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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 CYBER SECURITY ENVIRONMENT IN LITHUANIA
The purpose of the audit was to assess whether cyber security is being ensured in Lithuania. In view of this goal, we assessed whether: (1) an effective cyber security system has been set up; (2 ... ) cyber security is ensured in public establishments. During the audit, the SAI Lithuania analysed current regulation, strategic planning and management practices in the field of cyber security ... and electronic information security as well as the funds allocated and used in this area. The SAI evaluated whether the cyber security and electronic information security objectives detailed in planning documents ... ... Cyber-security is much more than preventing incidents ... SAI Lithuania determined that the issue of ensuring and increasing cyber security and resilience has not been effectively addressed at the national level. The focus has primarily been on reacting ... to and preventing incidents in cyber space, which means that traditional issues related to electronic information security (confidentiality, integrity, accessibility) have been neglected, and from 2015, not enough ... attention has been paid to development, legislation, improvement of organisational structure, etc. in this field.
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The purpose of the audit was to assess whether cyber security is being ensured in Lithuania. In view of this goal, we assessed whether: (1) an effective cyber security system has been set up; (2 ... ) cyber security is ensured in public establishments. During the audit, the SAI Lithuania analysed current regulation, strategic planning and management practices in the field of cyber security ... and electronic information security as well as the funds allocated and used in this area. The SAI evaluated whether the cyber security and electronic information security objectives detailed in planning documents ... ... Cyber-security is much more than preventing incidents ... SAI Lithuania determined that the issue of ensuring and increasing cyber security and resilience has not been effectively addressed at the national level. The focus has primarily been on reacting ... to and preventing incidents in cyber space, which means that traditional issues related to electronic information security (confidentiality, integrity, accessibility) have been neglected, and from 2015, not enough ... attention has been paid to development, legislation, improvement of organisational structure, etc. in this field.
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National Audit Office of the Republic of Lithuania
, issued in 2015
Risk cases: 6
Audit of the Government, Government-guaranteed and Municipal Debt Management Information Systems in the Ministry of Finance of the Republic of Bulgaria
The main audit question studied during the audit was: Are the government, government-guaranteed (SDMS) and municipal debt management information systems (CMDR) at the Ministry of Finance effective ... ? The audit covered the period from 01.01.2013 to 31.12.2013 and investigated four major areas: IT system strategy and general management; IT security and controls against disasters; Operational controls ... and Documentation; Application Controls. ... ... Even effective and modern IT systems require improvements and updates to ensure their security and accountability ... For the management of the government, government-guaranteed and municipal debt the Ministry of Finance has established an advanced integrated information infrastructure. According to Bulgarian SAI ... the established system is effective and provides updated, complete and correct information. Nevertheless the audit report points out areas of security, application controls as well as documentation as the subjects ... that need further improvement and optimization.
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The main audit question studied during the audit was: Are the government, government-guaranteed (SDMS) and municipal debt management information systems (CMDR) at the Ministry of Finance effective ... ? The audit covered the period from 01.01.2013 to 31.12.2013 and investigated four major areas: IT system strategy and general management; IT security and controls against disasters; Operational controls ... and Documentation; Application Controls. ... ... Even effective and modern IT systems require improvements and updates to ensure their security and accountability ... For the management of the government, government-guaranteed and municipal debt the Ministry of Finance has established an advanced integrated information infrastructure. According to Bulgarian SAI ... the established system is effective and provides updated, complete and correct information. Nevertheless the audit report points out areas of security, application controls as well as documentation as the subjects ... that need further improvement and optimization.
