Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
a sufficient framework for carrying through the SMR programme? 2) Has the Ministry of Health and the NHA directed the SMR programme towards delivering within the agreed costs, time and quality parameters ... 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?
. E-health solutions also save patients time. <br/> The purpose of the audit was to assess whether the objectives set to e-Health – higher quality of the health service and more efficient organisation ... 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

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.
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

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