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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
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
Central government staff costs
Results of staff reductions The British NAO found that departments had significantly reduced numbers of their civil servants and of course salary costs at the same time. But they reduced staff numbers mainly by minimising recruitment, and the age profile of the civil service has changed. NAO pays a lot attention to what effect this has had on the future pipeline of talent and skills. It reminds also that the departments need long-term operating models to work efficiently with the staff reduced.
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Results of staff reductions The British NAO found that departments had significantly reduced numbers of their civil servants and of course salary costs at the same time. But they reduced staff numbers mainly by minimising recruitment, and the age profile of the civil service has changed. NAO pays a lot attention to what effect this has had on the future pipeline of talent and skills. It reminds also that the departments need long-term operating models to work efficiently with the staff reduced.
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National Audit Office
, issued in 2015
Risk cases: 5
Analysis of Trends in SAI Japan’s Findings
Analysis of IT audit cases by Board of Audit of Japan in years 2004-12. ... Not used IT systems and overpaid 'ghost' services ... Wrap-up of almost a decade of SAI of Japan's IT related audits results in a form of list of most often found problems. On the top of the list are unwanted or overpaid IT systems and too expensive ... maintanance. It makes you thinking: if one of the world technology leaders could find this, what could we find in our country...
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Analysis of IT audit cases by Board of Audit of Japan in years 2004-12. ... Not used IT systems and overpaid 'ghost' services ... Wrap-up of almost a decade of SAI of Japan's IT related audits results in a form of list of most often found problems. On the top of the list are unwanted or overpaid IT systems and too expensive ... maintanance. It makes you thinking: if one of the world technology leaders could find this, what could we find in our country...
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Board of Audit of Japan
, issued in 2014
Risk cases: 3
IT Police Systems
and organization of the project turned out to make the difference. Accordance with the public procurement law was not part of the audit as a separate investigation in that matter was carried by respective Polish ... Implementation by the Polish Police of two IT projects (E-police station and Command Support System - CSS) was audited. Both systems were to relieve the Police officers and increase the quality ... and effectiveness of their work. Audit explained the reason of failure in the case of E-police station project and success in the case of CSS. Although some irregularities occurred in both cases, careful planning ... ... A textbook example of how not to implement the IT projects ... Polish NIK compared the implementation of two flagship IT projects of the Police HQ: successful 'Command Support System' and problematic 'E-police station'. List of interesting problems appeared...
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and organization of the project turned out to make the difference. Accordance with the public procurement law was not part of the audit as a separate investigation in that matter was carried by respective Polish ... Implementation by the Polish Police of two IT projects (E-police station and Command Support System - CSS) was audited. Both systems were to relieve the Police officers and increase the quality ... and effectiveness of their work. Audit explained the reason of failure in the case of E-police station project and success in the case of CSS. Although some irregularities occurred in both cases, careful planning ... ... A textbook example of how not to implement the IT projects ... Polish NIK compared the implementation of two flagship IT projects of the Police HQ: successful 'Command Support System' and problematic 'E-police station'. List of interesting problems appeared...
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Supreme Audit Office of Poland
, issued in 2013
Risk cases: 5
State aid for IT projects in social and health care
information system services (KanTa project) or the National Project for Social Services IT (Tikesos project). Financing has been provided by the Ministry of Social Affairs and H ealth, the Finnish Funding ... In 2000-2009 about 180 million euros in national and European Union funds went to finance information technology projects in social and health care, not including the costs of developing national ... Agency for Technology and Innovation (Tekes), regional councils (previously state provincial offices), and indirectly by the Slot Machine Association under the direction of the Ministry of Social Affairs ... Difficult coordination of IT projects ... Finish Audit Office analyzed results of poor cooperation between authorities on national and local level in social and health care projects: difficult integration of information systems and poor ... coordination of the financing information technology projects, including double financing.
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information system services (KanTa project) or the National Project for Social Services IT (Tikesos project). Financing has been provided by the Ministry of Social Affairs and H ealth, the Finnish Funding ... In 2000-2009 about 180 million euros in national and European Union funds went to finance information technology projects in social and health care, not including the costs of developing national ... Agency for Technology and Innovation (Tekes), regional councils (previously state provincial offices), and indirectly by the Slot Machine Association under the direction of the Ministry of Social Affairs ... Difficult coordination of IT projects ... Finish Audit Office analyzed results of poor cooperation between authorities on national and local level in social and health care projects: difficult integration of information systems and poor ... coordination of the financing information technology projects, including double financing.
