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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
Storage of Electronic Documents and Data at the National Archives of Latvia
Ever since electronic documents with legal force equivalent to that of paper documents have entered our daily lives and the majority of state administration processes have been transferred ... to electronic information systems, the role of the archives has become unclear — whether an inhabitant can rely on that the archives will be able to issue statements in the areas, which are currently processed ... in electronic form, many years later.<br/> The audit concerning the storage of electronic documents was carried out in order to assess the development of the area of electronic document circulation and storage ... ... Do Archives ensure the storage of e-documents? ... National archives fulfil an important function for storing the documentary heritage and became one of the most important sources of information. But after electronic documents have entered our daily ... lives and majority of state administration processes have been transferred to electronic information systems, the archives still have a lot of work to do for improving the storage of electronic documents ... . SAI Latvia analysed causes of over 12 years with no progress in this domain.
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Ever since electronic documents with legal force equivalent to that of paper documents have entered our daily lives and the majority of state administration processes have been transferred ... to electronic information systems, the role of the archives has become unclear — whether an inhabitant can rely on that the archives will be able to issue statements in the areas, which are currently processed ... in electronic form, many years later.<br/> The audit concerning the storage of electronic documents was carried out in order to assess the development of the area of electronic document circulation and storage ... ... Do Archives ensure the storage of e-documents? ... National archives fulfil an important function for storing the documentary heritage and became one of the most important sources of information. But after electronic documents have entered our daily ... lives and majority of state administration processes have been transferred to electronic information systems, the archives still have a lot of work to do for improving the storage of electronic documents ... . SAI Latvia analysed causes of over 12 years with no progress in this domain.
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State Audit Office of the Republic of Latvia
, issued in 2015
Risk cases: 3
State funds spent on development, operation and using of data centres services
The aim of the audit was to scrutinise the management of funds spent on building and operating the national data centre (hereinafter “STC1 data centre”), including the expenditure of selected ... organisational units of the state on buying hosting, server-housing and other related services. The audited period was between 2010 and 2014; where relevant, the preceding period was also scrutinised. Audited ... entities: Ministry of the Interior (“MoI”); Ministry of Finance (“MoF”); STÁTNÍ TISKÁRNA CENIN, state firm (state banknote printing firm, hereinafter “STC” or “the state firm”). The audit was conducted ... ... Risks steming from uncoordinated strategy ... SAI of Czech Republic analysed consequences of failures in strategic IT management at the state level. Lack of coordination and implementation rules reduced practical role of the ministry whose task ... was to guard high quality standards for all crucial IT systems in the state administration. Next consecquences were (among others) risk of uneconomical results of large IT investment and risk of inefficient ... supply of services, as well as opposite results of workforce reduction.
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The aim of the audit was to scrutinise the management of funds spent on building and operating the national data centre (hereinafter “STC1 data centre”), including the expenditure of selected ... organisational units of the state on buying hosting, server-housing and other related services. The audited period was between 2010 and 2014; where relevant, the preceding period was also scrutinised. Audited ... entities: Ministry of the Interior (“MoI”); Ministry of Finance (“MoF”); STÁTNÍ TISKÁRNA CENIN, state firm (state banknote printing firm, hereinafter “STC” or “the state firm”). The audit was conducted ... ... Risks steming from uncoordinated strategy ... SAI of Czech Republic analysed consequences of failures in strategic IT management at the state level. Lack of coordination and implementation rules reduced practical role of the ministry whose task ... was to guard high quality standards for all crucial IT systems in the state administration. Next consecquences were (among others) risk of uneconomical results of large IT investment and risk of inefficient ... supply of services, as well as opposite results of workforce reduction.
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Supreme Audit Office of Czech Republic
, issued in 2015
Risk cases: 7
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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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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National Audit Office of Finland
, issued in 2011
Risk cases: 3
VETERANS’ HEALTH CARE - Preliminary Observations on VHA’s Claims Processing Delays and Efforts to Improve the Timeliness of Payments to Community Providers
, GAO obtained fiscal year 2015 data on the timeliness of VHA’s, Medicare’s, and TRICARE’s claims processing. GAO visited 4 of 95 VHA claims processing locations (selected on the basis of variation ... Due to increases in expenditures and utilization of VA care in the community services in recent years, VHA has had difficulty processing claims in a timely manner. In planning to consolidate its ... existing VA care in the community programs, as required by law, the agency said it will examine strategies for improving the timeliness and accuracy of its payments to community providers.<br ... Data processing hold back by technology limitation, workload and administrative burden ... US GAO analyzed all factors of slower processing and user unfriendliness that occur sometimes to the veterans healthcare. The main focus is data processing - and it has been proved that it can ... be failing not only because of technology, but also because of work-process design, staff and organisation.
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, GAO obtained fiscal year 2015 data on the timeliness of VHA’s, Medicare’s, and TRICARE’s claims processing. GAO visited 4 of 95 VHA claims processing locations (selected on the basis of variation ... Due to increases in expenditures and utilization of VA care in the community services in recent years, VHA has had difficulty processing claims in a timely manner. In planning to consolidate its ... existing VA care in the community programs, as required by law, the agency said it will examine strategies for improving the timeliness and accuracy of its payments to community providers.<br ... Data processing hold back by technology limitation, workload and administrative burden ... US GAO analyzed all factors of slower processing and user unfriendliness that occur sometimes to the veterans healthcare. The main focus is data processing - and it has been proved that it can ... be failing not only because of technology, but also because of work-process design, staff and organisation.
