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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Is the project 'E-health in Latvia' a step towards the right direction?
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 ... in the newly built e-health information system? 4) Has an efficient supervision and control of the project 'E-health in Latvia' been set up? ... 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 ... E-health is a step forward in right direction, but not all objectives will be reached! ... 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 ... , thus the objective of this policy – to promote more effective provision of healthcare services will be attained only partially.
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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 ... be for both effectiveness and financial management. ... 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
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Results of the development of the state’s information systems
The National Audit Office has repeatedly audited the management and development of the state’s information technology (IT) area in the last ten years. The last audit was performed in 2005. After that ... , several measures have been implemented in the state to organise the development better and to guarantee that the systems are compatible. This audit gives an opinion of the results of development project ... management and the state’s coordination mechanism in this process. ... ... Success and failure depend on preparation ... Conclusions of performance IT audit based on a sample of government projects: business portal, land register, e-police, fire safety monitoring system, childcare information system and the document ... management system of the Defence Forces. Key problems and discussion with auditees are presented.
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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 ... 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 ... 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 ... ... 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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Does the Admin PKI correspond to the original objectives and the needs of the Federal Administration and the Cantons?
The SFAO has audited the Admin PKI, the basic infrastructure and offering for the issuing of digital certificates within the Federal Office of Information Technology, Systems and Telecommunication ... (FOITT). The examination concentrated on assessing the development and current operation as well as future prospects. Admin PKI refers to all processes and the hardware and software needed for issuing ... certificates of different grades. ... Internal coordination can be more difficult than the external one ... A successful project of digital certificates distribution had difficult time when main Government players disagreed.
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The development and use of identification services in public administration
The audit examined the implementation and coordination of projects aimed at developing identification services in public administration, cooperation among authorities in this area and compliance ... with legislation in procuring services. The audit also examined development, control and monitoring structures regarding identification services. The audit focused on electronic identification services that are used ... in public administration's electronic transactions. ... ... Unhealthy competition linked with lack of coordinatnion and with procurement irregularities ... See what may go wrong with the IT public procurement. Check out what is the basis to avoid irregularities or omissions in complying with public procurement legislation. National Audit Office ... of Finland identified also risks resulting from lack of horizontal coordination.
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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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Improved Planning and Performance Measures Are Needed to Help Ensure Successful Technology Modernization
Massive modernization effort needs coordination Social security issues can touch lives of many. Information technology in this area are increasingly costly and difficult to maintain. GAO is recommending to develop comprehensive metrics to effectively gauge modernization progress; complete comprehensive strategic planning, including its enterprise architecture; and define the new roles and responsibilities to help ensure effective oversight.
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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 ... the Ministry of Transport and Communications, and its responsibilities include operation, maintenance and development of the State's railway infrastructure. The maintenance activities must safeguard safety ... , 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 ... ... 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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