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Correct information at the right time in healthcare and nursing – collaboration without effect?
The Swedish National Audit Office has conducted an audit to determine whether Government initiatives have contributed to the objective that authorised healthcare staff shall have access to the right ... patient information at the right time by means of direct electronic access. ... ... Information share is crucial for competitive health care ... Health and social care staff has very limited access to patient information from other care-giving institutions, which may lead to health damage and wrong-treatment. The cooperation between ... the Government and the municipalities must improve if the investments in better access to common patient information shall get impact in practice.
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The Swedish National Audit Office has conducted an audit to determine whether Government initiatives have contributed to the objective that authorised healthcare staff shall have access to the right ... patient information at the right time by means of direct electronic access. ... ... Information share is crucial for competitive health care ... Health and social care staff has very limited access to patient information from other care-giving institutions, which may lead to health damage and wrong-treatment. The cooperation between ... the Government and the municipalities must improve if the investments in better access to common patient information shall get impact in practice.
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Riksrevisionen (Swedish National Audit Office)
, issued in 2011
Risk cases: 3
Coordination of Infrastructure Works by Metropolitan Municipalities
in daily life, create financial burden and necessitate effective solutions. The purpose of this audit is to ensure that metropolitan municipalities eradicate defects in implementation, and Ministry ... Rapid population growth at metropoles as well as dense and planless structuring, especially in İstanbul and Ankara, have lead to an increase in demand for utilities services and consequently ... , in the resources used for the construction and maintenance of utilities. Moreover, in cities with dense population, damages to roads and sidewalks during the construction and maintenance of utilities cause problems ... ... ... Start geographic information system with cooperation rules and digital maps ... Organization of geographic and infrastructure information systems is an especially difficult task when bacause vast and intense coordination is necessary. The Turkisch Court of Accounts lists ... problems that reduce use and rise costs of this fundamental task.
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in daily life, create financial burden and necessitate effective solutions. The purpose of this audit is to ensure that metropolitan municipalities eradicate defects in implementation, and Ministry ... Rapid population growth at metropoles as well as dense and planless structuring, especially in İstanbul and Ankara, have lead to an increase in demand for utilities services and consequently ... , in the resources used for the construction and maintenance of utilities. Moreover, in cities with dense population, damages to roads and sidewalks during the construction and maintenance of utilities cause problems ... ... ... Start geographic information system with cooperation rules and digital maps ... Organization of geographic and infrastructure information systems is an especially difficult task when bacause vast and intense coordination is necessary. The Turkisch Court of Accounts lists ... problems that reduce use and rise costs of this fundamental task.
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Turkish Court of Accounts
, issued in 2008
Risk cases: 2
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
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
WannaCry Cyber Attack and the NHS
Why the British NHS became a victim of WannaCry The NAO's investigation points at the problem of insufficient powers of the cybersecurity coordinator across the health organisation. As a result no remedial actions were taken, and the cyber attack succeeded thanks to neglected precautions.
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Why the British NHS became a victim of WannaCry The NAO's investigation points at the problem of insufficient powers of the cybersecurity coordinator across the health organisation. As a result no remedial actions were taken, and the cyber attack succeeded thanks to neglected precautions.
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National Audit Office
, issued in 2017
Risk cases: 3
Peering Point Betriebs GmbH
In 2004 the Peering Point Betriebs GmbH was established to provide an effective and secure IT network for the operation of the e-card (a smart card which replaced health insurance vouchers ... in the course of the introduction of the electronic administration system) and other services in health care. Since its foundation the company has suffered losses. Net losses were covered by the two owners ... – the Main Association of Austrian Social Insurance Institutions and the Austrian Medical Chamber – to 50 % each, and since 2011 in a proportion of 60 to 40. The Main Association failed to give an objective ... ... Safe but expensive ... Network safety of a healthcare e-card system has been provided at a high cost. As the Austrian Court of Audit discovered - there was no concept to reduce the expenditure.
