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Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
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 ... 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 ... ... 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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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 ... 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 ... ... 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
Building and Implementing the Phoenix Pay System
Expensive IT project became a failure Phoenix project (development of states pay system) was an incomprehensible failure of project management and oversight. Phoenix executives prioritized certain aspects, such as schedule and budget, over other critical ones, such as functionality and security. Phoenix executives did not understand the importance of warnings that the Miramichi Pay Centre, departments and agencies, and the new system were not ready. They did not provide complete and accurate information to deputy ministers and associate deputy ministers of departments and agencies, including the Deputy Minister of Public Services and Procurement, when briefing them on Phoenix readiness for implementation.
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Expensive IT project became a failure Phoenix project (development of states pay system) was an incomprehensible failure of project management and oversight. Phoenix executives prioritized certain aspects, such as schedule and budget, over other critical ones, such as functionality and security. Phoenix executives did not understand the importance of warnings that the Miramichi Pay Centre, departments and agencies, and the new system were not ready. They did not provide complete and accurate information to deputy ministers and associate deputy ministers of departments and agencies, including the Deputy Minister of Public Services and Procurement, when briefing them on Phoenix readiness for implementation.
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Office of theAuditor Generalof Canada
, issued in 2018
Risk cases: 3
Traffic Ticketing information system
The audit included two areas of focus - the environment surrounding the Traffic Ticketing Information System - the System (designed to input, process, manage and collect payment for the traffic ... tickets) and also the internal environment of the System that guarantees the quality of its performance and safety. ... Security can hinder effectiveness ... SAI of Kuwait analysed system supporting collection of the traffic tickets - data input, processing and management. What was found was lack of basic safety measures, that hindered the effectiveness ... of the system.
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The audit included two areas of focus - the environment surrounding the Traffic Ticketing Information System - the System (designed to input, process, manage and collect payment for the traffic ... tickets) and also the internal environment of the System that guarantees the quality of its performance and safety. ... Security can hinder effectiveness ... SAI of Kuwait analysed system supporting collection of the traffic tickets - data input, processing and management. What was found was lack of basic safety measures, that hindered the effectiveness ... of the system.
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State Audit Bureau of Kuwait
, issued in 2014
Risk cases: 3
General and Creation Control of the Information Systems of the Ministry of Foreign Affairs
The objective of the audit was to assess general and creation control of the information systems of the Ministry of Foreign Affairs. Since the beginning of 2009, the Ministry of Foreign Affairs has ... achieved considerable progress in the management of the information systems. The auditors reviewed and assessed all key elements of the process. ... Overview of problems - area by area ... SAI Lithuania looked into all critical elements of a Ministry's information system, starting from IT architecture, through information security to automation of data processing.
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The objective of the audit was to assess general and creation control of the information systems of the Ministry of Foreign Affairs. Since the beginning of 2009, the Ministry of Foreign Affairs has ... achieved considerable progress in the management of the information systems. The auditors reviewed and assessed all key elements of the process. ... Overview of problems - area by area ... SAI Lithuania looked into all critical elements of a Ministry's information system, starting from IT architecture, through information security to automation of data processing.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 4
Is the project 'E-health in Latvia' a step towards the right direction?
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 ... 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 ... E-health is a step forward in right direction, but not all objectives will be reached! ... 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 ... 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 ... , thus the objective of this policy – to promote more effective provision of healthcare services will be attained only partially.
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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 ... 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 ... E-health is a step forward in right direction, but not all objectives will be reached! ... 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 ... 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 ... , thus the objective of this policy – to promote more effective provision of healthcare services will be attained only partially.
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State Audit Office of the Republic of Latvia
, issued in 2015
Risk cases: 3
Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
ensured an adequate level of IT security? 4) Has the Ministry of Health informed the Finance Committee of the Danish Folketing (parliament) correctly on the development and implementation of the SMR system? ... The purpose of the examination was to assess whether the department of the Danish Ministry of Health, the Danish National eHealth Authority (NHA) and the five regions that are responsible ... for the hospitals have made an adequate effort to develop and implement the Shared Medication Record (SMR). With the SMR, data on the citizens’ medication can be shared across hospitals, general practitioners, etc ... ... Involvement of key participants necessary from the very beginning ... and processes leading to implementation problems, governance not involving key players, and IT security organisation. ... Digitally based Shared Medication Record is basis of the complex healthcare system. Rigsrevisionen analysed unsolved issues related to unclear business case, insufficient analysis of work flows
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ensured an adequate level of IT security? 4) Has the Ministry of Health informed the Finance Committee of the Danish Folketing (parliament) correctly on the development and implementation of the SMR system? ... The purpose of the examination was to assess whether the department of the Danish Ministry of Health, the Danish National eHealth Authority (NHA) and the five regions that are responsible ... for the hospitals have made an adequate effort to develop and implement the Shared Medication Record (SMR). With the SMR, data on the citizens’ medication can be shared across hospitals, general practitioners, etc ... ... Involvement of key participants necessary from the very beginning ... and processes leading to implementation problems, governance not involving key players, and IT security organisation. ... Digitally based Shared Medication Record is basis of the complex healthcare system. Rigsrevisionen analysed unsolved issues related to unclear business case, insufficient analysis of work flows
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National Audit Office of Denmark
, issued in 2014
Risk cases: 2
Performance Audit of the Management of ICT in the Criminal Justice Sector
The Norwegian OAG has assesed how the Ministry of Justice and Public Security has discharged its responsibility for effiecient case processing through developing and applying Information ... and Communications Technology (ICT) in the criminal justice sector ... ... Unclear signals from a Ministry weaken development of ICT in the justice chain ... Points by SAI Norway: development of an overall rolling action plan based on the current ICT (Information and Communication Technology) strategy for the justice sector, performance-oriented ... reporting from the subordinate agencies, ensuring that the new ICT Police System takes into account other sub-sectors need for electronic interaction.
