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Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
a sufficient framework for carrying through the SMR programme? 2) Has the Ministry of Health and the NHA directed the SMR programme towards delivering within the agreed costs, time and quality parameters ... 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 ... 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 ... and processes leading to implementation problems, governance not involving key players, and IT security organisation.
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a sufficient framework for carrying through the SMR programme? 2) Has the Ministry of Health and the NHA directed the SMR programme towards delivering within the agreed costs, time and quality parameters ... 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 ... 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 ... and processes leading to implementation problems, governance not involving key players, and IT security organisation.
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National Audit Office of Denmark
, issued in 2014
Risk cases: 2
Smart tax administration system
Smart tax vs. shadow economy Lithuanian taxpayers use the e-services and the Lithuanian state uses a data analytics centre to handle part of the identified data modelling. The smart tax administration project's objetives are to enhance the positive processes. As the SAI Lithuania discovered, due to the implementation weaknesses, however, the project's success may be partially reduced.
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Smart tax vs. shadow economy Lithuanian taxpayers use the e-services and the Lithuanian state uses a data analytics centre to handle part of the identified data modelling. The smart tax administration project's objetives are to enhance the positive processes. As the SAI Lithuania discovered, due to the implementation weaknesses, however, the project's success may be partially reduced.
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National Audit Office of the Republic of Lithuania
, issued in 2019
Risk cases: 5
Peering Point Betriebs GmbH
In 2004 the Peering Point Betriebs GmbH was established to provide an effective and secure IT network for the operation of the e-card (a smart card which replaced health insurance vouchers ... in the course of the introduction of the electronic administration system) and other services in health care. Since its foundation the company has suffered losses. Net losses were covered by the two owners ... – the Main Association of Austrian Social Insurance Institutions and the Austrian Medical Chamber – to 50 % each, and since 2011 in a proportion of 60 to 40. The Main Association failed to give an objective ... ... Safe but expensive ... Network safety of a healthcare e-card system has been provided at a high cost. As the Austrian Court of Audit discovered - there was no concept to reduce the expenditure.
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In 2004 the Peering Point Betriebs GmbH was established to provide an effective and secure IT network for the operation of the e-card (a smart card which replaced health insurance vouchers ... in the course of the introduction of the electronic administration system) and other services in health care. Since its foundation the company has suffered losses. Net losses were covered by the two owners ... – the Main Association of Austrian Social Insurance Institutions and the Austrian Medical Chamber – to 50 % each, and since 2011 in a proportion of 60 to 40. The Main Association failed to give an objective ... ... Safe but expensive ... Network safety of a healthcare e-card system has been provided at a high cost. As the Austrian Court of Audit discovered - there was no concept to reduce the expenditure.
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Austrian Court of Audit
, issued in 2012
Risk cases: 1
Is Cybercrime Combated Effectively
Good coordination needed to fight cybercrime SAI Lithuania noticed that with the growing amount of cybercrimes, the society must be prepared to recognise the threats of cybercrime and be able to protect itself from them. There is a number of forces capable of preventing and investigating this type of crime, but auditors identified shortcomings in cybercrime prevention and investigation processes, starting from lack of common taxonomy and criteria.
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Good coordination needed to fight cybercrime SAI Lithuania noticed that with the growing amount of cybercrimes, the society must be prepared to recognise the threats of cybercrime and be able to protect itself from them. There is a number of forces capable of preventing and investigating this type of crime, but auditors identified shortcomings in cybercrime prevention and investigation processes, starting from lack of common taxonomy and criteria.
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National Audit Office of the Republic of Lithuania
, issued in 2020
Risk cases: 6
The rural broadband programme
Intervention in a noncompetitive market The British NAO's audit report of 2013 concerns ambitious yet delayed UK government programme, which objective was to have the best superfast broadband network in Europe by 2015. The report focuses on one of the programme's main problems: rural areas, where commercial providers had no plans to invest, because of lower returns.
