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Electronic Health Records - VA Needs to Identify and Report Existing System Costs
Difficulties after 30 years of decentralized development The US Department of Veterans Affairs provides health care services to approximately 9 million veterans and their families. However, the IT system they use is more than 30 years old, is costly to maintain, and does not fully support exchanging health data. The US GAO, analyzed the system's modenization plans and found serious problems with definition and cost estimation.
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Difficulties after 30 years of decentralized development The US Department of Veterans Affairs provides health care services to approximately 9 million veterans and their families. However, the IT system they use is more than 30 years old, is costly to maintain, and does not fully support exchanging health data. The US GAO, analyzed the system's modenization plans and found serious problems with definition and cost estimation.
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US Government Accountability Office
, issued in 2019
Risk cases: 3
Online fraud
Uneven response to online fraud This type of fraud can affect everyone, but yet it is not a strategic priority for local police forces and the response from industry is uneven. UK NAO underlines: For too long, as a low-value but high-volume crime, online fraud has been overlooked by government, law enforcement and industry. It is a crime that can affect everyone. Fraud is now the most commonly experienced crime in England and Wales, is growing rapidly and demands an urgent response. Yet fraud is not a strategic priority for local police forces, and the response from industry is uneven.
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Uneven response to online fraud This type of fraud can affect everyone, but yet it is not a strategic priority for local police forces and the response from industry is uneven. UK NAO underlines: For too long, as a low-value but high-volume crime, online fraud has been overlooked by government, law enforcement and industry. It is a crime that can affect everyone. Fraud is now the most commonly experienced crime in England and Wales, is growing rapidly and demands an urgent response. Yet fraud is not a strategic priority for local police forces, and the response from industry is uneven.
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National Audit Office
, issued in 2017
Risk cases: 6
OMB and Agencies Need to Focus Continued Attention on Implementing Reform Law
How to invest efficiently in IT IT investments are large and growing position in annual budgets. Historically, they have frequently failed, incurred cost overruns and schedule slippages, or contributed little to mission-related outcomes. GAO recommendations focus on the oversight and execution of the data center consolidation initiative, the accuracy and reliability of the IT Dashboard, and incremental development policies.
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How to invest efficiently in IT IT investments are large and growing position in annual budgets. Historically, they have frequently failed, incurred cost overruns and schedule slippages, or contributed little to mission-related outcomes. GAO recommendations focus on the oversight and execution of the data center consolidation initiative, the accuracy and reliability of the IT Dashboard, and incremental development policies.
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General Accountability Office
, issued in 2016
Risk cases: 3
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.
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National Audit Office of Denmark
, issued in 2018
Risk cases: 3
Working of Inland Container Depots and Container Freight Stations
NEW! Online report on audit of SAI India With this first digital audit report of the Comptroller and Auditor General of India, new chapter has been opened in our profession: the online form is primary versus printable pdf. Advantages: high level of readability, live responsive charts, easy browsing and search of what users find interesting. The reported performance audit concerned 'dry ports', or multimodal logistics centres, which play growing role in domestic and international trade. It shows how gaps in concept and lax attitude to internal control can result on capacities, speed of trade, and enviromental safety.
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NEW! Online report on audit of SAI India With this first digital audit report of the Comptroller and Auditor General of India, new chapter has been opened in our profession: the online form is primary versus printable pdf. Advantages: high level of readability, live responsive charts, easy browsing and search of what users find interesting. The reported performance audit concerned 'dry ports', or multimodal logistics centres, which play growing role in domestic and international trade. It shows how gaps in concept and lax attitude to internal control can result on capacities, speed of trade, and enviromental safety.
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Comptroller and Auditor General of India
, issued in 2017
Risk cases: 5
Operation of the Hungarian State Holding Company in 2009
The State Audit Office of Hungary audited the Hungarian State Holding Company (hereinafter: HSHC). The aim of the audit was to evaluate if the practice of the property management system ... and activities were in harmony with the goals stipulated by the legislation, if the institutional system established for state property management and utilisation ensured the efficient functioning of the state ... assets and the preservation of its values. ... ... Effective property management requires effective data management ... at supporting state property management had serious deficiencies in the field of project management. As a consequence of the weaknesses in data management, the chartered accountant refused giving an opinion both ... The State Audit Office of Hungary audited the Hungarian State Holding Company and found that reliable data management is essential for effective property management. The IT project aimed ... in 2008 and 2009 as there were no reliable data available for an opinion on the financial report.
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The State Audit Office of Hungary audited the Hungarian State Holding Company (hereinafter: HSHC). The aim of the audit was to evaluate if the practice of the property management system ... and activities were in harmony with the goals stipulated by the legislation, if the institutional system established for state property management and utilisation ensured the efficient functioning of the state ... assets and the preservation of its values. ... ... Effective property management requires effective data management ... at supporting state property management had serious deficiencies in the field of project management. As a consequence of the weaknesses in data management, the chartered accountant refused giving an opinion both ... The State Audit Office of Hungary audited the Hungarian State Holding Company and found that reliable data management is essential for effective property management. The IT project aimed ... in 2008 and 2009 as there were no reliable data available for an opinion on the financial report.
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State Audit Office of Hungary
, issued in 2010
Risk cases: 2
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 ... 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 ... 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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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 ... 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 ... 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
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
Information security work at nine agencies
Difficulties in achieving appropriate IT security Together with the Swedish NAO we assume that the picture that emerges at the agencies audited applies also to most of the other agencies in the public administration. The information security work is not given high enough priority in relation to the risks that exist. This applies to both the Government, which should have been clearer in its directions to agencies on this matter, and to agency managements, which did not give priority to the work of information security to the extent required. Much indicates that it is difficult for many agencies to achieve an appropriate level of information security work.
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Difficulties in achieving appropriate IT security Together with the Swedish NAO we assume that the picture that emerges at the agencies audited applies also to most of the other agencies in the public administration. The information security work is not given high enough priority in relation to the risks that exist. This applies to both the Government, which should have been clearer in its directions to agencies on this matter, and to agency managements, which did not give priority to the work of information security to the extent required. Much indicates that it is difficult for many agencies to achieve an appropriate level of information security work.
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Swedish National Audit Office
, issued in 2016
Risk cases: 4
Software management assessment in local governments and local government educational institutions
Objective of the audit was to verify compliance of software recording and management with regulatory enactments, as well as to assess the effectiveness of software management in local governments ... and local government educational institutions. ... ... Software management assessment in local governments and local government educational institutions ... Manage your software! Local governments and local government education institution neglect basic safety procedures, use outdated or illegal kinds of software, use two and more different software ... for the same function.
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Objective of the audit was to verify compliance of software recording and management with regulatory enactments, as well as to assess the effectiveness of software management in local governments ... and local government educational institutions. ... ... Software management assessment in local governments and local government educational institutions ... Manage your software! Local governments and local government education institution neglect basic safety procedures, use outdated or illegal kinds of software, use two and more different software ... for the same function.
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State Audit Office of the Republic of Latvia
, issued in 2013
Risk cases: 4