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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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US Government Accountability Office , issued in 2019
Risk cases: 3
Actions of national and municipal authorities to ensure the fulfillment of the obligations under the Loan Agreement “Safety Net and Social Sector Reform Program” between the Republic of Latvia and the World Bank
The audit was planned and conducted so as to provide reasonable assurance that the national and municipal authorities have implemented the measures specified in the Program Document and ensured ... the fulfilment of the prescribed performance targets. ... ... Well coordinated information structure is necessary for the unemployment benefits system ... SAI Latvia reviewed the unemployment benefits system and analyzed the cosequences of poor information flow among state and municipalities registers. Findings presented in the report are result ... of effective use of CAAT software.
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State Audit Office of Latvia , issued in 2011
Risk cases: 1
THE CYBER SECURITY ENVIRONMENT IN LITHUANIA
) 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 ... 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 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
Is the project 'E-health in Latvia' a step towards the right direction?
of funds invested in the project for achievement of set objectives and gaining the planned benefits. Audit covered such main questions: 1) Will the e-health policy be able to solve problems and achieve ... Objective of the audit was to verify efficiency and productivity of the actions by the institutions in charge for implementation of the e-health, as well as to audit economy and productivity of use ... the objective? 2) Are the actual activities performed by the National Health Service justified for achievement of the set objectives? 3) Will necessary information security and personal data protection be ensured ... E-health is a step forward in right direction, but not all objectives will be reached! ... a step towards the right direction then. However, as found the Latvian SAI, the e-health policy will not be implemented within the initially planned scope and deadline and within set data security levels ... Project “E-health in Latvia” supports healthy lifestyle, it will provide valuable and accessible information and will promote more efficient provision of services to patients. It is undoubtedly ... , thus the objective of this policy – to promote more effective provision of healthcare services will be attained only partially.
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State Audit Office of the Republic of Latvia , issued in 2015
Risk cases: 3
Performance Audit of the Management of ICT in the Criminal Justice Sector
The Norwegian OAG has assesed how the Ministry of Justice and Public Security has discharged its responsibility for effiecient case processing through developing and applying Information ... and Communications Technology (ICT) in the criminal justice sector ... ... Unclear signals from a Ministry weaken development of ICT in the justice chain ... Points by SAI Norway: development of an overall rolling action plan based on the current ICT (Information and Communication Technology) strategy for the justice sector, performance-oriented ... reporting from the subordinate agencies, ensuring that the new ICT Police System takes into account other sub-sectors need for electronic interaction.
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Office of the Auditor General of Norway , issued in 2012
Risk cases: 2
The management of the State Property and Funds while Information Systems Building for the Ministry of Defence
The aim of the audit was to examine management during process of extension and modernization of the current information systems and at building of new information systems for the needs ... of the Ministry of Defence or the Army of the Czech Republic. Operating of information systems is inseparably linked with the communication infrastructure, thus the technological shift to ICT was reviewed also ... in this connection. The stationary ICT systems are determined to support management of the Ministry of Defence in period of peace. They are also supposed as a tool of crisis management. The auditing operation covered ... ... Information systems not balanced with infrastructure ... Both organizational changes and inflexibility produce unbalanced plans which cause deiscrepancies between IS and infrastructure.
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Supreme Audit Office , issued in 2005
Risk cases: 2
Business Continuity Management
Business Continuity Management is a process whereby all necessary measures are taken to ensure that a company can accomplish its core tasks on time even in extraordinary situations. The Swiss Federal ... Audit Office (SFAO) previously carried out a cross-section audit in 2009 on the BCM measures at nine administrative units of the central Federal Administration. This year’s audit focused ... on the decentralised Federal Administration as well as the Swiss Federal Railways (rail transport and ticket sales) and Swiss Post (PostFinance, Swiss Post Solutions, PostBus). ... ... A cross-section audit on business continuity management (BCM) ... The audit points, among others, at a necessary but difficult process chain: Policy - Analysis - Strategy - Planning - Training.
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Swiss Federal Audit Office , issued in 2010
Risk cases: 1
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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Supreme Audit Office of Poland , issued in 2008
Risk cases: 3
IT Police Systems
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 ... 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 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 ... ... 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
VETERANS’ HEALTH CARE - Preliminary Observations on VHA’s Claims Processing Delays and Efforts to Improve the Timeliness of Payments to Community Providers
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 ... VHA’s timeliness in processing claims; (3) community providers’ experiences; and (4) VHA’s recent actions and plans to improve its claims processing and payment timeliness. To conduct its ongoing work ... 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
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