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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
Prevention Activities Against Traffic Accidents
traffic accidents, which are dramatically leading to loss of life and property. Examination and evaluation of the Traffic Information Systems (TIS) under the traffic control headline. TIS' main purpose ... accidents dramatically leading to loss of life and property. ... Performance Audit Studies covering certain IT Issues related to Prevention Activities Against Traffic Accidents. It aims to contribute to the continuous improvement of prevention activities against ... ... ... You need a way more than IT, to make an IT system successful ... SAI of Turkey examined the Traffic Information Systems and found out that not only IT infrastructure determined the audited IT project's outcomes. There were also non-IT issues that decided: low ... quality of driving education, poor technical infrastruture, as well as lack of monitoring and coordination at prioritization stage.
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traffic accidents, which are dramatically leading to loss of life and property. Examination and evaluation of the Traffic Information Systems (TIS) under the traffic control headline. TIS' main purpose ... accidents dramatically leading to loss of life and property. ... Performance Audit Studies covering certain IT Issues related to Prevention Activities Against Traffic Accidents. It aims to contribute to the continuous improvement of prevention activities against ... ... ... You need a way more than IT, to make an IT system successful ... SAI of Turkey examined the Traffic Information Systems and found out that not only IT infrastructure determined the audited IT project's outcomes. There were also non-IT issues that decided: low ... quality of driving education, poor technical infrastruture, as well as lack of monitoring and coordination at prioritization stage.
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Turkish Court of Accounts
, issued in 2008
Risk cases: 4
Preparations and realization of the State A-levels
The aim of the audit was to scrutinise the utilisation of the state budget and EU budget funds that had been spent on preparing and implementing the State A-levels examinations. The auditing ... operation was performed from May to November 2011. The audited period extended from January 1, 2005, to June 30, 2011; where relevant, the data from the previous period and the period until the end ... of the auditing operation were also scrutinized. Among the audited bodies were the Ministry of Education, the Education Result Survey Centre, and the National Institute for Further Education. The auditing operation ... ... Begin with good strategy ... Analyzing problems of state examinations system, Czech Republic SAI found that commonplace strategy effected in shortsighted planning, poor procurement and disadvantageous contracting.
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The aim of the audit was to scrutinise the utilisation of the state budget and EU budget funds that had been spent on preparing and implementing the State A-levels examinations. The auditing ... operation was performed from May to November 2011. The audited period extended from January 1, 2005, to June 30, 2011; where relevant, the data from the previous period and the period until the end ... of the auditing operation were also scrutinized. Among the audited bodies were the Ministry of Education, the Education Result Survey Centre, and the National Institute for Further Education. The auditing operation ... ... Begin with good strategy ... Analyzing problems of state examinations system, Czech Republic SAI found that commonplace strategy effected in shortsighted planning, poor procurement and disadvantageous contracting.
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Supreme Audit Office of Czech Republic
, issued in 2011
Risk cases: 4
Does the state administration effectively use the stored information?
State administration could use the accumulated information more effectively Latvian auditors found that government institutions have a good cooperation in the area of data use, but there are still several areas wherein a person still has to perform the function of a 'courier'. Many channels of data exchange and distribution used in state administration create a fragmented and complicated environment for maintenance of ICT, while responsible ministry does not become actively involved and does not coordinate cooperation of institutions.
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State administration could use the accumulated information more effectively Latvian auditors found that government institutions have a good cooperation in the area of data use, but there are still several areas wherein a person still has to perform the function of a 'courier'. Many channels of data exchange and distribution used in state administration create a fragmented and complicated environment for maintenance of ICT, while responsible ministry does not become actively involved and does not coordinate cooperation of institutions.