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Intervention in a noncompetitive market The British NAO's audit report of 2013 concerns ambitious yet delayed UK government programme, which objective was to have the best superfast broadband network in Europe by 2015. The report focuses on one of the programme's main problems: rural areas, where commercial providers had no plans to invest, because of lower returns.
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National Audit Office
, issued in 2013
Risk cases: 7
Federal Human Resources Data
Internal control weaknesses may put mission at risk GAO audited the Enterprise Human Resources Integration payroll data warehose. The American auditors pointed at problems that may impede 'leverage of these data to meet its mission and allow others to make full use' of them. The critical internal contols areas to be improved in this cas are: completeness, accuracy, and validity of information, authorization, documentation, monitoring, results' evaluation.
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Internal control weaknesses may put mission at risk GAO audited the Enterprise Human Resources Integration payroll data warehose. The American auditors pointed at problems that may impede 'leverage of these data to meet its mission and allow others to make full use' of them. The critical internal contols areas to be improved in this cas are: completeness, accuracy, and validity of information, authorization, documentation, monitoring, results' evaluation.
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General Accountability Office
, issued in 2016
Risk cases: 2
Digital transformation in government
Support exemplars, provide consistent guidance... and do not lose focus As the NAO states: Government faces significant challenges in providing public services. While many government services are now available online, public administration is struggling to manage more complicated programmes and to improve the complex systems and processes that support public services.
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Support exemplars, provide consistent guidance... and do not lose focus As the NAO states: Government faces significant challenges in providing public services. While many government services are now available online, public administration is struggling to manage more complicated programmes and to improve the complex systems and processes that support public services.
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National Audit Office
, issued in 2017
Risk cases: 4
Identifying and meeting central government's skills requirements
Start with well managed responsibilities UK Departments have invested heavily in skills development. Government estimates that expenditure on formal training, including salary costs of departmental learning and development staff, was £275 million in 2009-10. NAO identified weaknesses of the system which start with devolved responsibilities, lead to: weak data, mis-profiled trainings, doubtful personal decisions, lack of well-targeted evaluation - and finish at more expensive buying-in and retaining key skills...
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Start with well managed responsibilities UK Departments have invested heavily in skills development. Government estimates that expenditure on formal training, including salary costs of departmental learning and development staff, was £275 million in 2009-10. NAO identified weaknesses of the system which start with devolved responsibilities, lead to: weak data, mis-profiled trainings, doubtful personal decisions, lack of well-targeted evaluation - and finish at more expensive buying-in and retaining key skills...
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National Audit Office
, issued in 2011
Risk cases: 6
Performance measurement by regulators
Performance measurement for regulators Primary adressees of this good practice guide - by the British NAO - are regulators, the public institutions established for making sure that an industry or system works legally and fairly. But we are sure that many more can find this guidance useful - including auditors. NAO presents a comprehensible framework for performance measurement and hints how to focus on influence that regulators can use.
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Performance measurement for regulators Primary adressees of this good practice guide - by the British NAO - are regulators, the public institutions established for making sure that an industry or system works legally and fairly. But we are sure that many more can find this guidance useful - including auditors. NAO presents a comprehensible framework for performance measurement and hints how to focus on influence that regulators can use.
Full description
National Audit Office
, issued in 2016
Risk cases: 2
Cyber security of border controls operated by Dutch border guards at Amsterdam Schiphol Airport
Airport prepares for cyber attacks Who does not know the Amsterdam Airport? As put by the Netherlands Court of Audits: the IT systems used for border controls at the Schiphol Airport are in the midst of a process of rapid development. The auditors reviewed the process and pointed at necessity of formal certification and better mechanism of information analysis. The report picutres also the organisation of the controls - must read for all frequent fliers
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Airport prepares for cyber attacks Who does not know the Amsterdam Airport? As put by the Netherlands Court of Audits: the IT systems used for border controls at the Schiphol Airport are in the midst of a process of rapid development. The auditors reviewed the process and pointed at necessity of formal certification and better mechanism of information analysis. The report picutres also the organisation of the controls - must read for all frequent fliers
Full description
Netherlands Court of Audits
, issued in 2020
Risk cases: 8