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Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
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 ... . and relevant health staff and the patients have direct digital access to updated medical data round the clock. The report answers the following questions: 1) Has the Ministry of Health and the NHA provided ... ... 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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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 ... . and relevant health staff and the patients have direct digital access to updated medical data round the clock. The report answers the following questions: 1) Has the Ministry of Health and the NHA provided ... ... 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
Full description
National Audit Office of Denmark
, issued in 2014
Risk cases: 2
Management of IT security in systems outsourced to external suppliers
Security to be improved in IT processes outsourced to external suppliers When IT processes are outsourced to external suppliers, the authorities no longer have direct control of the IT security, but remain responsible for managing the security of the IT. Authorities that fail to manage IT security actively based on risk assessments, and omit to monitor the implementation of these requirements, will not be able to determine if the level of IT security in the outsourced systems safeguards their systems and data. This is how the conclusion of the Rigsrevisionen starts. The Danish auditors noticed improvement in the audited entities, but they add that tha majority of the auditees: can refine their requirements for and follow-up on access control and logging practices
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Security to be improved in IT processes outsourced to external suppliers When IT processes are outsourced to external suppliers, the authorities no longer have direct control of the IT security, but remain responsible for managing the security of the IT. Authorities that fail to manage IT security actively based on risk assessments, and omit to monitor the implementation of these requirements, will not be able to determine if the level of IT security in the outsourced systems safeguards their systems and data. This is how the conclusion of the Rigsrevisionen starts. The Danish auditors noticed improvement in the audited entities, but they add that tha majority of the auditees: can refine their requirements for and follow-up on access control and logging practices
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National Audit Office of Denmark
, issued in 2016
Risk cases: 3
Extract from the report to the Public Accounts Committee on the access to IT systems that support the provision of essential services to the Danish society
The report is focused on the significant risk that is associated with inadequate management and control of domain administrator privileges, which makes it possible for unauthorized persons to obtain ... access to the IT systems and data of the institutions. Rigsrevisionen has not examined for what specific purposes unauthorized access to the institutions’ systems and data can be used. ... ... Inadequate management and control of domain administrator privileges ... The Danish report concerns the measures - taken by six government institutions of various branches of State activities - to protect IT systems and data that support the provision of essential ... services to the Danish society from unauthorized access, obtained on the basis of domain administrator privileges.
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The report is focused on the significant risk that is associated with inadequate management and control of domain administrator privileges, which makes it possible for unauthorized persons to obtain ... access to the IT systems and data of the institutions. Rigsrevisionen has not examined for what specific purposes unauthorized access to the institutions’ systems and data can be used. ... ... Inadequate management and control of domain administrator privileges ... The Danish report concerns the measures - taken by six government institutions of various branches of State activities - to protect IT systems and data that support the provision of essential ... services to the Danish society from unauthorized access, obtained on the basis of domain administrator privileges.
Full description
National Audit Office of Denmark
, issued in 2015
Risk cases: 4
The protection of IT systems and health data in three Danish regions
Security to be improved in IT systems with health data It is Rigsrevisionen’s assessment that the three regions are not protecting the access to IT systems and health data in a satisfactory manner. As a consequence, unauthorised persons might gain access to sensitive and confidential personal data, which could affect there liability and availability of important health data used in the treatment of hospital patients. Based on the results of the study and the current threat scenario, Rigsrevisionen finds that basic security measures against cyber attacks and protection of access to IT systems and health data should be a top priority for Denmark’s five regions. Basic security measures in combination with management and control of user privileges can reduce the risk of compromising the regions’ IT systems and data considerably.
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Security to be improved in IT systems with health data It is Rigsrevisionen’s assessment that the three regions are not protecting the access to IT systems and health data in a satisfactory manner. As a consequence, unauthorised persons might gain access to sensitive and confidential personal data, which could affect there liability and availability of important health data used in the treatment of hospital patients. Based on the results of the study and the current threat scenario, Rigsrevisionen finds that basic security measures against cyber attacks and protection of access to IT systems and health data should be a top priority for Denmark’s five regions. Basic security measures in combination with management and control of user privileges can reduce the risk of compromising the regions’ IT systems and data considerably.
Full description
National Audit Office of Denmark
, issued in 2018
Risk cases: 3
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 ... 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 ... , 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 ... e-government and make government administration more efficient.
Full description
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 ... 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 ... , 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 ... e-government and make government administration more efficient.
Full description
National Audit Office of Denmark
, issued in 2014
Risk cases: 2
Report to the Public AccountsCommittee on mitigation of cyber attacks
have addressed the risk of cyber attacks and whether they have implemented these three security controls. ... This report concerns the action taken by Danish government bodies to prevent cyber attacks. Behaving sensibly in cyberspace to avoid attacks is important, but should be supplemented by technical ... security controls that can increase security and mitigate cyber attacks. International studies have concluded that three central security controls can prevent the majority of the currently known types ... Three basic security measures are often neglected ... Government agencies are open for cyber attacks because they often forget to respect three basic IT security measures. The three measures are: 1. technical restriction on programs downloading; 2 ... . limited use of local administrators rights; 3. systematic software updates.
Full description
have addressed the risk of cyber attacks and whether they have implemented these three security controls. ... This report concerns the action taken by Danish government bodies to prevent cyber attacks. Behaving sensibly in cyberspace to avoid attacks is important, but should be supplemented by technical ... security controls that can increase security and mitigate cyber attacks. International studies have concluded that three central security controls can prevent the majority of the currently known types ... Three basic security measures are often neglected ... Government agencies are open for cyber attacks because they often forget to respect three basic IT security measures. The three measures are: 1. technical restriction on programs downloading; 2 ... . limited use of local administrators rights; 3. systematic software updates.
Full description
National Audit Office of Denmark
, issued in 2013
Risk cases: 3
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