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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
Improving broadband
Lessons of Superfast Programme UK NAO's report on goverments extensive support to the superfast internet, with special focus on the Future Programme perspectives. Influence of the COVID-19 pandemic considered.
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Lessons of Superfast Programme UK NAO's report on goverments extensive support to the superfast internet, with special focus on the Future Programme perspectives. Influence of the COVID-19 pandemic considered.
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National Audit Office
, issued in 2020
Risk cases: 7
The internal audit function in the State Owned Enterprises
Internal audit - sometimes too narrow and dependent Performance audit by the SAI Portugal in state-owned companies reveals some weaknesses of the internal audit function. Special attention should be paid to scope, independence and quality assessment.
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Internal audit - sometimes too narrow and dependent Performance audit by the SAI Portugal in state-owned companies reveals some weaknesses of the internal audit function. Special attention should be paid to scope, independence and quality assessment.
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TRIBUNAL DE CONTAS DE PORTUGAL
, issued in 2011
Risk cases: 3
Public access point to the Polish e-Administration
Coordinated audit series (46 auditees) focused on a web solution applied to give an easy access to Government e-services (the project planned to be completed in 2013) The audit was performed in 2008 ... and public report issued in March 2009. Primary goal of th presentation was intended to illustrate the use of 'e-Government Algorithm' elaborated by EUROSAI IT Working Group in 2005. One of issues mede better ... known by the audit was 'Project Frameworks vs Public Procurement'. ... ... Buyer, provider and methodologies need a balance ... Presentation based on a vast audit by Polish SAI which subject was of big network project aiming to provide one access point to Government and Selfgovernments services. The presentation illustrates ... old EUROSAI IT Wg 'Algorithm approach' and focuses on procurement systemic problems.
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Coordinated audit series (46 auditees) focused on a web solution applied to give an easy access to Government e-services (the project planned to be completed in 2013) The audit was performed in 2008 ... and public report issued in March 2009. Primary goal of th presentation was intended to illustrate the use of 'e-Government Algorithm' elaborated by EUROSAI IT Working Group in 2005. One of issues mede better ... known by the audit was 'Project Frameworks vs Public Procurement'. ... ... Buyer, provider and methodologies need a balance ... Presentation based on a vast audit by Polish SAI which subject was of big network project aiming to provide one access point to Government and Selfgovernments services. The presentation illustrates ... old EUROSAI IT Wg 'Algorithm approach' and focuses on procurement systemic problems.
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Supreme Audit Office of Poland
, issued in 2008
Risk cases: 3
Relocation of government jobs
Difficult experience of relocation of jobs The Danish government decided to move almost 4 thousand government jobs away from the metropolitan area. The purpose of the relocation was to attain a better balance and development across Denmark and ensure that government institutions were located close to the citizens and businesses. Study of the SAI Denmark shows that overall, the departments have implemented the whole operation in an appropriate manner. At the same time, however, the relocation had negative consequences for the institutions’ production which has also affected citizens and businesses.
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Difficult experience of relocation of jobs The Danish government decided to move almost 4 thousand government jobs away from the metropolitan area. The purpose of the relocation was to attain a better balance and development across Denmark and ensure that government institutions were located close to the citizens and businesses. Study of the SAI Denmark shows that overall, the departments have implemented the whole operation in an appropriate manner. At the same time, however, the relocation had negative consequences for the institutions’ production which has also affected citizens and businesses.
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National Audit Office of Denmark
, issued in 2017
Risk cases: 4
Software Developement Effective Practices and Federal Chalenges in Applying Agile Methods
To identify effective practices in applying Agile for software developement solutions and federal challenges in implementing Agile techniques. ... Agile project approach in government practice ... Useful products delivered in a short time are basis for often applauded features of agile project approach. Applied by many private companies, it tends as well to be more and more popular among state ... administrations. American GAO reviewed set of agile projects and revealed - apart from advantages - a set of commonly occurring problems: poor team work, lack of time and deficit of customers’ trust.
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To identify effective practices in applying Agile for software developement solutions and federal challenges in implementing Agile techniques. ... Agile project approach in government practice ... Useful products delivered in a short time are basis for often applauded features of agile project approach. Applied by many private companies, it tends as well to be more and more popular among state ... administrations. American GAO reviewed set of agile projects and revealed - apart from advantages - a set of commonly occurring problems: poor team work, lack of time and deficit of customers’ trust.
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General Accountability Office
, issued in 2012
Risk cases: 4
Copyright Office Needs to Develop Plans that Address Technical and Organizational Challenges
The mission of the Copyright Office, a service unit within the Library of Congress, is to promote creativity by administering and sustaining a national copyright system. As part of this mission ... , the Copyright Office registers about 500,000 creative works a year for copyright and records documentation related to copyright transfer and sale. In recent years, the Register of Copyrights has discussed ... the need for a modernized Copyright Office, to include upgrades to the current IT environment. ... No justified investments without IT strategy ... GAO shows in its report on the US Copyright Office, what is a role of IT strategy in organisaion. Effects can be found at the bottom and at the top: the lack of strategic plan can make it more ... difficult to solve practical problems, but it can also put the overall mission of the Office at risk.
