' and characteristics ... of poor governance, as 'No cost monitoring - unclear objectives - arguable usefulness'.
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Preparations and realization of the State A-levels
The aim of the audit was to scrutinise the utilisation of the state budget and EU budget funds that had been spent on preparing and implementing the State A-levels examinations. The auditing ... operation was performed from May to November 2011. The audited period extended from January 1, 2005, to June 30, 2011; where relevant, the data from the previous period and the period until the end ... of the auditing operation were also scrutinized. Among the audited bodies were the Ministry of Education, the Education Result Survey Centre, and the National Institute for Further Education. The auditing operation ... ... Begin with good strategy ... Analyzing problems of state examinations system, Czech Republic SAI found that commonplace strategy effected in shortsighted planning, poor procurement and disadvantageous contracting.
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Results of the development of the state’s information systems
The National Audit Office has repeatedly audited the management and development of the state’s information technology (IT) area in the last ten years. The last audit was performed in 2005. After that ... , several measures have been implemented in the state to organise the development better and to guarantee that the systems are compatible. This audit gives an opinion of the results of development project ... management and the state’s coordination mechanism in this process. ... ... Success and failure depend on preparation ... Conclusions of performance IT audit based on a sample of government projects: business portal, land register, e-police, fire safety monitoring system, childcare information system and the document ... management system of the Defence Forces. Key problems and discussion with auditees are presented.
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The development and use of identification services in public administration
The audit examined the implementation and coordination of projects aimed at developing identification services in public administration, cooperation among authorities in this area and compliance ... with legislation in procuring services. The audit also examined development, control and monitoring structures regarding identification services. The audit focused on electronic identification services that are used ... in public administration's electronic transactions. ... ... Unhealthy competition linked with lack of coordinatnion and with procurement irregularities ... See what may go wrong with the IT public procurement. Check out what is the basis to avoid irregularities or omissions in complying with public procurement legislation. National Audit Office ... of Finland identified also risks resulting from lack of horizontal coordination.
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The Ministry of the Environment lacks a compact information system and still uses 125 separate information systems and databases
The objective of the audit was to scrutinise the management of funds earmarked for the purchase and administration of ICT within the MoE and selected organisations which come under the management ... of the MoE. The audit identified the following risks: (1) non-existence of the Integrated environmental information system (IEIS) as an independent information system; (2) purchase of ICT, within the budget ... chapter of the MoE, through a state co-funded organisation CENIA which comes under the management of the MoE; (3) utilisation of the information systems. The audited period was 2010 to 2013; where relevant ... ... Ministry of the Environment manages 125 information systems and databases ... The Ministry of the Environment (MoE) has for more than 20 years a legal obligation to administer and manage an Integrated Environmental Information System (IEIS). In spite of this fact, the existing ... systems (more than 125 information systems and databases) are designed, implemented and managed as individual information systems without a direct integration into a joint point of reference.
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Effectiveness of development of broadband network or high-speed internet
The National Audit Office audited whether the state has made every effort to ensure that everyone can have unlimited access to fast internet connection by 2020. The National Audit Office also ... analysed whether the network of fibre-optical cables or the basic broadband network, which is built with European Union support and should guarantee high-speed internet connection, has helped to achieve ... this goal. ... ... ... Slower broadband paid by customers ... The Estonian Information Society Development Plan foresees that high-speed internet of 30 Mbit/s should be accessible to all people in Estonia by 2020 and that 60% of the population will be using ... superfast internet of over 100 Mbit/s. To achieve these goals, the state, with the help of European Union support, decided to establish a broadband network which is not further than 1.5 km from 98% of homes ... and institutions. Private companies have not entirely met the Government's expectations. The Estonian SAI has looked for an answer: Why?
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Is the project 'E-health in Latvia' a step towards the right direction?
Objective of the audit was to verify efficiency and productivity of the actions by the institutions in charge for implementation of the e-health, as well as to audit economy and productivity of use ... of funds invested in the project for achievement of set objectives and gaining the planned benefits. Audit covered such main questions: 1) Will the e-health policy be able to solve problems and achieve ... the objective? 2) Are the actual activities performed by the National Health Service justified for achievement of the set objectives? 3) Will necessary information security and personal data protection be ensured ... E-health is a step forward in right direction, but not all objectives will be reached! ... Project “E-health in Latvia” supports healthy lifestyle, it will provide valuable and accessible information and will promote more efficient provision of services to patients. It is undoubtedly ... a step towards the right direction then. However, as found the Latvian SAI, the e-health policy will not be implemented within the initially planned scope and deadline and within set data security levels ... , thus the objective of this policy – to promote more effective provision of healthcare services will be attained only partially.
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Incorrect payments in social insurance - Control activities of the Swedish Social Insurance Agency
/> The Swedish NAO audited the work of the Government and the Swedish Social Insurance Agency to prevent incorrect payments in the period 2012–2015. The audit focused on the benefits for which the Swedish Social ... Insurance Agency is responsible. The audited benefits account for half of the insurance expenditure, half of the payments that are incorrect and for more than 70 per cent of the amount the Swedish Social ... In 2014 the social insurance system accounted for six per cent of GDP. The long-term sustainability of a system of that magnitude requires that the public perceives its purpose to be important ... Balance of priorities needed to reduce incorrect payments ... Role of social insurance in public finance is so substantial that reduction of incorrect payments' volume is matter of huge savings. The Swedish NAO noted positive initiatives by the Social Insurance ... Agency in this regard. However they found also, that serious problems can stem from giving higher priority to the speed of payment and customers satisfaction. They both are undoubtedly important features ... of each system, still, the prevention of incorrect payments needs strategic support to be really effective.
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Does the Admin PKI correspond to the original objectives and the needs of the Federal Administration and the Cantons?
The SFAO has audited the Admin PKI, the basic infrastructure and offering for the issuing of digital certificates within the Federal Office of Information Technology, Systems and Telecommunication ... (FOITT). The examination concentrated on assessing the development and current operation as well as future prospects. Admin PKI refers to all processes and the hardware and software needed for issuing ... certificates of different grades. ... Internal coordination can be more difficult than the external one ... A successful project of digital certificates distribution had difficult time when main Government players disagreed.
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