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General Accountability Office
, issued in 2016
Risk cases: 6
Effectiveness of the execution of the eHealth project
management of the health and health related data. The Ministry had planned to finish the project by December 2015 with estimated implementation and operational costs of 133 million euro by December 2023 ... The Court of Audit of the Republic of Slovenia has audited how effectively the Ministry of Health had managed the project eHealth - the national plan for developing information system support ... to the national public health system in the period between 1st of January 2004 and 26th of September 2013. The audit has focused on the effectiveness of the Ministry in achieving the project’s goals, time ... ... Clear concept, good planning and financial control are indispensable conditions for a successful IT project ... data. The Court has pointed at a long list of project management fundamentals to be corrected. ... The Court of Audit of the Republic of Slovenia analysed a Government eHealth project. Its goal was to implement a modern information system, which would support the health services and health related
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management of the health and health related data. The Ministry had planned to finish the project by December 2015 with estimated implementation and operational costs of 133 million euro by December 2023 ... The Court of Audit of the Republic of Slovenia has audited how effectively the Ministry of Health had managed the project eHealth - the national plan for developing information system support ... to the national public health system in the period between 1st of January 2004 and 26th of September 2013. The audit has focused on the effectiveness of the Ministry in achieving the project’s goals, time ... ... Clear concept, good planning and financial control are indispensable conditions for a successful IT project ... data. The Court has pointed at a long list of project management fundamentals to be corrected. ... The Court of Audit of the Republic of Slovenia analysed a Government eHealth project. Its goal was to implement a modern information system, which would support the health services and health related
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Court of Audit of the Republic of Slovenia
, issued in 2013
Risk cases: 5
Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
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 ... 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 ... ... 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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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 ... 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 ... ... 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
IT security in the Federal Administration
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. ... Technical and organizational deficiencies work together against data security ... Only minor deficiencies were revealed in the Windows environment but only in case of Microsoft products.Providers' lack of both assertiveness and synergy adds to 'the great unknown' of authonomous ... entities' networks.
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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. ... Technical and organizational deficiencies work together against data security ... Only minor deficiencies were revealed in the Windows environment but only in case of Microsoft products.Providers' lack of both assertiveness and synergy adds to 'the great unknown' of authonomous ... entities' networks.
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Swiss Federal Audit Office
, issued in 2011
Risk cases: 4
Material–technical supply of the State Police
. The audit included inspections performed at the State Police, the Ministry of the Interior and the Information Centre and focused on: the Biometric data processing system and the Criminal Procedure ... The main aim of the audit was to obtain assurance about whether the State budget funds allocated for material–technical supply of functions of the State Police were legitimate and efficient ... information system. ... ... Essential role of pre-project evaluation ... SAI of Latvia reveals chain of events that lead to unsuccessful implemenation of two important IS of the State police. What started with an absence of the strategy ended up with budget, time ... overruns and an IS not ready for effiecient use.
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. The audit included inspections performed at the State Police, the Ministry of the Interior and the Information Centre and focused on: the Biometric data processing system and the Criminal Procedure ... The main aim of the audit was to obtain assurance about whether the State budget funds allocated for material–technical supply of functions of the State Police were legitimate and efficient ... information system. ... ... Essential role of pre-project evaluation ... SAI of Latvia reveals chain of events that lead to unsuccessful implemenation of two important IS of the State police. What started with an absence of the strategy ended up with budget, time ... overruns and an IS not ready for effiecient use.
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State Audit Office of the Republic of Latvia
, issued in 2013
Risk cases: 6
The Board of Audit and Inspection (BAI) conducted an audit on the information systems in the area of service delivery to improve the system’s efficiency and convenience.
and there was a noticeable lack of connectivity between them. Errors and omitted data by the administrators were discovered as well, leading to the citizens losing faith in the system. ... Korea was recognized as an Information Technology (IT) powerhouse by the international community of the UN in 2010. Such an achievement is attributable to the significant investments that the Korean ... government has commissioned toward improving the country’s information infrastructure within a short period of time.<br/> The government is investing 1 trillion won every year in an e-government project ... Enormous IT investments require tremendous coordination ... Korean government is investing 1 trillion won in e-government projectsevery year. Thus, the country has earned a reputation for the IT powerhouse. Apart from undeniable advantages, the huge scale ... and the speed, the information technologies are implemented with, cause some problems to be tackled. The SAI Korea turns special atention to two of them: overlapping functionalities and interconnectivity issues.
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and there was a noticeable lack of connectivity between them. Errors and omitted data by the administrators were discovered as well, leading to the citizens losing faith in the system. ... Korea was recognized as an Information Technology (IT) powerhouse by the international community of the UN in 2010. Such an achievement is attributable to the significant investments that the Korean ... government has commissioned toward improving the country’s information infrastructure within a short period of time.<br/> The government is investing 1 trillion won every year in an e-government project ... Enormous IT investments require tremendous coordination ... Korean government is investing 1 trillion won in e-government projectsevery year. Thus, the country has earned a reputation for the IT powerhouse. Apart from undeniable advantages, the huge scale ... and the speed, the information technologies are implemented with, cause some problems to be tackled. The SAI Korea turns special atention to two of them: overlapping functionalities and interconnectivity issues.
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Board of Audit and Inspection of Korea
, issued in 2011
Risk cases: 3