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The mission of the Copyright Office, a service unit within the Library of Congress, is to promote creativity by administering and sustaining a national copyright system. As part of this mission ... , the Copyright Office registers about 500,000 creative works a year for copyright and records documentation related to copyright transfer and sale. In recent years, the Register of Copyrights has discussed ... the need for a modernized Copyright Office, to include upgrades to the current IT environment. ... No justified investments without IT strategy ... GAO shows in its report on the US Copyright Office, what is a role of IT strategy in organisaion. Effects can be found at the bottom and at the top: the lack of strategic plan can make it more ... difficult to solve practical problems, but it can also put the overall mission of the Office at risk.
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General Accountability Office
, issued in 2015
Risk cases: 2
Cost-intensive data centres stood idle for years
Idle data centres As found by the German SAI, some of costly Federal data centres stood largely idle. The Ministry failed to adequately assess the project risks. The Ministry needs to avoid similar shortcomings in the proposed federal IT consolidation project.
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Idle data centres As found by the German SAI, some of costly Federal data centres stood largely idle. The Ministry failed to adequately assess the project risks. The Ministry needs to avoid similar shortcomings in the proposed federal IT consolidation project.
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Bundesrechnungshof
, issued in 2016
Risk cases: 1
The National Government Service Centre – Has administration become more effective?
The purpose of this audit has been to investigate whether the Service Centre has made administrative operational support functions taken over from client agencies more effective, and to find ... explanations for the results so far achieved by the Service Centre. The audit has also aspired to illustrate how agencies that do not subscribe to the services regard their potential for doing so ... . These viewpoints have been analysed with a special focus on the conditions that applied to the Service Centre when it was formed and the measures taken by the Government and the Service Centre in the first years. ... ... Has Swedish public administration become more effective? ... The Service Centre – payroll and financial administration IT system for Swedish public agencies under the government – has achieved the target of a subscription rate of 25 per cent of the total ... number of state employees. However, subscription to the Service Centre was initially slower than the Government had predicted and meant lower revenues than expected in autumn 2013. The Service Centre ... then introduced a rigorous review of its expenditure, for example for some planned development initiatives for internal procedures and support systems.<br/>The Swedish NAO noted that the Government’s steering
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The purpose of this audit has been to investigate whether the Service Centre has made administrative operational support functions taken over from client agencies more effective, and to find ... explanations for the results so far achieved by the Service Centre. The audit has also aspired to illustrate how agencies that do not subscribe to the services regard their potential for doing so ... . These viewpoints have been analysed with a special focus on the conditions that applied to the Service Centre when it was formed and the measures taken by the Government and the Service Centre in the first years. ... ... Has Swedish public administration become more effective? ... The Service Centre – payroll and financial administration IT system for Swedish public agencies under the government – has achieved the target of a subscription rate of 25 per cent of the total ... number of state employees. However, subscription to the Service Centre was initially slower than the Government had predicted and meant lower revenues than expected in autumn 2013. The Service Centre ... then introduced a rigorous review of its expenditure, for example for some planned development initiatives for internal procedures and support systems.<br/>The Swedish NAO noted that the Government’s steering
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Swedish National Audit Office
, issued in 2016
Risk cases: 2
Audit to the Social Security Systems of Collection of Contributions and Quotes and Relationship with Banking and other Entities Engaged in Collection Initiatives
The audit aims to evaluate the effectiveness and efficiency of the processes implemented in respect of the processing schemes of contributions/quotas, whose Wages Statements (WS) entered ... into the system in the first quarter of 2007, test the reliability, stability and confidence level of the application systems developed and the respective values processed in the entire collection circuit ... and respective accounting, and also check compliance with the contracts celebrated with banking entities. ... ... Application level of Social Security IS analyzed ... Processes maturity and automation of controls appeared to be main problems in the system which reliability, stability and confidence level were tested.
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The audit aims to evaluate the effectiveness and efficiency of the processes implemented in respect of the processing schemes of contributions/quotas, whose Wages Statements (WS) entered ... into the system in the first quarter of 2007, test the reliability, stability and confidence level of the application systems developed and the respective values processed in the entire collection circuit ... and respective accounting, and also check compliance with the contracts celebrated with banking entities. ... ... Application level of Social Security IS analyzed ... Processes maturity and automation of controls appeared to be main problems in the system which reliability, stability and confidence level were tested.
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TRIBUNAL DE CONTAS DE PORTUGAL
, issued in 2008
Risk cases: 2