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Activities of the state in implementing the e-health system - Do the state, doctors and patients benefit from ehealth?
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 ... make the health system more efficient, improves people’s health via more effective prevention, raises the awareness of patients and also contributes to the more reasonable use of health resources ... ... 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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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 ... make the health system more efficient, improves people’s health via more effective prevention, raises the awareness of patients and also contributes to the more reasonable use of health resources ... ... 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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National Audit Office of Estonia
, issued in 2014
Risk cases: 3
Supply of food and medicinal products
Supply of food and medicinal products Deficiencies in emergency preparedness and weaknesses in governance are still found by the Swedish NAO in the system of safeguarding supply of food and medicinal products. The system is complex and NAO appreciates efforts made by responsible agencies. However, they found also insufficient clarity in division of responsibilities and weaknesses in coordinantion.
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Supply of food and medicinal products Deficiencies in emergency preparedness and weaknesses in governance are still found by the Swedish NAO in the system of safeguarding supply of food and medicinal products. The system is complex and NAO appreciates efforts made by responsible agencies. However, they found also insufficient clarity in division of responsibilities and weaknesses in coordinantion.
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Swedish National Audit Office
, issued in 2018
Risk cases: 2
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.
Full description
National Audit Office of Denmark
, issued in 2018
Risk cases: 3
Immigrant students and the effectiveness of basic education
Data analysis in education SAI Finland performed independent analysis to find out real situation regarding immigrant students' education. They found that despite more positive attitude than in case of native students, the immigrants' performance and education outcomes need more support.
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Data analysis in education SAI Finland performed independent analysis to find out real situation regarding immigrant students' education. They found that despite more positive attitude than in case of native students, the immigrants' performance and education outcomes need more support.
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National Audit Office of Finland
, issued in 2015
Risk cases: 3
Information security work at nine agencies
Difficulties in achieving appropriate IT security Together with the Swedish NAO we assume that the picture that emerges at the agencies audited applies also to most of the other agencies in the public administration. The information security work is not given high enough priority in relation to the risks that exist. This applies to both the Government, which should have been clearer in its directions to agencies on this matter, and to agency managements, which did not give priority to the work of information security to the extent required. Much indicates that it is difficult for many agencies to achieve an appropriate level of information security work.
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Difficulties in achieving appropriate IT security Together with the Swedish NAO we assume that the picture that emerges at the agencies audited applies also to most of the other agencies in the public administration. The information security work is not given high enough priority in relation to the risks that exist. This applies to both the Government, which should have been clearer in its directions to agencies on this matter, and to agency managements, which did not give priority to the work of information security to the extent required. Much indicates that it is difficult for many agencies to achieve an appropriate level of information security work.
Full description
Swedish National Audit Office
, issued in 2016
Risk cases: 4
For the sake of security – intelligence sharing between the Police Authority and the Swedish Security Service
Cooperation between Police and Security Service The Swedish NAO audited whether the Police Authority and the Swedish Security Service share intelligence effectively to prevent and combat violent extremism and terrorism. In this highly non-typical environment, some universal rules turned out to be still valid. We would like to emphasise role of : organizational patterns, information access rights and sincere feedback.
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Cooperation between Police and Security Service The Swedish NAO audited whether the Police Authority and the Swedish Security Service share intelligence effectively to prevent and combat violent extremism and terrorism. In this highly non-typical environment, some universal rules turned out to be still valid. We would like to emphasise role of : organizational patterns, information access rights and sincere feedback.
Full description
Swedish National Audit Office
, issued in 2018
Risk cases: 3
The Annual Municipal Accounts as a basis for comparing municipalities - are the cost indicator reliable?
Municipal accounting: more standardized or more controlled Municipalities report among others, their costs, which cannot be directly attributed to any specific activity, product, or service. Standardized taxonomies exist, but they are not applied uniformly. Swedish NAO traces ramifications: lower ability to compare municipalities' data and need of more central level control.
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Municipal accounting: more standardized or more controlled Municipalities report among others, their costs, which cannot be directly attributed to any specific activity, product, or service. Standardized taxonomies exist, but they are not applied uniformly. Swedish NAO traces ramifications: lower ability to compare municipalities' data and need of more central level control.
Full description
Swedish National Audit Office
, issued in 2018
Risk cases: 3
Population registration - uphill quality work
Quality of population register The Swedish NAO notes that quality requirements for population registration are highand that quality work should concentrate on the errors that have the most seriousconsequences for society. They point then at the need to increase knowledge of the errors, improve IT tools and governance to receive more quality work.
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Quality of population register The Swedish NAO notes that quality requirements for population registration are highand that quality work should concentrate on the errors that have the most seriousconsequences for society. They point then at the need to increase knowledge of the errors, improve IT tools and governance to receive more quality work.
Full description
Swedish National Audit Office
, issued in 2017
Risk cases: 4
Higher education institutions' provision of premises- room for improvement
How to pay for higher education institutions' premises Higher education institutions' rental costs constitute a significant part of central government rental expenses. Swedish NAO analysed results of reform, which aimed at more effective use of resources at central government agencies and more effective management of real property and assets for the State as a whole. Apart from the positive results as a whole, substantial room for improvement still exists: especially in identifying targets of costs, looking for incentives and in mitigating commercial approach to education institutions.
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How to pay for higher education institutions' premises Higher education institutions' rental costs constitute a significant part of central government rental expenses. Swedish NAO analysed results of reform, which aimed at more effective use of resources at central government agencies and more effective management of real property and assets for the State as a whole. Apart from the positive results as a whole, substantial room for improvement still exists: especially in identifying targets of costs, looking for incentives and in mitigating commercial approach to education institutions.
Full description
Swedish National Audit Office
, issued in 2018
Risk cases: 2
Management of IT security in systems outsourced to external suppliers
Security to be improved in IT processes outsourced to external suppliers When IT processes are outsourced to external suppliers, the authorities no longer have direct control of the IT security, but remain responsible for managing the security of the IT. Authorities that fail to manage IT security actively based on risk assessments, and omit to monitor the implementation of these requirements, will not be able to determine if the level of IT security in the outsourced systems safeguards their systems and data. This is how the conclusion of the Rigsrevisionen starts. The Danish auditors noticed improvement in the audited entities, but they add that tha majority of the auditees: can refine their requirements for and follow-up on access control and logging practices
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Security to be improved in IT processes outsourced to external suppliers When IT processes are outsourced to external suppliers, the authorities no longer have direct control of the IT security, but remain responsible for managing the security of the IT. Authorities that fail to manage IT security actively based on risk assessments, and omit to monitor the implementation of these requirements, will not be able to determine if the level of IT security in the outsourced systems safeguards their systems and data. This is how the conclusion of the Rigsrevisionen starts. The Danish auditors noticed improvement in the audited entities, but they add that tha majority of the auditees: can refine their requirements for and follow-up on access control and logging practices
Full description
National Audit Office of Denmark
, issued in 2016
Risk cases: 3