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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 ... 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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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 ... 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
Results of the development of the state’s information systems
, several measures have been implemented in the state to organise the development better and to guarantee that the systems are compatible. This audit gives an opinion of the results of development project ... The National Audit Office has repeatedly audited the management and development of the state’s information technology (IT) area in the last ten years. The last audit was performed in 2005. After that ... management and the state’s coordination mechanism in this process. ... ... Success and failure depend on preparation ... Conclusions of performance IT audit based on a sample of government projects: business portal, land register, e-police, fire safety monitoring system, childcare information system and the document ... management system of the Defence Forces. Key problems and discussion with auditees are presented.
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, several measures have been implemented in the state to organise the development better and to guarantee that the systems are compatible. This audit gives an opinion of the results of development project ... The National Audit Office has repeatedly audited the management and development of the state’s information technology (IT) area in the last ten years. The last audit was performed in 2005. After that ... management and the state’s coordination mechanism in this process. ... ... Success and failure depend on preparation ... Conclusions of performance IT audit based on a sample of government projects: business portal, land register, e-police, fire safety monitoring system, childcare information system and the document ... management system of the Defence Forces. Key problems and discussion with auditees are presented.
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National Audit Office of Estonia
, issued in 2010
Risk cases: 3
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.
for citizens in the welfare and employment sectors by utilizing the renewed information infrastructure.<br/> However, the information system of some government ministries proved to have overlapping functions ... 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 ... 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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for citizens in the welfare and employment sectors by utilizing the renewed information infrastructure.<br/> However, the information system of some government ministries proved to have overlapping functions ... 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 ... 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
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
The Ministry of the Environment lacks a compact information system and still uses 125 separate information systems and databases
of the MoE. The audit identified the following risks: (1) non-existence of the Integrated environmental information system (IEIS) as an independent information system; (2) purchase of ICT, within the budget ... chapter of the MoE, through a state co-funded organisation CENIA which comes under the management of the MoE; (3) utilisation of the information systems. The audited period was 2010 to 2013; where relevant ... The objective of the audit was to scrutinise the management of funds earmarked for the purchase and administration of ICT within the MoE and selected organisations which come under the management ... ... Ministry of the Environment manages 125 information systems and databases ... The Ministry of the Environment (MoE) has for more than 20 years a legal obligation to administer and manage an Integrated Environmental Information System (IEIS). In spite of this fact, the existing ... systems (more than 125 information systems and databases) are designed, implemented and managed as individual information systems without a direct integration into a joint point of reference.
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of the MoE. The audit identified the following risks: (1) non-existence of the Integrated environmental information system (IEIS) as an independent information system; (2) purchase of ICT, within the budget ... chapter of the MoE, through a state co-funded organisation CENIA which comes under the management of the MoE; (3) utilisation of the information systems. The audited period was 2010 to 2013; where relevant ... The objective of the audit was to scrutinise the management of funds earmarked for the purchase and administration of ICT within the MoE and selected organisations which come under the management ... ... Ministry of the Environment manages 125 information systems and databases ... The Ministry of the Environment (MoE) has for more than 20 years a legal obligation to administer and manage an Integrated Environmental Information System (IEIS). In spite of this fact, the existing ... systems (more than 125 information systems and databases) are designed, implemented and managed as individual information systems without a direct integration into a joint point of reference.
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Supreme Audit Office of Czech Republic
, issued in 2015
Risk cases: 7
The management of the State Property and Funds while Information Systems Building for the Ministry of Defence
The aim of the audit was to examine management during process of extension and modernization of the current information systems and at building of new information systems for the needs ... of the Ministry of Defence or the Army of the Czech Republic. Operating of information systems is inseparably linked with the communication infrastructure, thus the technological shift to ICT was reviewed also ... in this connection. The stationary ICT systems are determined to support management of the Ministry of Defence in period of peace. They are also supposed as a tool of crisis management. The auditing operation covered ... ... Information systems not balanced with infrastructure ... Both organizational changes and inflexibility produce unbalanced plans which cause deiscrepancies between IS and infrastructure.
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The aim of the audit was to examine management during process of extension and modernization of the current information systems and at building of new information systems for the needs ... of the Ministry of Defence or the Army of the Czech Republic. Operating of information systems is inseparably linked with the communication infrastructure, thus the technological shift to ICT was reviewed also ... in this connection. The stationary ICT systems are determined to support management of the Ministry of Defence in period of peace. They are also supposed as a tool of crisis management. The auditing operation covered ... ... Information systems not balanced with infrastructure ... Both organizational changes and inflexibility produce unbalanced plans which cause deiscrepancies between IS and infrastructure.
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Supreme Audit Office
, issued in 2005
Risk cases: 2
Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
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 ... 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 ... ... 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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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 ... 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 ... ... 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
Audit of the Government, Government-guaranteed and Municipal Debt Management Information Systems in the Ministry of Finance of the Republic of Bulgaria
The main audit question studied during the audit was: Are the government, government-guaranteed (SDMS) and municipal debt management information systems (CMDR) at the Ministry of Finance effective ... ? The audit covered the period from 01.01.2013 to 31.12.2013 and investigated four major areas: IT system strategy and general management; IT security and controls against disasters; Operational controls ... and Documentation; Application Controls. ... ... Even effective and modern IT systems require improvements and updates to ensure their security and accountability ... the established system is effective and provides updated, complete and correct information. Nevertheless the audit report points out areas of security, application controls as well as documentation as the subjects ... For the management of the government, government-guaranteed and municipal debt the Ministry of Finance has established an advanced integrated information infrastructure. According to Bulgarian SAI ... that need further improvement and optimization.
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The main audit question studied during the audit was: Are the government, government-guaranteed (SDMS) and municipal debt management information systems (CMDR) at the Ministry of Finance effective ... ? The audit covered the period from 01.01.2013 to 31.12.2013 and investigated four major areas: IT system strategy and general management; IT security and controls against disasters; Operational controls ... and Documentation; Application Controls. ... ... Even effective and modern IT systems require improvements and updates to ensure their security and accountability ... the established system is effective and provides updated, complete and correct information. Nevertheless the audit report points out areas of security, application controls as well as documentation as the subjects ... For the management of the government, government-guaranteed and municipal debt the Ministry of Finance has established an advanced integrated information infrastructure. According to Bulgarian SAI ... that need further improvement and optimization.
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Bulgarian National Audit Office
, issued in 2014
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
/> This statement, which is based on ongoing work, summarizes GAO’s preliminary observations about (1) VHA’s, Medicare’s, and TRICARE’s claims processing timeliness in fiscal year 2015; (2) factors that have impeded ... 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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/> This statement, which is based on ongoing work, summarizes GAO’s preliminary observations about (1) VHA’s, Medicare’s, and TRICARE’s claims processing timeliness in fiscal year 2015; (2) factors that have impeded ... 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
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 ... information system. ... 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 ... ... 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 ... information system. ... 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 ... ... 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