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State Audit Office of the Republic of Latvia
, issued in 2017
Risk cases: 4
State funds spent on development, operation and using of data centres services
organisational units of the state on buying hosting, server-housing and other related services. The audited period was between 2010 and 2014; where relevant, the preceding period was also scrutinised. Audited ... entities: Ministry of the Interior (“MoI”); Ministry of Finance (“MoF”); STÁTNÍ TISKÁRNA CENIN, state firm (state banknote printing firm, hereinafter “STC” or “the state firm”). The audit was conducted ... The aim of the audit was to scrutinise the management of funds spent on building and operating the national data centre (hereinafter “STC1 data centre”), including the expenditure of selected ... ... Risks steming from uncoordinated strategy ... SAI of Czech Republic analysed consequences of failures in strategic IT management at the state level. Lack of coordination and implementation rules reduced practical role of the ministry whose task ... was to guard high quality standards for all crucial IT systems in the state administration. Next consecquences were (among others) risk of uneconomical results of large IT investment and risk of inefficient ... supply of services, as well as opposite results of workforce reduction.
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organisational units of the state on buying hosting, server-housing and other related services. The audited period was between 2010 and 2014; where relevant, the preceding period was also scrutinised. Audited ... entities: Ministry of the Interior (“MoI”); Ministry of Finance (“MoF”); STÁTNÍ TISKÁRNA CENIN, state firm (state banknote printing firm, hereinafter “STC” or “the state firm”). The audit was conducted ... The aim of the audit was to scrutinise the management of funds spent on building and operating the national data centre (hereinafter “STC1 data centre”), including the expenditure of selected ... ... Risks steming from uncoordinated strategy ... SAI of Czech Republic analysed consequences of failures in strategic IT management at the state level. Lack of coordination and implementation rules reduced practical role of the ministry whose task ... was to guard high quality standards for all crucial IT systems in the state administration. Next consecquences were (among others) risk of uneconomical results of large IT investment and risk of inefficient ... supply of services, as well as opposite results of workforce reduction.
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Supreme Audit Office of Czech Republic
, issued in 2015
Risk cases: 7
Submission of data to national databases in municipalities, towns and cities
The National Audit Office analysed the activities of the database managers following a ruling made by the Supreme Court in 2010, which stated that the public functions assigned to local authorities ... must be clearly financed from the state budget. It was also assessed whether the measures taken by database managers have been sufficient to guarantee that local authorities submit all required data ... and that these data are correct. ... ... Funds as basic factor of data processing ... The NAO of Estonia audited the activities of state agencies in the management of the database selected for the audit, to which local authorities are obliged to submit data. It was found that in most ... cases the state does not compensate the costs of data submission for local governments.
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The National Audit Office analysed the activities of the database managers following a ruling made by the Supreme Court in 2010, which stated that the public functions assigned to local authorities ... must be clearly financed from the state budget. It was also assessed whether the measures taken by database managers have been sufficient to guarantee that local authorities submit all required data ... and that these data are correct. ... ... Funds as basic factor of data processing ... The NAO of Estonia audited the activities of state agencies in the management of the database selected for the audit, to which local authorities are obliged to submit data. It was found that in most ... cases the state does not compensate the costs of data submission for local governments.
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National Audit Office of Estonia
, issued in 2013
Risk cases: 1
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
Management of Information Resources of the Ministry of the Interior
Many activities of the Ministry of the Interior require the use of information resources that are of great significance to the entire State, such as the state and departmental registers, and public ... of the Schengen collaboration tools. The quality of IT management in the Ministry shall also affect the activities of other state institutions: from 05/01/206, the list of public information resources consolidation ... of their management. In addition, we assessed the IT management maturity in the Ministry. We analysed information resources managed by the Ministry (five state registers, eight state IS and three departmental registers ... ... Process maturity examination can help in IT audit ... Main risk areas in case of this audit were strategic and organisational - Ministry’s weak ownership of IT resources, insufficient audit and internal control function. SAI Lithuania auditors found ... also flaws in change management and security processes. But the finding, which gave them the key to the root cause of problems, was connected with maturity assessment of the auditee's IT processes.