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Bulgarian National Audit Office
, issued in 2014
Risk cases: 3
Prevention Activities Against Traffic Accidents
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 ... 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 ... is to conduct the traffic control activities efficiently with the help of systematic data. Objective of this audit was to contribute to the continuous improvement of prevention activities against traffic ... ... ... 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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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 ... 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 ... is to conduct the traffic control activities efficiently with the help of systematic data. Objective of this audit was to contribute to the continuous improvement of prevention activities against traffic ... ... ... 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
Management of State Information Resources
The objective of the audit was to assess effectiveness of the management of the state information resources and of the use of their possibilities: suitability of the chosen state resources management ... model; rationality of the use of the State Budget funds when managing information resources; use of the possibilities of the state information resources to improve the performance of the public sector ... . Audit procedures were performed in all major institutions which form and implement the policy of information resources: Ministry of Transport and Communications, Ministry of the Interior, Ministry ... Well targeted requirements, interconnected information resources and broad use - why so difficult to be gained? ... The leading idea of the 'Approach to Management of State Information Resources' programme was to entrench a comprehensive management of data resources. After five years preparations, the desired ... momentum was still not the case. SAI Lithuania analysed roots of the problems: concept, poor use of funds, lack of interconnections, unsatified users.
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The objective of the audit was to assess effectiveness of the management of the state information resources and of the use of their possibilities: suitability of the chosen state resources management ... model; rationality of the use of the State Budget funds when managing information resources; use of the possibilities of the state information resources to improve the performance of the public sector ... . Audit procedures were performed in all major institutions which form and implement the policy of information resources: Ministry of Transport and Communications, Ministry of the Interior, Ministry ... Well targeted requirements, interconnected information resources and broad use - why so difficult to be gained? ... The leading idea of the 'Approach to Management of State Information Resources' programme was to entrench a comprehensive management of data resources. After five years preparations, the desired ... momentum was still not the case. SAI Lithuania analysed roots of the problems: concept, poor use of funds, lack of interconnections, unsatified users.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 3
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
Correlations between the operational risks of companies in the majority ownership of local governments and the financial situation of the local governments
Risks related to local governments-owned companies The Hungarian SAI analysed four risk areas, taking 19 aspects and the specificities of Hungary’s settlement patterns into consideration. The four areas defined were the following: performance of public tasks, exercise of proprietary rights, financial stability of local governments, and short and medium-term stability of the financial management of companies.
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Risks related to local governments-owned companies The Hungarian SAI analysed four risk areas, taking 19 aspects and the specificities of Hungary’s settlement patterns into consideration. The four areas defined were the following: performance of public tasks, exercise of proprietary rights, financial stability of local governments, and short and medium-term stability of the financial management of companies.
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State Audit Office of Hungary
, issued in 2017
Risk cases: 1
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.
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Swedish National Audit Office
, issued in 2018
Risk cases: 3
Does the Public Investment in Internet Access Reach the Population?
Middle mile network is not enough Latvia is known for its high-speed Internet provided to individuaals and business. Auditors verified results of the Government's effort to strengthen national infrastructure in this regard. They ponted at issues in: planning, risk analysis, information flow, quality and impact.
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Middle mile network is not enough Latvia is known for its high-speed Internet provided to individuaals and business. Auditors verified results of the Government's effort to strengthen national infrastructure in this regard. They ponted at issues in: planning, risk analysis, information flow, quality and impact.
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State Audit Office of the Republic of Latvia
, issued in 2020
Risk cases: 6
Recovery of housing allowance - easy to make mistakes
Avoid mistakes in housing allowance recovery Housing allowance recovery rules are complex and outdated. What more, ad hoc changes can result in unpredicted deficiencies. The Swedish NAO found that monitoring and evaluation based analysis is of critical importance to avoid problems on the administration side - and what much more important: on the side of financialy vulnerable households.
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Avoid mistakes in housing allowance recovery Housing allowance recovery rules are complex and outdated. What more, ad hoc changes can result in unpredicted deficiencies. The Swedish NAO found that monitoring and evaluation based analysis is of critical importance to avoid problems on the administration side - and what much more important: on the side of financialy vulnerable households.
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Swedish National Audit Office
, issued in 2018
Risk cases: 4