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Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
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 ... 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 ... ... Involvement of key participants necessary from the very beginning ... 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 ... and processes leading to implementation problems, governance not involving key players, and IT security organisation.
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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 ... 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 ... ... Involvement of key participants necessary from the very beginning ... 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 ... and processes leading to implementation problems, governance not involving key players, and IT security organisation.
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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
Management of Information Resources of the Ministry of Agriculture
The Ministry of Agriculture of the Republic of Lithuania has managed 32 information systems and registers. Of these, 24 ones are managed, developed and upgraded by a state enterprise subordinate ... to the Ministry of Agriculture, the Agricultural Information and Rural Business Centre. The annual amount allocated by the Ministry for the maintenance of the Centre totals LTL 17.5 million on average ... . The objective of the audit was to assess the general and development controls of the information resources of the Ministry of Agriculture. The audit was conducted at the Ministry of Agriculture and the state ... ... Without appropiate IT management it is hard to achieve reliable, consistent and secure systems for agriculture ... Since 1996 the Ministry has been using information systems of varying complexity for collecting and processing data, including personal data. The Ministry of Agriculture of the Republic of Lithuania ... has managed 32 information systems and registers. SAI of Lithuania revealed that systems were not well mantained what affected use of funds devoted to the systemsand also their legality and security.
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The Ministry of Agriculture of the Republic of Lithuania has managed 32 information systems and registers. Of these, 24 ones are managed, developed and upgraded by a state enterprise subordinate ... to the Ministry of Agriculture, the Agricultural Information and Rural Business Centre. The annual amount allocated by the Ministry for the maintenance of the Centre totals LTL 17.5 million on average ... . The objective of the audit was to assess the general and development controls of the information resources of the Ministry of Agriculture. The audit was conducted at the Ministry of Agriculture and the state ... ... Without appropiate IT management it is hard to achieve reliable, consistent and secure systems for agriculture ... Since 1996 the Ministry has been using information systems of varying complexity for collecting and processing data, including personal data. The Ministry of Agriculture of the Republic of Lithuania ... has managed 32 information systems and registers. SAI of Lithuania revealed that systems were not well mantained what affected use of funds devoted to the systemsand also their legality and security.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 2
Management and development of IT systems in the Ministry of the Environment
. The audit revealed that the correctness and reliability of the environmental data was guaranteed to a considerable extent. The exception here is the Environmental Register, which contains considerably more ... The purpose of this audit was to assess whether the information systems in the area of government of the Ministry of the Environment (and their development) support the reliable, economical ... and sustainable collection and use of environmental information. On a broader scale the National Audit Office looked at all of the 42 environmental information systems created in the area of government ... ... Estonian environmental information system needs reforms ... Correctness and reliability of the environmental data is guaranteed to a considerable extent. However there is a need for redevelopment of environmental information systems, particularly ... by the Environmental Register.
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. The audit revealed that the correctness and reliability of the environmental data was guaranteed to a considerable extent. The exception here is the Environmental Register, which contains considerably more ... The purpose of this audit was to assess whether the information systems in the area of government of the Ministry of the Environment (and their development) support the reliable, economical ... and sustainable collection and use of environmental information. On a broader scale the National Audit Office looked at all of the 42 environmental information systems created in the area of government ... ... Estonian environmental information system needs reforms ... Correctness and reliability of the environmental data is guaranteed to a considerable extent. However there is a need for redevelopment of environmental information systems, particularly ... by the Environmental Register.
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National Audit Office of Estonia
, issued in 2013
Risk cases: 2
IT security in the Federal Administration
The SFAO has audited the Admin PKI – the basic infrastructure and offering for the issuing of digital certificates – within the Federal Office of Information Technology, Systems and Telecommunication ... (FOITT). The examination concentrated on assessing the development and current operation as well as future prospects. Admin PKI refers to all processes and the hardware and software needed for issuing ... certificates of different grades. ... Technical and organizational deficiencies work together against data security ... Only minor deficiencies were revealed in the Windows environment but only in case of Microsoft products.Providers' lack of both assertiveness and synergy adds to 'the great unknown' of authonomous ... entities' networks.
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The SFAO has audited the Admin PKI – the basic infrastructure and offering for the issuing of digital certificates – within the Federal Office of Information Technology, Systems and Telecommunication ... (FOITT). The examination concentrated on assessing the development and current operation as well as future prospects. Admin PKI refers to all processes and the hardware and software needed for issuing ... certificates of different grades. ... Technical and organizational deficiencies work together against data security ... Only minor deficiencies were revealed in the Windows environment but only in case of Microsoft products.Providers' lack of both assertiveness and synergy adds to 'the great unknown' of authonomous ... entities' networks.
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Swiss Federal Audit Office
, issued in 2011
Risk cases: 4
VA ACQUISITION MANAGEMENT: Supply Chain Management and COVID-19 Response
Pandemic points up weaknesses of procurement solutions US Department of Veterans Affairs acquires hundreds of millions of dollars-worth of medical supplies each year. The Medical-Surgical Prime Vendor-Next Generation (MSPV-NG) is one of its key initiatives to modrnize its processes. GAO auditor pointed in their previous audits that the approach lacked an effective medical supply procurement strategy, clinician involvement, and reliable data systems. In time of the pandemic, the problem seems even more difficult to deal with.
