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Correct information at the right time in healthcare and nursing – collaboration without effect?
The Swedish National Audit Office has conducted an audit to determine whether Government initiatives have contributed to the objective that authorised healthcare staff shall have access to the right ... patient information at the right time by means of direct electronic access. ... ... Information share is crucial for competitive health care ... Health and social care staff has very limited access to patient information from other care-giving institutions, which may lead to health damage and wrong-treatment. The cooperation between ... the Government and the municipalities must improve if the investments in better access to common patient information shall get impact in practice.
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The Swedish National Audit Office has conducted an audit to determine whether Government initiatives have contributed to the objective that authorised healthcare staff shall have access to the right ... patient information at the right time by means of direct electronic access. ... ... Information share is crucial for competitive health care ... Health and social care staff has very limited access to patient information from other care-giving institutions, which may lead to health damage and wrong-treatment. The cooperation between ... the Government and the municipalities must improve if the investments in better access to common patient information shall get impact in practice.
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Riksrevisionen (Swedish National Audit Office)
, issued in 2011
Risk cases: 3
Report to the Public AccountsCommittee on mitigation of cyber attacks
of attacks: - technical restriction of download of programmes; - limited use of local administrators; - systematic software updates. Rigsrevisionen has assessed whether the government bodies in the study ... 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 ... . limited use of local administrators rights; 3. systematic software updates. ... 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
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of attacks: - technical restriction of download of programmes; - limited use of local administrators; - systematic software updates. Rigsrevisionen has assessed whether the government bodies in the study ... 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 ... . limited use of local administrators rights; 3. systematic software updates. ... 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
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National Audit Office of Denmark
, issued in 2013
Risk cases: 3
The National Offender Management Information System (NOMIS)
for project’s cost reduction, the aims of the revised National Offender Management Service (NOMS) and the progress made, the impact of the delays and rescoping on the costs and benefits achieved, and NOMS ... This report examines the reasons for the delays and cost increases to the original integrated information system and, since the moratorium imposed by the Minister of State in order to seek options ... ’ fitness to deliver. The aim of one integrated information system (C-NOMIS i.e. National Offender Management Information System) was to improve information sharing about offenders; address the lack ... Rescoping necessary, but not fully successful ... An initiative to build a single offender management IT system for the prison and probation services has not delivered value for money. The NAO investigation found the project had been hampered ... by poor management leading to a three-year delay, a doubling in project costs and reductions in scope and benefits.
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for project’s cost reduction, the aims of the revised National Offender Management Service (NOMS) and the progress made, the impact of the delays and rescoping on the costs and benefits achieved, and NOMS ... This report examines the reasons for the delays and cost increases to the original integrated information system and, since the moratorium imposed by the Minister of State in order to seek options ... ’ fitness to deliver. The aim of one integrated information system (C-NOMIS i.e. National Offender Management Information System) was to improve information sharing about offenders; address the lack ... Rescoping necessary, but not fully successful ... An initiative to build a single offender management IT system for the prison and probation services has not delivered value for money. The NAO investigation found the project had been hampered ... by poor management leading to a three-year delay, a doubling in project costs and reductions in scope and benefits.
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National Audit Office
, issued in 2009
Risk cases: 4
The National Government Service Centre – Has administration become more effective?
The purpose of this audit has been to investigate whether the Service Centre has made administrative operational support functions taken over from client agencies more effective, and to find ... explanations for the results so far achieved by the Service Centre. The audit has also aspired to illustrate how agencies that do not subscribe to the services regard their potential for doing so ... . These viewpoints have been analysed with a special focus on the conditions that applied to the Service Centre when it was formed and the measures taken by the Government and the Service Centre in the first years. ... ... Has Swedish public administration become more effective? ... of agencies' subscription to the Service Centre’s services was limited to start with. For example, the Service Centre’s operational targets for subscription did not refer to agency size, which is important ... The Service Centre – payroll and financial administration IT system for Swedish public agencies under the government – has achieved the target of a subscription rate of 25 per cent of the total ... number of state employees. However, subscription to the Service Centre was initially slower than the Government had predicted and meant lower revenues than expected in autumn 2013. The Service Centre
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The purpose of this audit has been to investigate whether the Service Centre has made administrative operational support functions taken over from client agencies more effective, and to find ... explanations for the results so far achieved by the Service Centre. The audit has also aspired to illustrate how agencies that do not subscribe to the services regard their potential for doing so ... . These viewpoints have been analysed with a special focus on the conditions that applied to the Service Centre when it was formed and the measures taken by the Government and the Service Centre in the first years. ... ... Has Swedish public administration become more effective? ... of agencies' subscription to the Service Centre’s services was limited to start with. For example, the Service Centre’s operational targets for subscription did not refer to agency size, which is important ... The Service Centre – payroll and financial administration IT system for Swedish public agencies under the government – has achieved the target of a subscription rate of 25 per cent of the total ... number of state employees. However, subscription to the Service Centre was initially slower than the Government had predicted and meant lower revenues than expected in autumn 2013. The Service Centre
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Swedish National Audit Office
, issued in 2016
Risk cases: 2
Management of Information Resources of the Ministry of the Interior
management. Their impact is important not only because the Ministry manages 16 information resources, which ensure data availability to the population, efficient activity of the services, and operation ... Many activities of the Ministry of the Interior require the use of information resources that are of great significance to the entire State, such as the state and departmental registers, and public ... information systems. Whereas the Ministry has failed to implement some of the public audit recommendations of 2007 and 2010,6 we analysed, whether there have been any positive changes in the field of IT ... ... Process maturity examination can help in IT audit ... Main risk areas in case of this audit were strategic and organisational - Ministry’s weak ownership of IT resources, insufficient audit and internal control function. SAI Lithuania auditors found ... also flaws in change management and security processes. But the finding, which gave them the key to the root cause of problems, was connected with maturity assessment of the auditee's IT processes.
