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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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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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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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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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 ... 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 ... be failing not only because of technology, but also because of work-process design, staff and organisation.
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