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Correct information at the right time in healthcare and nursing – collaboration without effect?
The Swedish National Audit Office has conducted an audit to determine whether Government initiatives have contributed to the objective that authorised healthcare staff shall have access to the right ... patient information at the right time by means of direct electronic access. ... ... Information share is crucial for competitive health care ... Health and social care staff has very limited access to patient information from other care-giving institutions, which may lead to health damage and wrong-treatment. The cooperation between ... the Government and the municipalities must improve if the investments in better access to common patient information shall get impact in practice.
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The Swedish National Audit Office has conducted an audit to determine whether Government initiatives have contributed to the objective that authorised healthcare staff shall have access to the right ... patient information at the right time by means of direct electronic access. ... ... Information share is crucial for competitive health care ... Health and social care staff has very limited access to patient information from other care-giving institutions, which may lead to health damage and wrong-treatment. The cooperation between ... the Government and the municipalities must improve if the investments in better access to common patient information shall get impact in practice.
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Riksrevisionen (Swedish National Audit Office)
, issued in 2011
Risk cases: 3
The protection of valuable forest
Protection of valuable forest Protection of valuable forest land is an important mean of achieving the environmental quality objectives. Governments can establish formal protection of forests through the formation of national parks, biotope conservation areas, nature reserves or by signing nature conservation agreements. Beyond the state's formal protection of forests, the forest owners themselves are also expected to contribute through voluntary set-asides of forest. From a state perspective, it is important to investigate whether or not the resources for formal protection are being used cost-effectively. However, in order to achieve cost-effective formal protection work, the state also needs to address forest owners' voluntary set asides.
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Protection of valuable forest Protection of valuable forest land is an important mean of achieving the environmental quality objectives. Governments can establish formal protection of forests through the formation of national parks, biotope conservation areas, nature reserves or by signing nature conservation agreements. Beyond the state's formal protection of forests, the forest owners themselves are also expected to contribute through voluntary set-asides of forest. From a state perspective, it is important to investigate whether or not the resources for formal protection are being used cost-effectively. However, in order to achieve cost-effective formal protection work, the state also needs to address forest owners' voluntary set asides.
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Swedish National Audit Office
, issued in 2018
Risk cases: 4
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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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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National Audit Office of Finland
, issued in 2008
Risk cases: 3
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 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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National Audit Office of Estonia
, issued in 2010
Risk cases: 3
Copyright Office Needs to Develop Plans that Address Technical and Organizational Challenges
The mission of the Copyright Office, a service unit within the Library of Congress, is to promote creativity by administering and sustaining a national copyright system. As part of this mission ... , the Copyright Office registers about 500,000 creative works a year for copyright and records documentation related to copyright transfer and sale. In recent years, the Register of Copyrights has discussed ... the need for a modernized Copyright Office, to include upgrades to the current IT environment. ... No justified investments without IT strategy ... GAO shows in its report on the US Copyright Office, what is a role of IT strategy in organisaion. Effects can be found at the bottom and at the top: the lack of strategic plan can make it more ... difficult to solve practical problems, but it can also put the overall mission of the Office at risk.
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The mission of the Copyright Office, a service unit within the Library of Congress, is to promote creativity by administering and sustaining a national copyright system. As part of this mission ... , the Copyright Office registers about 500,000 creative works a year for copyright and records documentation related to copyright transfer and sale. In recent years, the Register of Copyrights has discussed ... the need for a modernized Copyright Office, to include upgrades to the current IT environment. ... No justified investments without IT strategy ... GAO shows in its report on the US Copyright Office, what is a role of IT strategy in organisaion. Effects can be found at the bottom and at the top: the lack of strategic plan can make it more ... difficult to solve practical problems, but it can also put the overall mission of the Office at risk.
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General Accountability Office
, issued in 2015
Risk cases: 2
Management and development of IT systems in the Ministry of the Environment
and sustainable collection and use of environmental information. On a broader scale the National Audit Office looked at all of the 42 environmental information systems created in the area of government ... The purpose of this audit was to assess whether the information systems in the area of government of the Ministry of the Environment (and their development) support the reliable, economical ... of the Ministry of Environment, but focused in greater detail on four of them: the Environmental Register, the Estonian Nature Information System, the Environmental Permits Information System and the Land Cadastre ... ... Estonian environmental information system needs reforms ... Correctness and reliability of the environmental data is guaranteed to a considerable extent. However there is a need for redevelopment of environmental information systems, particularly ... by the Environmental Register.
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and sustainable collection and use of environmental information. On a broader scale the National Audit Office looked at all of the 42 environmental information systems created in the area of government ... The purpose of this audit was to assess whether the information systems in the area of government of the Ministry of the Environment (and their development) support the reliable, economical ... of the Ministry of Environment, but focused in greater detail on four of them: the Environmental Register, the Estonian Nature Information System, the Environmental Permits Information System and the Land Cadastre ... ... Estonian environmental information system needs reforms ... Correctness and reliability of the environmental data is guaranteed to a considerable extent. However there is a need for redevelopment of environmental information systems, particularly ... by the Environmental Register.
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National Audit Office of Estonia
, issued in 2013
Risk cases: 2
Protection of automatically processed personal data
resolved,the National Audit Office conducted an audit to assess the efficiency of the protection and supervision of automatically processed personal data and to check whether: - the regulation of personal data ... Over the past few years, a number of legal, management, supervision, information, and methodological issues related to the protection of personal data have piled up. As they have not been fully ... protection conforms to the data processing practices; - personal data is properly processed at public sector bodies; - the State Data Protection Inspectorate (SDPI) performs sufficient supervision ... ... Data protection needs a long term strategy ... Rapid development of information and communication technology continuously brings about issues of personal data protection. Due to lack of long-term vision in this area they are frequently ... not addressed by the existing legislation. Moreover, SAI of Lithuania revealed failures in organization and control of personal data protection by public sector.
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resolved,the National Audit Office conducted an audit to assess the efficiency of the protection and supervision of automatically processed personal data and to check whether: - the regulation of personal data ... Over the past few years, a number of legal, management, supervision, information, and methodological issues related to the protection of personal data have piled up. As they have not been fully ... protection conforms to the data processing practices; - personal data is properly processed at public sector bodies; - the State Data Protection Inspectorate (SDPI) performs sufficient supervision ... ... Data protection needs a long term strategy ... Rapid development of information and communication technology continuously brings about issues of personal data protection. Due to lack of long-term vision in this area they are frequently ... not addressed by the existing legislation. Moreover, SAI of Lithuania revealed failures in organization and control of personal data protection by public sector.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 2
Is the project 'E-health in Latvia' a step towards the right direction?
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 ... 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 ... 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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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 ... 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 ... 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
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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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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National Audit Office of Denmark
, issued in 2014
Risk cases: 2
Is Cybercrime Combated Effectively
Good coordination needed to fight cybercrime SAI Lithuania noticed that with the growing amount of cybercrimes, the society must be prepared to recognise the threats of cybercrime and be able to protect itself from them. There is a number of forces capable of preventing and investigating this type of crime, but auditors identified shortcomings in cybercrime prevention and investigation processes, starting from lack of common taxonomy and criteria.
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Good coordination needed to fight cybercrime SAI Lithuania noticed that with the growing amount of cybercrimes, the society must be prepared to recognise the threats of cybercrime and be able to protect itself from them. There is a number of forces capable of preventing and investigating this type of crime, but auditors identified shortcomings in cybercrime prevention and investigation processes, starting from lack of common taxonomy and criteria.
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National Audit Office of the Republic of Lithuania
, issued in 2020
Risk cases: 6