Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
. E-health solutions also save patients time. <br/> The purpose of the audit was to assess whether the objectives set to e-Health – higher quality of the health service and more efficient organisation ... 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? ... 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. ... 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
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State funds spent on development, operation and using of data centres services
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 ... 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 ... 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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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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VETERANS’ HEALTH CARE - Preliminary Observations on VHA’s Claims Processing Delays and Efforts to Improve the Timeliness of Payments to Community Providers
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 ... /> 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 ... Data processing hold back by technology limitation, workload and administrative burden ... be failing not only because of technology, but also because of work-process design, staff and organisation. ... 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
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Management and implementation of 1BestariNet
1BestariNet Service Project (1BestariNet) is an initiative undertaken by the Malaysian Ministry of Education (MOE) to replace and enhance ICT connectivity in schools. It is an enhancement ... to the SchoolNet service which terminated on 31 December 2010 with emphasis on end-to-end solutions (E2E) network services together with Virtual Learning Environment (VLE). Under this project, 10,000 primary ... and secondary public schools in Malaysia are equipped with high-speed 4G Internet access and a virtual learning platform, providing high-speed internet connectivity and access to a world-class Integrated Learning ... ... To answer big risks in IT systems development you need all levels of organisation ... Audit of 1BestariNet is presented by the Malaysian National Audit Department together with other IT projects reviewed. A result is this concise and instructive list of lessons learnt and failures ... to be avoided. To maximize performance and minimize vendor lock-in you need a lot of concerted effort by top and line management, as well as users ready to work with new tools.
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Cyber Attacks: Securing Agencies’ICT Systems
of sensitive personal information. Unauthorised access through electronic means, also known as cyber intrusions, can result from the actions of outside individuals or organisations. Individuals operating from ... Cyber crime is an international problem, and it is estimated that in 2012, 5.4 million Australians fell victim to such crimes, with an estimated cost to the economy of $1.65 billion ... . In the government sector, the Australian Signals Directorate (ASD)3 has estimated that between January and December 2012, there were over 1790 security incidents against Australian Government agencies. Of these, 685 ... ... Cyber-security strategy needs consistent implementation and periodic reviews ... List of 35 mitigation controls against cyber intrusions are a basic tool of information security strategy of the Australian Government. Top four are: 1. application whitelisting, 2. patching ... application, 3. patching operating systems, 4. minimising administrative privileges. Analysis by the ANAO helps to fill gaps and to direct next steps.
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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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Maintenance efficiency in the rail network
The primary objective of railway politics is to contribute to ensure that users of the transport service have good railway options. The Norwegian National Rail Administration is organised under ... the Ministry of Transport and Communications, and its responsibilities include operation, maintenance and development of the State's railway infrastructure. The maintenance activities must safeguard safety ... , fixed assets and operational stability of the railway system. The most important objective for the maintenance is to reduce the scope of operational interruptions, and to facilitate better punctuality ... ... Rail network maintenance - negative balance of costs and results ... SAI Norway evaluated efficiency of the railway maintenance and found that its costs increased nearly 110 per cent in years 2006–2014. Negative development in uptime and regularity dominated the first ... part of the examined period, from 2006 to 2011. It turned positive from 2011, but in 2014 results were still worse than in 2006. The results have lagged behind the Ministry's target figures for most ... of the period.
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Effectiveness of the execution of the eHealth project
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 ... management, management of the human resources and financial oversight. The goal of the Ministry was to implement a modern information system, which would support secure eHealth operations and effective ... ... Clear concept, good planning and financial control are indispensable conditions for a successful IT project ... 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 ... data. The Court has pointed at a long list of project management fundamentals to be corrected.
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