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Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
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 ... 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 ... . 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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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 ... 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 ... . 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
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 ... 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. ... 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 ... 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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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 ... 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. ... 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 ... 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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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 3
Management and implementation of 1BestariNet
the management and implementation of 1BestariNet was carried out economically, efficiency and effectively to achieve the inttended objectives. AUDIT SCOPE: The audit scope includes planning, implementation ... and monitoring of 1BestariNet Project. The audit was carried out at 1BestariNet’s Project Management Office, Ministry of Education Malaysia (Education Technology Division, Procurement and Asset Management Division ... and documents related to 1BestariNet project, data analysis, physical check on the 1BestariNet network, walk through system, visit to the 1BestariNet Data Centre located at the vendor’s premise, interviews ... ... To answer big risks in IT systems development you need all levels of organisation ... 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. ... 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
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the management and implementation of 1BestariNet was carried out economically, efficiency and effectively to achieve the inttended objectives. AUDIT SCOPE: The audit scope includes planning, implementation ... and monitoring of 1BestariNet Project. The audit was carried out at 1BestariNet’s Project Management Office, Ministry of Education Malaysia (Education Technology Division, Procurement and Asset Management Division ... and documents related to 1BestariNet project, data analysis, physical check on the 1BestariNet network, walk through system, visit to the 1BestariNet Data Centre located at the vendor’s premise, interviews ... ... To answer big risks in IT systems development you need all levels of organisation ... 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. ... 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
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National Audit Department of Malaysia
, issued in 2013
Risk cases: 4
Management of Information Resources of the Ministry of Agriculture
The Ministry of Agriculture of the Republic of Lithuania has managed 32 information systems and registers. Of these, 24 ones are managed, developed and upgraded by a state enterprise subordinate ... to the Ministry of Agriculture, the Agricultural Information and Rural Business Centre. The annual amount allocated by the Ministry for the maintenance of the Centre totals LTL 17.5 million on average ... . The objective of the audit was to assess the general and development controls of the information resources of the Ministry of Agriculture. The audit was conducted at the Ministry of Agriculture and the state ... ... Without appropiate IT management it is hard to achieve reliable, consistent and secure systems for agriculture ... Since 1996 the Ministry has been using information systems of varying complexity for collecting and processing data, including personal data. The Ministry of Agriculture of the Republic of Lithuania ... has managed 32 information systems and registers. SAI of Lithuania revealed that systems were not well mantained what affected use of funds devoted to the systemsand also their legality and security.
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The Ministry of Agriculture of the Republic of Lithuania has managed 32 information systems and registers. Of these, 24 ones are managed, developed and upgraded by a state enterprise subordinate ... to the Ministry of Agriculture, the Agricultural Information and Rural Business Centre. The annual amount allocated by the Ministry for the maintenance of the Centre totals LTL 17.5 million on average ... . The objective of the audit was to assess the general and development controls of the information resources of the Ministry of Agriculture. The audit was conducted at the Ministry of Agriculture and the state ... ... Without appropiate IT management it is hard to achieve reliable, consistent and secure systems for agriculture ... Since 1996 the Ministry has been using information systems of varying complexity for collecting and processing data, including personal data. The Ministry of Agriculture of the Republic of Lithuania ... has managed 32 information systems and registers. SAI of Lithuania revealed that systems were not well mantained what affected use of funds devoted to the systemsand also their legality and security.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 2
Information Technology Cost Estimation Agencies Need to Address Significant Weakness in Policies and Practices
and agencies have appropriately implement costestimating policies an procedures(four caracteristics of a reliable cost estimation: comprehensive, well-documented, accurate, credible). ... 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 ... 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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and agencies have appropriately implement costestimating policies an procedures(four caracteristics of a reliable cost estimation: comprehensive, well-documented, accurate, credible). ... 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 ... 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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General Accountability Office
, issued in 2012
Risk cases: 4
Quality of public services in information society in 2010
. Information about the services is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person ... The National Audit Office found that irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007 ... . A positive example is registration of a person’s place of residence, which has become considerably easier and user-friendlier than in 2007 as a result of the development of the state portal. <br/> 2007 Audit ... ... The quality of public services has been improved but still isn’t good enough ... is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person. ... Irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007. Information about the services
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. Information about the services is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person ... The National Audit Office found that irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007 ... . A positive example is registration of a person’s place of residence, which has become considerably easier and user-friendlier than in 2007 as a result of the development of the state portal. <br/> 2007 Audit ... ... The quality of public services has been improved but still isn’t good enough ... is still difficult to find on websites and people who use public services must still submit unjustified documents, proof of facts or go to administrative agencies in person. ... Irrespective of a few positive changes, the quality of provision of public services in information society has not improved significantly in comparison to 2007. Information about the services
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National Audit Office of Estonia
, issued in 2010
Risk cases: 2
Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
of health care – have been achieved. The four main e-health projects were reviewed in the audit: Electronic Health Record, Digital Prescription, Digital Registration and Digital Image. The problems ... 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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of health care – have been achieved. The four main e-health projects were reviewed in the audit: Electronic Health Record, Digital Prescription, Digital Registration and Digital Image. The problems ... 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 ... 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 ... 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 ... 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 ... 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 ... 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 ... that need further improvement and optimization.
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Bulgarian National Audit Office
, issued in 2014
Risk cases: 3
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 ... 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 ... of poor governance, as 'No cost monitoring - unclear objectives - arguable usefulness'.
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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 ... 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 ... of poor governance, as 'No cost monitoring - unclear objectives - arguable usefulness'.
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National Audit Office of Finland
, issued in 2011
Risk cases: 3
Effectiveness of the execution of the eHealth project
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 ... management of the health and health related data. The Ministry had planned to finish the project by December 2015 with estimated implementation and operational costs of 133 million euro by December 2023 ... 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 ... ... Clear concept, good planning and financial control are indispensable conditions for a successful IT project ... data. The Court has pointed at a long list of project management fundamentals to be corrected. ... 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
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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 ... management of the health and health related data. The Ministry had planned to finish the project by December 2015 with estimated implementation and operational costs of 133 million euro by December 2023 ... 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 ... ... Clear concept, good planning and financial control are indispensable conditions for a successful IT project ... data. The Court has pointed at a long list of project management fundamentals to be corrected. ... 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
Full description
Court of Audit of the Republic of Slovenia
, issued in 2013
Risk cases: 5