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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
Public access point to the Polish e-Administration
and public report issued in March 2009. Primary goal of th presentation was intended to illustrate the use of 'e-Government Algorithm' elaborated by EUROSAI IT Working Group in 2005. One of issues mede better ... Coordinated audit series (46 auditees) focused on a web solution applied to give an easy access to Government e-services (the project planned to be completed in 2013) The audit was performed in 2008 ... known by the audit was 'Project Frameworks vs Public Procurement'. ... ... Buyer, provider and methodologies need a balance ... Presentation based on a vast audit by Polish SAI which subject was of big network project aiming to provide one access point to Government and Selfgovernments services. The presentation illustrates ... old EUROSAI IT Wg 'Algorithm approach' and focuses on procurement systemic problems.
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and public report issued in March 2009. Primary goal of th presentation was intended to illustrate the use of 'e-Government Algorithm' elaborated by EUROSAI IT Working Group in 2005. One of issues mede better ... Coordinated audit series (46 auditees) focused on a web solution applied to give an easy access to Government e-services (the project planned to be completed in 2013) The audit was performed in 2008 ... known by the audit was 'Project Frameworks vs Public Procurement'. ... ... Buyer, provider and methodologies need a balance ... Presentation based on a vast audit by Polish SAI which subject was of big network project aiming to provide one access point to Government and Selfgovernments services. The presentation illustrates ... old EUROSAI IT Wg 'Algorithm approach' and focuses on procurement systemic problems.
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Supreme Audit Office of Poland
, issued in 2008
Risk cases: 3
Prevention Activities Against Traffic Accidents
Performance Audit Studies covering certain IT Issues related to Prevention Activities Against Traffic Accidents. It aims to contribute to the continuous improvement of prevention activities against ... traffic accidents, which are dramatically leading to loss of life and property. Examination and evaluation of the Traffic Information Systems (TIS) under the traffic control headline. TIS' main purpose ... is to conduct the traffic control activities efficiently with the help of systematic data. Objective of this audit was to contribute to the continuous improvement of prevention activities against traffic ... ... ... You need a way more than IT, to make an IT system successful ... SAI of Turkey examined the Traffic Information Systems and found out that not only IT infrastructure determined the audited IT project's outcomes. There were also non-IT issues that decided: low ... quality of driving education, poor technical infrastruture, as well as lack of monitoring and coordination at prioritization stage.
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Performance Audit Studies covering certain IT Issues related to Prevention Activities Against Traffic Accidents. It aims to contribute to the continuous improvement of prevention activities against ... traffic accidents, which are dramatically leading to loss of life and property. Examination and evaluation of the Traffic Information Systems (TIS) under the traffic control headline. TIS' main purpose ... is to conduct the traffic control activities efficiently with the help of systematic data. Objective of this audit was to contribute to the continuous improvement of prevention activities against traffic ... ... ... You need a way more than IT, to make an IT system successful ... SAI of Turkey examined the Traffic Information Systems and found out that not only IT infrastructure determined the audited IT project's outcomes. There were also non-IT issues that decided: low ... quality of driving education, poor technical infrastruture, as well as lack of monitoring and coordination at prioritization stage.
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Turkish Court of Accounts
, issued in 2008
Risk cases: 4
Managing the risk of legacy ICT to public service delivery
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 ... 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 ... 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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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 ... 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 ... 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
Open Government Data - Are all exceptions to the principle of cost-free access and reuse legitimate?
/> In order to address this issue, the commission has endeavoured to base its considerations on:<br/> - the work done on a regular basis over the last twenty or so years by Government on issues relating ... The United Kingdom, a country seen, like the United States, as a pioneer in open public data, has estimated at £6.8bn (€7,9bn) the revenue in 2010 and 2011 generated for British society by open ... public data, of which £5bn (€5.8bn) is profit. As an example, a start-up has highlighted the existence of areas in which massive savings can be made by analysing prescriptions of patented drugs ... ... Open data strategy should decide the costs problem ... French Cour des comptes presents analysis on implementation of the open data practice across the administration. Massive savings are expected, when public access to large amounts of highquality data ... is made easy. France is among the pioneers and countries making the most rapid progress in this domain. Charges for the reuse of the public information has been identified as the main problem.
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/> In order to address this issue, the commission has endeavoured to base its considerations on:<br/> - the work done on a regular basis over the last twenty or so years by Government on issues relating ... The United Kingdom, a country seen, like the United States, as a pioneer in open public data, has estimated at £6.8bn (€7,9bn) the revenue in 2010 and 2011 generated for British society by open ... public data, of which £5bn (€5.8bn) is profit. As an example, a start-up has highlighted the existence of areas in which massive savings can be made by analysing prescriptions of patented drugs ... ... Open data strategy should decide the costs problem ... French Cour des comptes presents analysis on implementation of the open data practice across the administration. Massive savings are expected, when public access to large amounts of highquality data ... is made easy. France is among the pioneers and countries making the most rapid progress in this domain. Charges for the reuse of the public information has been identified as the main problem.
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Cour des comptes
, issued in 2013
Risk cases: 1
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.
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 ... 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 ... Enormous IT investments require tremendous coordination ... 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. ... 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
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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 ... 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 ... Enormous IT investments require tremendous coordination ... 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. ... 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
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Board of Audit and Inspection of Korea
, issued in 2011
Risk cases: 3
State funds spent on development, operation and using of data centres services
from June to December 2014. At its 5th session held on 30 March 2015 the SAO Board issued resolution no. 12/V/2015 approving the audit conclusion. ... 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 ... ... 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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from June to December 2014. At its 5th session held on 30 March 2015 the SAO Board issued resolution no. 12/V/2015 approving the audit conclusion. ... 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 ... ... 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
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 ... 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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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 ... 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
Digitisation of municipal services
The purpose of digitisation is to increase the quality and efficiency of public services. It is a goal to make online services the norm for public administration's communication with citizens ... and the private sector. The municipal sector is a significant provider of public services, and digitisation of municipal services is therefore essential for achieving this goal.<br/>The audit surveyed the status ... , assessed the significance of and possible obstacles to digitisation of municipal services. The audit examined how the Ministry of Local Government and Modernisation's use of policy instruments contributes ... ... Municipalities have not digitised their services to any extent ... Digitisation increases the quality and efficiency of public services and municipal sector is a significant provider of public services. Report of Riksrevisjonen of Norway shows however ... , that municipalities need a substantial support to execute this demanding task. To provide them with help, the central government has to coordinate own efforts first.
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The purpose of digitisation is to increase the quality and efficiency of public services. It is a goal to make online services the norm for public administration's communication with citizens ... and the private sector. The municipal sector is a significant provider of public services, and digitisation of municipal services is therefore essential for achieving this goal.<br/>The audit surveyed the status ... , assessed the significance of and possible obstacles to digitisation of municipal services. The audit examined how the Ministry of Local Government and Modernisation's use of policy instruments contributes ... ... Municipalities have not digitised their services to any extent ... Digitisation increases the quality and efficiency of public services and municipal sector is a significant provider of public services. Report of Riksrevisjonen of Norway shows however ... , that municipalities need a substantial support to execute this demanding task. To provide them with help, the central government has to coordinate own efforts first.
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Office of the Auditor General of Norway
, issued in 2016
Risk cases: 2
Management and implementation of 1BestariNet
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 ... 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 ... 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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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 ... 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 ... 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.
Full description
National Audit Department of Malaysia
, issued in 2013
Risk cases: 4