Management of State Information Resources
The objective of the audit was to assess effectiveness of the management of the state information resources and of the use of their possibilities: suitability of the chosen state resources management ... model; rationality of the use of the State Budget funds when managing information resources; use of the possibilities of the state information resources to improve the performance of the public sector ... was conducted on the assumption that the audited and other entities provided comprehensive and objective information and copies of the documents correspond to the originals. ... Well targeted requirements, interconnected information resources and broad use - why so difficult to be gained? ... The leading idea of the 'Approach to Management of State Information Resources' programme was to entrench a comprehensive management of data resources. After five years preparations, the desired ... momentum was still not the case. SAI Lithuania analysed roots of the problems: concept, poor use of funds, lack of interconnections, unsatified users.
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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! ... , thus the objective of this policy – to promote more effective provision of healthcare services will be attained only partially. ... 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
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Effectiveness of the Tax Administration of the Republic of Slovenia in the execution of modernisation projects of the Slovenian duty information system and decreasing the number of duty sub-accounts
). These are the revenue of the state budget, municipal budgets, the Health Insurance Institute of Slovenia, the Institute for Pension and Disability Insurance of Slovenia (hereinafter: duties recipients) and indirectly ... of the European Union budget. In order to improve its operations, the Tax Authority decided to modernise the Slovenian duties’ collection information system. It used this opportunity to implement also a second ... The Tax Administration of the Republic of Slovenia (hereinafter: the Tax Administration) is responsible for collecting taxes, fees and other compulsory levies (hereinafter: duties ... ... Shaky coordination of investments in important systems ... Slovenian SAI traced a series of problems in management of crucial IT investments in tax administration. Apart from promising goals, unclear business case gave a start to many problems at next stages ... of the project, involving additional spendings, delays and errors in data processing.
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Evaluation of the effectiveness of implementation and compliance with regulatory enactments and the legal framework of the project “E-government Portfolio”
The objective of the audit is to evaluate the effectiveness of implementation and compliance with regulatory enactments and the legal framework of the project “Egovernment Portfolio” of the national ... programme of the European Regional Development Fund (hereinafter: ERDF) of the European Union (hereinafter: EU), “Development and improvement of the infrastructural foundation for electronic governance”. ... ... Funds to absorb but no efficient project methodology? Be prepared for troubles ... Wide list of problems that can be met when more care is received by 'absorb funds' objective than by clear vision what and how can be improved. SAI Latvia's analysis shows how dangerous it can ... be for both effectiveness and financial management.
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Information Technology Cost Estimation Agencies Need to Address Significant Weakness in Policies and Practices
To estimate reliable cost for the sucess of an IT program by providing the basis for the informed decision making and realistic budget information. To assess the extent to which selected departments ... and agencies have appropriately implement costestimating policies an procedures(four caracteristics of a reliable cost estimation: comprehensive, well-documented, accurate, credible). ... IT cost estimation ... Check out what may go wrong with the information technology cost estimation. Results of the US GAO audit can help to identify high risk areas: comprehensiveness of estimations, their documentation ... , lack of adequacy and inadequate implementation.
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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 ... , 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 ... and regularity in rail traffic. The Storting has been informed on multiple occasions that there is a maintenance backlog in the Norwegian railway infrastructure.<br/> The objective of the investigation has been ... ... 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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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? ... 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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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 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 ... of poor governance, as 'No cost monitoring - unclear objectives - arguable usefulness'. ... 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
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Peering Point Betriebs GmbH
– the Main Association of Austrian Social Insurance Institutions and the Austrian Medical Chamber – to 50 % each, and since 2011 in a proportion of 60 to 40. The Main Association failed to give an objective ... In 2004 the Peering Point Betriebs GmbH was established to provide an effective and secure IT network for the operation of the e-card (a smart card which replaced health insurance vouchers ... in the course of the introduction of the electronic administration system) and other services in health care. Since its foundation the company has suffered losses. Net losses were covered by the two owners ... ... Safe but expensive ... Network safety of a healthcare e-card system has been provided at a high cost. As the Austrian Court of Audit discovered - there was no concept to reduce the expenditure.
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