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In 2004 the Peering Point Betriebs GmbH was established to provide an effective and secure IT network for the operation of the e-card (a smart card which replaced health insurance vouchers ... in the course of the introduction of the electronic administration system) and other services in health care. Since its foundation the company has suffered losses. Net losses were covered by the two owners ... – the Main Association of Austrian Social Insurance Institutions and the Austrian Medical Chamber – to 50 % each, and since 2011 in a proportion of 60 to 40. The Main Association failed to give an objective ... ... Safe but expensive ... Network safety of a healthcare e-card system has been provided at a high cost. As the Austrian Court of Audit discovered - there was no concept to reduce the expenditure.
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Austrian Court of Audit
, issued in 2012
Risk cases: 1
Conflicts of interest
First, recognise the conflicts of interest are a real risk the British NAO gathered a significant amount of intelligence on conflicts, particularly in the health and education sectors. These are areas of government where services are increasingly commissioned and delivered by parties at arm’s-length to departments. Conflicts of interest can occur naturally as a product of the way a system is designed and most often arise from operational situations.
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First, recognise the conflicts of interest are a real risk the British NAO gathered a significant amount of intelligence on conflicts, particularly in the health and education sectors. These are areas of government where services are increasingly commissioned and delivered by parties at arm’s-length to departments. Conflicts of interest can occur naturally as a product of the way a system is designed and most often arise from operational situations.
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National Audit Office
, issued in 2015
Risk cases: 8
Operation of the Record Systems Applied in the Eligibility Scheme of Benefits and Services Provided from the Social Security Funds
Hungarian SAI evaluated the set-up and operation of the basic registries of managing bodies (National Health Insurance Fund, Central Administration of National Pension Insurance, National Tax ... and Customs Administration), as well as the dataflow amongst them. In addition, the control system of fulfilling the data provision obligation was evaluated, as well as the IT support activities and whether ... the records had proven reliable in supporting services in compliance with eligibilities and in filtering unjustified services. The audited period covered the years 2007-2010. ... ... Well considered regulations are essential for good quality data ... State Audit Office of Hungary.has proved that date safety may depend on quality of regulations. The report on record systems of social security services casted light on risk connected with huge data ... bases managed by different entities, in a changing legal environment.
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Hungarian SAI evaluated the set-up and operation of the basic registries of managing bodies (National Health Insurance Fund, Central Administration of National Pension Insurance, National Tax ... and Customs Administration), as well as the dataflow amongst them. In addition, the control system of fulfilling the data provision obligation was evaluated, as well as the IT support activities and whether ... the records had proven reliable in supporting services in compliance with eligibilities and in filtering unjustified services. The audited period covered the years 2007-2010. ... ... Well considered regulations are essential for good quality data ... State Audit Office of Hungary.has proved that date safety may depend on quality of regulations. The report on record systems of social security services casted light on risk connected with huge data ... bases managed by different entities, in a changing legal environment.
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State Audit Office of Hungary
, issued in 2012
Risk cases: 2
Extract from the report to the Public Accounts Committee on the access to IT systems that support the provision of essential services to the Danish society
The report is focused on the significant risk that is associated with inadequate management and control of domain administrator privileges, which makes it possible for unauthorized persons to obtain ... access to the IT systems and data of the institutions. Rigsrevisionen has not examined for what specific purposes unauthorized access to the institutions’ systems and data can be used. ... ... Inadequate management and control of domain administrator privileges ... The Danish report concerns the measures - taken by six government institutions of various branches of State activities - to protect IT systems and data that support the provision of essential ... services to the Danish society from unauthorized access, obtained on the basis of domain administrator privileges.
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The report is focused on the significant risk that is associated with inadequate management and control of domain administrator privileges, which makes it possible for unauthorized persons to obtain ... access to the IT systems and data of the institutions. Rigsrevisionen has not examined for what specific purposes unauthorized access to the institutions’ systems and data can be used. ... ... Inadequate management and control of domain administrator privileges ... The Danish report concerns the measures - taken by six government institutions of various branches of State activities - to protect IT systems and data that support the provision of essential ... services to the Danish society from unauthorized access, obtained on the basis of domain administrator privileges.
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National Audit Office of Denmark
, issued in 2015
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.
Full description
General Accountability Office
, issued in 2012
Risk cases: 4