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management. Their impact is important not only because the Ministry manages 16 information resources, which ensure data availability to the population, efficient activity of the services, and operation ... Many activities of the Ministry of the Interior require the use of information resources that are of great significance to the entire State, such as the state and departmental registers, and public ... information systems. Whereas the Ministry has failed to implement some of the public audit recommendations of 2007 and 2010,6 we analysed, whether there have been any positive changes in the field of IT ... ... Process maturity examination can help in IT audit ... Main risk areas in case of this audit were strategic and organisational - Ministry’s weak ownership of IT resources, insufficient audit and internal control function. SAI Lithuania auditors found ... also flaws in change management and security processes. But the finding, which gave them the key to the root cause of problems, was connected with maturity assessment of the auditee's IT processes.
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National Audit Office of the Republic of Lithuania
, issued in 2016
Risk cases: 4
Incorrect payments in social insurance - Control activities of the Swedish Social Insurance Agency
, that it is well administered and that it is as free of abuse as possible. It must also be financially stable over time, since major fluctuations impact other areas of the central government budget. When ... In 2014 the social insurance system accounted for six per cent of GDP. The long-term sustainability of a system of that magnitude requires that the public perceives its purpose to be important ... these things function as they should, the system is perceived to be legitimate and enjoys public confidence.<br/> According to available estimations, almost SEK 20 billion had been paid out incorrectly from ... Balance of priorities needed to reduce incorrect payments ... Role of social insurance in public finance is so substantial that reduction of incorrect payments' volume is matter of huge savings. The Swedish NAO noted positive initiatives by the Social Insurance ... Agency in this regard. However they found also, that serious problems can stem from giving higher priority to the speed of payment and customers satisfaction. They both are undoubtedly important features ... of each system, still, the prevention of incorrect payments needs strategic support to be really effective.
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, that it is well administered and that it is as free of abuse as possible. It must also be financially stable over time, since major fluctuations impact other areas of the central government budget. When ... In 2014 the social insurance system accounted for six per cent of GDP. The long-term sustainability of a system of that magnitude requires that the public perceives its purpose to be important ... these things function as they should, the system is perceived to be legitimate and enjoys public confidence.<br/> According to available estimations, almost SEK 20 billion had been paid out incorrectly from ... Balance of priorities needed to reduce incorrect payments ... Role of social insurance in public finance is so substantial that reduction of incorrect payments' volume is matter of huge savings. The Swedish NAO noted positive initiatives by the Social Insurance ... Agency in this regard. However they found also, that serious problems can stem from giving higher priority to the speed of payment and customers satisfaction. They both are undoubtedly important features ... of each system, still, the prevention of incorrect payments needs strategic support to be really effective.
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Swedish National Audit Office
, issued in 2016
Risk cases: 3
Management and protection of assets in the field of the information-communication technologies at the AO SR
The Supreme Audit office of the Slovak Republic (SAO SR) has executed the audit at the Antimonopoly Office of the Slovak Republic (AO SR) for the audit period 2010 and 2011 to verify the operation ... and security of the information-communication technologies (ICT) and the information systems of the public administration (ISPA) as well as the state assets administration, the economy and disposal ... with the state assets, the compliance with the generally binding legal regulations and the general statues in the field of the ISPA. There were 24 irregularities found, mainly in the field of the protection ... ... ... Failure to comply with the law leads to unnecessary jeopardizing of data security ... The audit in the field of the information systems of the public administration (ISPA) executed by the Supreme Audit Office of the Slovak Republic at the Antimonopoly Office of the Slovak Republic (AO ... SR) exposed several deficiencies related to the information systems and the data security as a consequence of a lawbreaking.