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National Audit Office of Finland
, issued in 2011
Risk cases: 3
Cyber Attacks: Securing Agencies’ICT Systems
posture of the selected agencies, based on their implementation of the four mandated mitigation strategies and IT general controls. In the government sector, the Australian Signals Directorate (ASD) has ... Cyber crime is an international problem, and it is estimated that in 2012, 5.4 million Australians fell victim to such crimes, with an estimated cost to the economy of $1.65 billion ... . In the government sector, the Australian Signals Directorate (ASD)3 has estimated that between January and December 2012, there were over 1790 security incidents against Australian Government agencies. Of these, 685 ... ... Cyber-security strategy needs consistent implementation and periodic reviews ... List of 35 mitigation controls against cyber intrusions are a basic tool of information security strategy of the Australian Government. Top four are: 1. application whitelisting, 2. patching ... application, 3. patching operating systems, 4. minimising administrative privileges. Analysis by the ANAO helps to fill gaps and to direct next steps.
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posture of the selected agencies, based on their implementation of the four mandated mitigation strategies and IT general controls. In the government sector, the Australian Signals Directorate (ASD) has ... Cyber crime is an international problem, and it is estimated that in 2012, 5.4 million Australians fell victim to such crimes, with an estimated cost to the economy of $1.65 billion ... . In the government sector, the Australian Signals Directorate (ASD)3 has estimated that between January and December 2012, there were over 1790 security incidents against Australian Government agencies. Of these, 685 ... ... Cyber-security strategy needs consistent implementation and periodic reviews ... List of 35 mitigation controls against cyber intrusions are a basic tool of information security strategy of the Australian Government. Top four are: 1. application whitelisting, 2. patching ... application, 3. patching operating systems, 4. minimising administrative privileges. Analysis by the ANAO helps to fill gaps and to direct next steps.
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The Australian National Audit Office
, issued in 2014
Risk cases: 3
Ministry of Education realized corrective measures incorrectly
The audited bodies were Ministry of Education (ME), Ministry of Informatics (MI), Institute for Educational Information, regional authorities of Liberec and Plzeň, and 42 chosen primary, secondary ... , and high schools, as well as some other educational facilities. (See the complete list of chosen schools enclosed to the audit report.). ... ... Educational project managed ineffectively ... Several problems - from documentation to ineffectiveness - in designing and financing were found by the Czech SAI in a government program: the Funding Conception for Communication Services at Schools.
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The audited bodies were Ministry of Education (ME), Ministry of Informatics (MI), Institute for Educational Information, regional authorities of Liberec and Plzeň, and 42 chosen primary, secondary ... , and high schools, as well as some other educational facilities. (See the complete list of chosen schools enclosed to the audit report.). ... ... Educational project managed ineffectively ... Several problems - from documentation to ineffectiveness - in designing and financing were found by the Czech SAI in a government program: the Funding Conception for Communication Services at Schools.
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Supreme Audit Office
, issued in 2007
Risk cases: 2
Management of State Information Resources
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 ... 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 ... . 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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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 ... 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 ... . 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
Informatisation of hospitals
The goals of the audit were: 1. Assesment to what degree service providers are prepared to implement the electronic health information system. 2. Assessment of government activities related ... to the construction of the health information system within the framework of the "Healthcare Informatisation Program" ... ... Sometimes it is really not about the money.. ... Informatisation of healthcare is one of the most money-consuming IT activities of the State. Polish NIK shows how a poor concept can delay modernization of hospitals. The new IT system was expected ... to take some burden off doctors, streamline medical care, prevent fraud and improve efficiency. But will it be created at all?
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The goals of the audit were: 1. Assesment to what degree service providers are prepared to implement the electronic health information system. 2. Assessment of government activities related ... to the construction of the health information system within the framework of the "Healthcare Informatisation Program" ... ... Sometimes it is really not about the money.. ... Informatisation of healthcare is one of the most money-consuming IT activities of the State. Polish NIK shows how a poor concept can delay modernization of hospitals. The new IT system was expected ... to take some burden off doctors, streamline medical care, prevent fraud and improve efficiency. But will it be created at all?
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Sumpreme Audit Office
, issued in 2013
Risk cases: 3