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Pandemic points up weaknesses of procurement solutions US Department of Veterans Affairs acquires hundreds of millions of dollars-worth of medical supplies each year. The Medical-Surgical Prime Vendor-Next Generation (MSPV-NG) is one of its key initiatives to modrnize its processes. GAO auditor pointed in their previous audits that the approach lacked an effective medical supply procurement strategy, clinician involvement, and reliable data systems. In time of the pandemic, the problem seems even more difficult to deal with.
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US Government Accountability Office
, issued in 2019
Risk cases: 4
Audit on the operation of the “Ministry of Finance” Central Budget Chapter
The audit was carried out on the "Ministry of Finance" central budget chapter and covered the period of 2003-2008. One of the audited activities of the Ministry were the IT systems ... and their development and the role of the Hungarian State Treasury within the IT framework of public finances. ... ... Simple receipt: calculate costs, standardize data, divide duties... ... Hungarian Audit Office analyzed in detail fundamentals of proper IT investment taking into account problems of Budget Management System.
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The audit was carried out on the "Ministry of Finance" central budget chapter and covered the period of 2003-2008. One of the audited activities of the Ministry were the IT systems ... and their development and the role of the Hungarian State Treasury within the IT framework of public finances. ... ... Simple receipt: calculate costs, standardize data, divide duties... ... Hungarian Audit Office analyzed in detail fundamentals of proper IT investment taking into account problems of Budget Management System.
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State Audit Office of Hungary
, issued in 2008
Risk cases: 3
VETERANS’ HEALTH CARE - Preliminary Observations on VHA’s Claims Processing Delays and Efforts to Improve the Timeliness of Payments to Community Providers
, GAO obtained fiscal year 2015 data on the timeliness of VHA’s, Medicare’s, and TRICARE’s claims processing. GAO visited 4 of 95 VHA claims processing locations (selected on the basis of variation ... Due to increases in expenditures and utilization of VA care in the community services in recent years, VHA has had difficulty processing claims in a timely manner. In planning to consolidate its ... existing VA care in the community programs, as required by law, the agency said it will examine strategies for improving the timeliness and accuracy of its payments to community providers.<br ... Data processing hold back by technology limitation, workload and administrative burden ... US GAO analyzed all factors of slower processing and user unfriendliness that occur sometimes to the veterans healthcare. The main focus is data processing - and it has been proved that it can ... be failing not only because of technology, but also because of work-process design, staff and organisation.
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, GAO obtained fiscal year 2015 data on the timeliness of VHA’s, Medicare’s, and TRICARE’s claims processing. GAO visited 4 of 95 VHA claims processing locations (selected on the basis of variation ... Due to increases in expenditures and utilization of VA care in the community services in recent years, VHA has had difficulty processing claims in a timely manner. In planning to consolidate its ... existing VA care in the community programs, as required by law, the agency said it will examine strategies for improving the timeliness and accuracy of its payments to community providers.<br ... Data processing hold back by technology limitation, workload and administrative burden ... US GAO analyzed all factors of slower processing and user unfriendliness that occur sometimes to the veterans healthcare. The main focus is data processing - and it has been proved that it can ... be failing not only because of technology, but also because of work-process design, staff and organisation.
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General Accountability Office
, issued in 2016
Risk cases: 6
Traffic Ticketing information system
The audit included two areas of focus - the environment surrounding the Traffic Ticketing Information System - the System (designed to input, process, manage and collect payment for the traffic ... tickets) and also the internal environment of the System that guarantees the quality of its performance and safety. ... Security can hinder effectiveness ... SAI of Kuwait analysed system supporting collection of the traffic tickets - data input, processing and management. What was found was lack of basic safety measures, that hindered the effectiveness ... of the system.
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The audit included two areas of focus - the environment surrounding the Traffic Ticketing Information System - the System (designed to input, process, manage and collect payment for the traffic ... tickets) and also the internal environment of the System that guarantees the quality of its performance and safety. ... Security can hinder effectiveness ... SAI of Kuwait analysed system supporting collection of the traffic tickets - data input, processing and management. What was found was lack of basic safety measures, that hindered the effectiveness ... of the system.
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State Audit Bureau of Kuwait
, issued in 2014
Risk cases: 3
General and Creation Control of the Information Systems of the Ministry of Foreign Affairs
The objective of the audit was to assess general and creation control of the information systems of the Ministry of Foreign Affairs. Since the beginning of 2009, the Ministry of Foreign Affairs has ... achieved considerable progress in the management of the information systems. The auditors reviewed and assessed all key elements of the process. ... Overview of problems - area by area ... SAI Lithuania looked into all critical elements of a Ministry's information system, starting from IT architecture, through information security to automation of data processing.
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The objective of the audit was to assess general and creation control of the information systems of the Ministry of Foreign Affairs. Since the beginning of 2009, the Ministry of Foreign Affairs has ... achieved considerable progress in the management of the information systems. The auditors reviewed and assessed all key elements of the process. ... Overview of problems - area by area ... SAI Lithuania looked into all critical elements of a Ministry's information system, starting from IT architecture, through information security to automation of data processing.
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 4