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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 ... and processes leading to implementation problems, governance not involving key players, and IT security organisation. ... 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
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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 ... and processes leading to implementation problems, governance not involving key players, and IT security organisation. ... 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
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National Audit Office of Denmark
, issued in 2014
Risk cases: 2
OMB and Agencies Need to Focus Continued Attention on Implementing Reform Law
How to invest efficiently in IT IT investments are large and growing position in annual budgets. Historically, they have frequently failed, incurred cost overruns and schedule slippages, or contributed little to mission-related outcomes. GAO recommendations focus on the oversight and execution of the data center consolidation initiative, the accuracy and reliability of the IT Dashboard, and incremental development policies.
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How to invest efficiently in IT IT investments are large and growing position in annual budgets. Historically, they have frequently failed, incurred cost overruns and schedule slippages, or contributed little to mission-related outcomes. GAO recommendations focus on the oversight and execution of the data center consolidation initiative, the accuracy and reliability of the IT Dashboard, and incremental development policies.
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General Accountability Office
, issued in 2016
Risk cases: 3
Homeland Security. Oversight of Neglected Human Resources Information Technology Investment Is Needed
Human resources IT investments get stuck in management's lack of interest Although the Human Resources Information Technology (HRIT) investment was initiated about 12 years ago with the intent to consolidate, integrate, and modernize the department's human resources IT infrastructure, the Department of Homeland Security (DHS) has made very limited progress in achieving these goals. HRIT's minimally involved executive steering committee during a time when significant problems were occurring was a key factor in the lack of progress. This is particularly problematic given that the department's ability to efficiently and effectively carry out its mission is significantly hampered by its fragmented human resources. DHS's ineffective management of HRIT, such as the lack of an updated schedule and a life-cycle cost estimate, also contributed to the neglect this investment has experienced. DHS will be limited in efficiently tracking and reporting accurate, comprehensive performance and learning management data across the organization, and could risk further implementation delays.
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Human resources IT investments get stuck in management's lack of interest Although the Human Resources Information Technology (HRIT) investment was initiated about 12 years ago with the intent to consolidate, integrate, and modernize the department's human resources IT infrastructure, the Department of Homeland Security (DHS) has made very limited progress in achieving these goals. HRIT's minimally involved executive steering committee during a time when significant problems were occurring was a key factor in the lack of progress. This is particularly problematic given that the department's ability to efficiently and effectively carry out its mission is significantly hampered by its fragmented human resources. DHS's ineffective management of HRIT, such as the lack of an updated schedule and a life-cycle cost estimate, also contributed to the neglect this investment has experienced. DHS will be limited in efficiently tracking and reporting accurate, comprehensive performance and learning management data across the organization, and could risk further implementation delays.
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US Government Accountability Office
, issued in 2016
Risk cases: 1
Improved Planning and Performance Measures Are Needed to Help Ensure Successful Technology Modernization
Massive modernization effort needs coordination Social security issues can touch lives of many. Information technology in this area are increasingly costly and difficult to maintain. GAO is recommending to develop comprehensive metrics to effectively gauge modernization progress; complete comprehensive strategic planning, including its enterprise architecture; and define the new roles and responsibilities to help ensure effective oversight.
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Massive modernization effort needs coordination Social security issues can touch lives of many. Information technology in this area are increasingly costly and difficult to maintain. GAO is recommending to develop comprehensive metrics to effectively gauge modernization progress; complete comprehensive strategic planning, including its enterprise architecture; and define the new roles and responsibilities to help ensure effective oversight.
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General Accountability Office
, issued in 2012
Risk cases: 3
Federal Agencies Need to Address Aging Legacy Systems
Be aware of legacy IT risks The US government spends about 75 percent of the total amount budgeted for information technology on operations and maintenance. GAO reviewed Office of Management and Budget and 26 agencies, covering years 2010 through 2017 and recommends to develop a goal for spending measure and finalize guidance to identify and prioritize legacy IT needing to be modernized or replaced.
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Be aware of legacy IT risks The US government spends about 75 percent of the total amount budgeted for information technology on operations and maintenance. GAO reviewed Office of Management and Budget and 26 agencies, covering years 2010 through 2017 and recommends to develop a goal for spending measure and finalize guidance to identify and prioritize legacy IT needing to be modernized or replaced.
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General Accountability Office
, issued in 2016
Risk cases: 3
GAO-20-701, COVID-19: Federal Efforts Could Be Strengthened by Timely and Concerted Actions
Overview of the response to the COVID-19 The bimonthly GAO report on efforts related to the COVID-19 pandemic examines key actions the federal government. Among others, interesting points: medical supply chain, future vaccine distribution, data collection and cybersecurity.
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Overview of the response to the COVID-19 The bimonthly GAO report on efforts related to the COVID-19 pandemic examines key actions the federal government. Among others, interesting points: medical supply chain, future vaccine distribution, data collection and cybersecurity.
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US Government Accountability Office
, issued in 2020
Risk cases: 6
RURAL BROADBAND DEPLOYMENT: Improved Consistency with Leading Practices Could Enhance Management of Loan and Grant Programs
Green Book can help in broadband development US GAO applied its COSO based Green Book to review consistency of support programs for rural information infrastructure.
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Green Book can help in broadband development US GAO applied its COSO based Green Book to review consistency of support programs for rural information infrastructure.
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US Government Accountability Office
, issued in 2017
Risk cases: 7
The rural broadband programme
Intervention in a noncompetitive market The British NAO's audit report of 2013 concerns ambitious yet delayed UK government programme, which objective was to have the best superfast broadband network in Europe by 2015. The report focuses on one of the programme's main problems: rural areas, where commercial providers had no plans to invest, because of lower returns.
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Intervention in a noncompetitive market The British NAO's audit report of 2013 concerns ambitious yet delayed UK government programme, which objective was to have the best superfast broadband network in Europe by 2015. The report focuses on one of the programme's main problems: rural areas, where commercial providers had no plans to invest, because of lower returns.
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National Audit Office
, issued in 2013
Risk cases: 7
The information system of the Public Real Estate Registry does not enable the recording of data in a completely efficient manner
Users to be involved SAI Serbia analysed the Public Real Estate Registry. Starting from missing involvement of users, primary goals of the project were not met. Key issues regarding data input and access are discussed in the text.
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Users to be involved SAI Serbia analysed the Public Real Estate Registry. Starting from missing involvement of users, primary goals of the project were not met. Key issues regarding data input and access are discussed in the text.
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State Audit Institution
, issued in 2019
Risk cases: 3
The Swedish Transport Administrations support to research and innovation
Robust internal control required to manage innovations The Swedish agency dealing with transport innovations did not use sufficient control over its research funds, shows the audit of the Swedish National Audit Office. The deficiencies include risk analysis, administrative procedures and management of taxpayers' money.
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Robust internal control required to manage innovations The Swedish agency dealing with transport innovations did not use sufficient control over its research funds, shows the audit of the Swedish National Audit Office. The deficiencies include risk analysis, administrative procedures and management of taxpayers' money.
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Swedish National Audit Office
, issued in 2018
Risk cases: 3