Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
ensured an adequate level of IT security? 4) Has the Ministry of Health informed the Finance Committee of the Danish Folketing (parliament) correctly on the development and implementation of the SMR system? ... 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 ... ... 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.
Full description

Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
encountered in the development and implementation of e-health and the reasons for these problems were also studied. ... 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.
Full description

Performance Audit of Public Debt Management Information Systems
The usage and development of the information technologies in public financial management is an important priority of the country at the phase of intensive implementation of electronic governance ... (E-Governance). The fact that information systems play crucial role in the business processes of the Ministry of Finance affects the state and the public in general. <br/> Bearing in mind the role and importance ... of information systems in the public debt management process and having considered legal requirements to information security, State Audit Office of Georgia conducted Performance Audit of Public Debt Management ... ... More effective IT governance needed ... Importance of effective performance of public debt management e-systems may be explained by the world’s increased dependence on such systems. In parallel with the performance audit of debt management ... information systems of the Ministry Of Finance of Georgia, Supreme Audit Institutions of 11 countries also studied this topic, both in terms of systems’ performance and their practical application by local ... financial institutions. Audit conducted by the State Audit Office of Georgia has revealed security and governance shortcomings related to management and usage of these systems.
Full description

Effectiveness of the Tax Administration of the Republic of Slovenia in the execution of modernisation projects of the Slovenian duty information system and decreasing the number of duty sub-accounts
The Tax Administration of the Republic of Slovenia (hereinafter: the Tax Administration) is responsible for collecting taxes, fees and other compulsory levies (hereinafter: duties ... ). These are the revenue of the state budget, municipal budgets, the Health Insurance Institute of Slovenia, the Institute for Pension and Disability Insurance of Slovenia (hereinafter: duties recipients) and indirectly ... of the European Union budget. In order to improve its operations, the Tax Authority decided to modernise the Slovenian duties’ collection information system. It used this opportunity to implement also a second ... ... Shaky coordination of investments in important systems ... Slovenian SAI traced a series of problems in management of crucial IT investments in tax administration. Apart from promising goals, unclear business case gave a start to many problems at next stages ... of the project, involving additional spendings, delays and errors in data processing.
Full description

Finally updating the central information system for VAT control
IT system to support combating VAT frauds German Bundesrechnungshof demanded to update the IT system, which plays crucial role in the European system of fighting fraud related to the Value Added Tax (VAT). This BRH's case shows that reminding about appropriate follow-up can be as important as the very recommendation.
Full description

Auditing the National Rationing System
The audit was to investigate the data quality, validity and reliability of two sub-systems (Ration Card and Ration Distribution) of a National Rationing System (Ration System) with the comparison ... to the rules and regulations in order to make an assessment of soundness of the Ration system and its related operations. ... Unreliable databases trigger all kinds of possible problems ... Ministry responsible for functioning of the National Rationing System developed to automate and optimize the delivery of essential subsidized commodities to eligible beneficiaries and providing state ... with reliable information fails its job.
Full description

Traffic Ticketing information system
The audit included two areas of focus - the environment surrounding the Traffic Ticketing Information System - the System (designed to input, process, manage and collect payment for the traffic ... tickets) and also the internal environment of the System that guarantees the quality of its performance and safety. ... Security can hinder effectiveness ... SAI of Kuwait analysed system supporting collection of the traffic tickets - data input, processing and management. What was found was lack of basic safety measures, that hindered the effectiveness ... of the system.
Full description