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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Submission of data to national databases in municipalities, towns and cities
The National Audit Office analysed the activities of the database managers following a ruling made by the Supreme Court in 2010, which stated that the public functions assigned to local authorities ... must be clearly financed from the state budget. It was also assessed whether the measures taken by database managers have been sufficient to guarantee that local authorities submit all required data ... and that these data are correct. ... ... Funds as basic factor of data processing ... The NAO of Estonia audited the activities of state agencies in the management of the database selected for the audit, to which local authorities are obliged to submit data. It was found that in most ... cases the state does not compensate the costs of data submission for local governments.
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Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
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 ... 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 ... ... 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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The Ministry of the Environment lacks a compact information system and still uses 125 separate information systems and databases
The objective of the audit was to scrutinise the management of funds earmarked for the purchase and administration of ICT within the MoE and selected organisations which come under the management ... of the MoE. The audit identified the following risks: (1) non-existence of the Integrated environmental information system (IEIS) as an independent information system; (2) purchase of ICT, within the budget ... chapter of the MoE, through a state co-funded organisation CENIA which comes under the management of the MoE; (3) utilisation of the information systems. The audited period was 2010 to 2013; where relevant ... ... Ministry of the Environment manages 125 information systems and databases ... The Ministry of the Environment (MoE) has for more than 20 years a legal obligation to administer and manage an Integrated Environmental Information System (IEIS). In spite of this fact, the existing ... systems (more than 125 information systems and databases) are designed, implemented and managed as individual information systems without a direct integration into a joint point of reference.
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Coordination of Infrastructure Works by Metropolitan Municipalities
Rapid population growth at metropoles as well as dense and planless structuring, especially in İstanbul and Ankara, have lead to an increase in demand for utilities services and consequently ... , in the resources used for the construction and maintenance of utilities. Moreover, in cities with dense population, damages to roads and sidewalks during the construction and maintenance of utilities cause problems ... in daily life, create financial burden and necessitate effective solutions. The purpose of this audit is to ensure that metropolitan municipalities eradicate defects in implementation, and Ministry ... ... ... Start geographic information system with cooperation rules and digital maps ... Organization of geographic and infrastructure information systems is an especially difficult task when bacause vast and intense coordination is necessary. The Turkisch Court of Accounts lists ... problems that reduce use and rise costs of this fundamental task.
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Online fraud
Uneven response to online fraud This type of fraud can affect everyone, but yet it is not a strategic priority for local police forces and the response from industry is uneven. UK NAO underlines: For too long, as a low-value but high-volume crime, online fraud has been overlooked by government, law enforcement and industry. It is a crime that can affect everyone. Fraud is now the most commonly experienced crime in England and Wales, is growing rapidly and demands an urgent response. Yet fraud is not a strategic priority for local police forces, and the response from industry is uneven.
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Effectiveness of internal controls in the protection of personal data in national databases
The NAO analysed seven national databases in order to find out how the legitimate use of personal data is ensured. In accordance with the Personal Data Protection Act, the agencies who run databases ... must ensure that personal data is protected from abuse. The information system of the database must function appropriately, incl. be reliable and safe. Log files must be retained of all instances ... of viewing, amending, deleting, transmitting of data, etc. These files must allow ex-post determination of who did what, why, when and using which data. In its audit the NAO focused on the functioning ... ... Basic controls analysis can fail in data protection ... Estonian SAI analyzed personal data safety. Main finding were: poor log analysis and unprotected data.
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