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The Supreme Audit office of the Slovak Republic (SAO SR) has executed the audit at the Antimonopoly Office of the Slovak Republic (AO SR) for the audit period 2010 and 2011 to verify the operation ... and security of the information-communication technologies (ICT) and the information systems of the public administration (ISPA) as well as the state assets administration, the economy and disposal ... with the state assets, the compliance with the generally binding legal regulations and the general statues in the field of the ISPA. There were 24 irregularities found, mainly in the field of the protection ... ... ... Failure to comply with the law leads to unnecessary jeopardizing of data security ... The audit in the field of the information systems of the public administration (ISPA) executed by the Supreme Audit Office of the Slovak Republic at the Antimonopoly Office of the Slovak Republic (AO ... SR) exposed several deficiencies related to the information systems and the data security as a consequence of a lawbreaking.
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Supreme Audit Office of the Slovak Republic
, issued in 2011
Risk cases: 4
THE CYBER SECURITY ENVIRONMENT IN LITHUANIA
The purpose of the audit was to assess whether cyber security is being ensured in Lithuania. In view of this goal, we assessed whether: (1) an effective cyber security system has been set up; (2 ... ) cyber security is ensured in public establishments. During the audit, the SAI Lithuania analysed current regulation, strategic planning and management practices in the field of cyber security ... and electronic information security as well as the funds allocated and used in this area. The SAI evaluated whether the cyber security and electronic information security objectives detailed in planning documents ... ... Cyber-security is much more than preventing incidents ... SAI Lithuania determined that the issue of ensuring and increasing cyber security and resilience has not been effectively addressed at the national level. The focus has primarily been on reacting ... to and preventing incidents in cyber space, which means that traditional issues related to electronic information security (confidentiality, integrity, accessibility) have been neglected, and from 2015, not enough ... attention has been paid to development, legislation, improvement of organisational structure, etc. in this field.
Full description
The purpose of the audit was to assess whether cyber security is being ensured in Lithuania. In view of this goal, we assessed whether: (1) an effective cyber security system has been set up; (2 ... ) cyber security is ensured in public establishments. During the audit, the SAI Lithuania analysed current regulation, strategic planning and management practices in the field of cyber security ... and electronic information security as well as the funds allocated and used in this area. The SAI evaluated whether the cyber security and electronic information security objectives detailed in planning documents ... ... Cyber-security is much more than preventing incidents ... SAI Lithuania determined that the issue of ensuring and increasing cyber security and resilience has not been effectively addressed at the national level. The focus has primarily been on reacting ... to and preventing incidents in cyber space, which means that traditional issues related to electronic information security (confidentiality, integrity, accessibility) have been neglected, and from 2015, not enough ... attention has been paid to development, legislation, improvement of organisational structure, etc. in this field.
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National Audit Office of the Republic of Lithuania
, issued in 2015
Risk cases: 6
Is the project 'E-health in Latvia' a step towards the right direction?
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 ... 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 ... E-health is a step forward in right direction, but not all objectives will be reached! ... 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 ... 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 ... , thus the objective of this policy – to promote more effective provision of healthcare services will be attained only partially.
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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 ... 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 ... E-health is a step forward in right direction, but not all objectives will be reached! ... 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 ... 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 ... , 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
Managing the risk of legacy ICT to public service delivery
The cross-government report describes the case studies from four public services (state pension, Value Added Tax collection, prescription payment and consumer credit licensing services) selected ... to illustrate the range of approaches that small and large government bodies are taking to address the issues arising from legacy ICT (defined as "systems and applications that have been operationally embedded ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... Possible approaches to the problem of 'legacy ICT' ... UK’s government experience in managing the risks connected to legacy ICT provides valuable insight for others facing the same problem and are considering transforming their services.
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The cross-government report describes the case studies from four public services (state pension, Value Added Tax collection, prescription payment and consumer credit licensing services) selected ... to illustrate the range of approaches that small and large government bodies are taking to address the issues arising from legacy ICT (defined as "systems and applications that have been operationally embedded ... within a business function but superseded by newer and more effective technologies or changed business needs"). ... Possible approaches to the problem of 'legacy ICT' ... UK’s government experience in managing the risks connected to legacy ICT provides valuable insight for others facing the same problem and are considering transforming their services.
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National Audit Office
, issued in 2013
Risk cases: 3