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Many activities of the Ministry of the Interior require the use of information resources that are of great significance to the entire State, such as the state and departmental registers, and public ... of the Schengen collaboration tools. The quality of IT management in the Ministry shall also affect the activities of other state institutions: from 05/01/206, the list of public information resources consolidation ... of their management. In addition, we assessed the IT management maturity in the Ministry. We analysed information resources managed by the Ministry (five state registers, eight state IS and three departmental registers ... ... Process maturity examination can help in IT audit ... Main risk areas in case of this audit were strategic and organisational - Ministry’s weak ownership of IT resources, insufficient audit and internal control function. SAI Lithuania auditors found ... also flaws in change management and security processes. But the finding, which gave them the key to the root cause of problems, was connected with maturity assessment of the auditee's IT processes.
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National Audit Office of the Republic of Lithuania
, issued in 2016
Risk cases: 4
Performance Audit of the Georgian Government electronic Procurement system
State procurement is one of the key components of public financial management. Its share in state budget is approximately 25 percent. Effective management of state procurements is an important sphere ... of interest for the State Audit Office. Considering the fact that since 2010 major part of public procurements is being conducted electronically and there is no alternative tool, uninterrupted provision ... of a high-quality service has a particular importance. <br /> It is noteworthy that establishment of open, transparent and competitive environment for the procurement parties mitigates the risks of corruption ... ... Electronic procurement system - how effective are management and control mechanisms? ... SAI Georgia analyzed the electronic Government Procurement system. In their report they focus on compliance and security problems, which may harm the business goals and overall mission of the system.
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State procurement is one of the key components of public financial management. Its share in state budget is approximately 25 percent. Effective management of state procurements is an important sphere ... of interest for the State Audit Office. Considering the fact that since 2010 major part of public procurements is being conducted electronically and there is no alternative tool, uninterrupted provision ... of a high-quality service has a particular importance. <br /> It is noteworthy that establishment of open, transparent and competitive environment for the procurement parties mitigates the risks of corruption ... ... Electronic procurement system - how effective are management and control mechanisms? ... SAI Georgia analyzed the electronic Government Procurement system. In their report they focus on compliance and security problems, which may harm the business goals and overall mission of the system.
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State Audit Office Of Georgia
, issued in 2016
Risk cases: 5
Management of Information Resources of the Ministry of Agriculture
The Ministry of Agriculture of the Republic of Lithuania has managed 32 information systems and registers. Of these, 24 ones are managed, developed and upgraded by a state enterprise subordinate ... . The objective of the audit was to assess the general and development controls of the information resources of the Ministry of Agriculture. The audit was conducted at the Ministry of Agriculture and the state ... enterprise Agricultural Information and Rural Business Centre, information was also collected at the State Plant Service. ... ... Without appropiate IT management it is hard to achieve reliable, consistent and secure systems for agriculture ... Since 1996 the Ministry has been using information systems of varying complexity for collecting and processing data, including personal data. The Ministry of Agriculture of the Republic of Lithuania ... has managed 32 information systems and registers. SAI of Lithuania revealed that systems were not well mantained what affected use of funds devoted to the systemsand also their legality and security.
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The Ministry of Agriculture of the Republic of Lithuania has managed 32 information systems and registers. Of these, 24 ones are managed, developed and upgraded by a state enterprise subordinate ... . The objective of the audit was to assess the general and development controls of the information resources of the Ministry of Agriculture. The audit was conducted at the Ministry of Agriculture and the state ... enterprise Agricultural Information and Rural Business Centre, information was also collected at the State Plant Service. ... ... Without appropiate IT management it is hard to achieve reliable, consistent and secure systems for agriculture ... Since 1996 the Ministry has been using information systems of varying complexity for collecting and processing data, including personal data. The Ministry of Agriculture of the Republic of Lithuania ... has managed 32 information systems and registers. SAI of Lithuania revealed that systems were not well mantained what affected use of funds devoted to the systemsand also their legality and security.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 2