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The Norwegian OAG has assesed how the Ministry of Justice and Public Security has discharged its responsibility for effiecient case processing through developing and applying Information ... and Communications Technology (ICT) in the criminal justice sector ... ... Unclear signals from a Ministry weaken development of ICT in the justice chain ... Points by SAI Norway: development of an overall rolling action plan based on the current ICT (Information and Communication Technology) strategy for the justice sector, performance-oriented ... reporting from the subordinate agencies, ensuring that the new ICT Police System takes into account other sub-sectors need for electronic interaction.
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Office of the Auditor General of Norway
, issued in 2012
Risk cases: 2
Report on the government’s processing of confidential data on persons and companies
Rigsrevisionen has examined how eight government institutions process confidential data on persons and companies in 11 selected IT systems. The report is based on IT audits carried out in connection ... with the annual audit in the spring 2014. The purpose of the audit was to assess whether confidential data on persons and companies are adequately protected by the government institutions. ... ... Inadequate protection of confidential data ... , inadequate protection of confidential data may also erode the citizens’ and companies’ confidence in government data security. That may eventually become a barrier for the continued efforts to implement ... If a government institution does not protect confidential data to the extent necessary, the risk that third parties get unauthorized access to the data is very high. In opinion of the Danish SAI ... e-government and make government administration more efficient.
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Rigsrevisionen has examined how eight government institutions process confidential data on persons and companies in 11 selected IT systems. The report is based on IT audits carried out in connection ... with the annual audit in the spring 2014. The purpose of the audit was to assess whether confidential data on persons and companies are adequately protected by the government institutions. ... ... Inadequate protection of confidential data ... , inadequate protection of confidential data may also erode the citizens’ and companies’ confidence in government data security. That may eventually become a barrier for the continued efforts to implement ... If a government institution does not protect confidential data to the extent necessary, the risk that third parties get unauthorized access to the data is very high. In opinion of the Danish SAI ... e-government and make government administration more efficient.
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National Audit Office of Denmark
, issued in 2014
Risk cases: 2
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 of Information Resources of the Ministry of the Interior
Department and State Enterprise Regitra which are responsible for administration of the information resources managed by the Ministry as well as data security and development. ... Many activities of the Ministry of the Interior require the use of information resources that are of great significance to the entire State, such as the state and departmental registers, and public ... information systems. Whereas the Ministry has failed to implement some of the public audit recommendations of 2007 and 2010,6 we analysed, whether there have been any positive changes in the field of IT ... ... Process maturity examination can help in IT audit ... also flaws in change management and security processes. But the finding, which gave them the key to the root cause of problems, was connected with maturity assessment of the auditee's IT processes. ... Main risk areas in case of this audit were strategic and organisational - Ministry’s weak ownership of IT resources, insufficient audit and internal control function. SAI Lithuania auditors found
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Department and State Enterprise Regitra which are responsible for administration of the information resources managed by the Ministry as well as data security and development. ... Many activities of the Ministry of the Interior require the use of information resources that are of great significance to the entire State, such as the state and departmental registers, and public ... information systems. Whereas the Ministry has failed to implement some of the public audit recommendations of 2007 and 2010,6 we analysed, whether there have been any positive changes in the field of IT ... ... Process maturity examination can help in IT audit ... also flaws in change management and security processes. But the finding, which gave them the key to the root cause of problems, was connected with maturity assessment of the auditee's IT processes. ... Main risk areas in case of this audit were strategic and organisational - Ministry’s weak ownership of IT resources, insufficient audit and internal control function. SAI Lithuania auditors found
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National Audit Office of the Republic of Lithuania
, issued in 2016
Risk cases: 4