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State aid for IT projects in social and health care
In 2000-2009 about 180 million euros in national and European Union funds went to finance information technology projects in social and health care, not including the costs of developing national ... and Health. All in all approximately 250 million euros was tied to development projects carried out as national measures in 2000-2010, not including the self-funded portion of aid or loans granted ... to enterprises by Tekes or financing granted by the Finnish Innovation Fund (Sitra) for IT projects in social and health care. ... Difficult coordination of IT projects ... Finish Audit Office analyzed results of poor cooperation between authorities on national and local level in social and health care projects: difficult integration of information systems and poor ... coordination of the financing information technology projects, including double financing.
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In 2000-2009 about 180 million euros in national and European Union funds went to finance information technology projects in social and health care, not including the costs of developing national ... and Health. All in all approximately 250 million euros was tied to development projects carried out as national measures in 2000-2010, not including the self-funded portion of aid or loans granted ... to enterprises by Tekes or financing granted by the Finnish Innovation Fund (Sitra) for IT projects in social and health care. ... Difficult coordination of IT projects ... Finish Audit Office analyzed results of poor cooperation between authorities on national and local level in social and health care projects: difficult integration of information systems and poor ... coordination of the financing information technology projects, including double financing.
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National Audit Office of Finland
, issued in 2011
Risk cases: 3
Is the project 'E-health in Latvia' a step towards the right direction?
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 ... 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 ... the objective? 2) Are the actual activities performed by the National Health Service justified for achievement of the set objectives? 3) Will necessary information security and personal data protection be ensured ... 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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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 ... 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 ... the objective? 2) Are the actual activities performed by the National Health Service justified for achievement of the set objectives? 3) Will necessary information security and personal data protection be ensured ... 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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State Audit Office of the Republic of Latvia
, issued in 2015
Risk cases: 3
Effectiveness of the execution of the eHealth project
The Court of Audit of the Republic of Slovenia has audited how effectively the Ministry of Health had managed the project eHealth - the national plan for developing information system support ... to the national public health system in the period between 1st of January 2004 and 26th of September 2013. The audit has focused on the effectiveness of the Ministry in achieving the project’s goals, time ... management, management of the human resources and financial oversight. The goal of the Ministry was to implement a modern information system, which would support secure eHealth operations and effective ... ... Clear concept, good planning and financial control are indispensable conditions for a successful IT project ... The Court of Audit of the Republic of Slovenia analysed a Government eHealth project. Its goal was to implement a modern information system, which would support the health services and health related ... data. The Court has pointed at a long list of project management fundamentals to be corrected.
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The Court of Audit of the Republic of Slovenia has audited how effectively the Ministry of Health had managed the project eHealth - the national plan for developing information system support ... to the national public health system in the period between 1st of January 2004 and 26th of September 2013. The audit has focused on the effectiveness of the Ministry in achieving the project’s goals, time ... management, management of the human resources and financial oversight. The goal of the Ministry was to implement a modern information system, which would support secure eHealth operations and effective ... ... Clear concept, good planning and financial control are indispensable conditions for a successful IT project ... The Court of Audit of the Republic of Slovenia analysed a Government eHealth project. Its goal was to implement a modern information system, which would support the health services and health related ... data. The Court has pointed at a long list of project management fundamentals to be corrected.
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Court of Audit of the Republic of Slovenia
, issued in 2013
Risk cases: 5
Electronic Health Records - VA Needs to Identify and Report Existing System Costs
Difficulties after 30 years of decentralized development The US Department of Veterans Affairs provides health care services to approximately 9 million veterans and their families. However, the IT system they use is more than 30 years old, is costly to maintain, and does not fully support exchanging health data. The US GAO, analyzed the system's modenization plans and found serious problems with definition and cost estimation.
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Difficulties after 30 years of decentralized development The US Department of Veterans Affairs provides health care services to approximately 9 million veterans and their families. However, the IT system they use is more than 30 years old, is costly to maintain, and does not fully support exchanging health data. The US GAO, analyzed the system's modenization plans and found serious problems with definition and cost estimation.
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US Government Accountability Office
, issued in 2019
Risk cases: 3
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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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'.
Full description
National Audit Office of Finland
, issued in 2011
Risk cases: 3
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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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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General Accountability Office
, issued in 2016
Risk cases: 6
The protection of IT systems and health data in three Danish regions
Security to be improved in IT systems with health data It is Rigsrevisionen’s assessment that the three regions are not protecting the access to IT systems and health data in a satisfactory manner. As a consequence, unauthorised persons might gain access to sensitive and confidential personal data, which could affect there liability and availability of important health data used in the treatment of hospital patients. Based on the results of the study and the current threat scenario, Rigsrevisionen finds that basic security measures against cyber attacks and protection of access to IT systems and health data should be a top priority for Denmark’s five regions. Basic security measures in combination with management and control of user privileges can reduce the risk of compromising the regions’ IT systems and data considerably.
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Security to be improved in IT systems with health data It is Rigsrevisionen’s assessment that the three regions are not protecting the access to IT systems and health data in a satisfactory manner. As a consequence, unauthorised persons might gain access to sensitive and confidential personal data, which could affect there liability and availability of important health data used in the treatment of hospital patients. Based on the results of the study and the current threat scenario, Rigsrevisionen finds that basic security measures against cyber attacks and protection of access to IT systems and health data should be a top priority for Denmark’s five regions. Basic security measures in combination with management and control of user privileges can reduce the risk of compromising the regions’ IT systems and data considerably.
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National Audit Office of Denmark
, issued in 2018
Risk cases: 3
Improving government’s planning and spending framework
Value for money vs. short-term planning NAO reviewed the UK government's progress in improving their planning and spending framework. The auditors found that the complex structure and lack of longer term perspective in planning form a significant obstacle to fully benefit from the framework.
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Value for money vs. short-term planning NAO reviewed the UK government's progress in improving their planning and spending framework. The auditors found that the complex structure and lack of longer term perspective in planning form a significant obstacle to fully benefit from the framework.
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National Audit Office
, issued in 2018
Risk cases: 7
The Public Web Sites During a Period of Transmission to e-Government
Websites of e-Transformation Turkish auditors bring back their audit of 2006, in which they, among others reveiwed public websites during a period of transmission to e-Governmentbasics of the e-Transformation project.
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Websites of e-Transformation Turkish auditors bring back their audit of 2006, in which they, among others reveiwed public websites during a period of transmission to e-Governmentbasics of the e-Transformation project.
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Turkish Court of Accounts
, issued in 2006
Risk cases: 6
VA ACQUISITION MANAGEMENT: Supply Chain Management and COVID-19 Response
Pandemic points up weaknesses of procurement solutions US Department of Veterans Affairs acquires hundreds of millions of dollars-worth of medical supplies each year. The Medical-Surgical Prime Vendor-Next Generation (MSPV-NG) is one of its key initiatives to modrnize its processes. GAO auditor pointed in their previous audits that the approach lacked an effective medical supply procurement strategy, clinician involvement, and reliable data systems. In time of the pandemic, the problem seems even more difficult to deal with.
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Pandemic points up weaknesses of procurement solutions US Department of Veterans Affairs acquires hundreds of millions of dollars-worth of medical supplies each year. The Medical-Surgical Prime Vendor-Next Generation (MSPV-NG) is one of its key initiatives to modrnize its processes. GAO auditor pointed in their previous audits that the approach lacked an effective medical supply procurement strategy, clinician involvement, and reliable data systems. In time of the pandemic, the problem seems even more difficult to deal with.
Full description
US Government Accountability Office
, issued in 2019
Risk cases: 4