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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
Recovery of housing allowance - easy to make mistakes
Avoid mistakes in housing allowance recovery Housing allowance recovery rules are complex and outdated. What more, ad hoc changes can result in unpredicted deficiencies. The Swedish NAO found that monitoring and evaluation based analysis is of critical importance to avoid problems on the administration side - and what much more important: on the side of financialy vulnerable households.
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Avoid mistakes in housing allowance recovery Housing allowance recovery rules are complex and outdated. What more, ad hoc changes can result in unpredicted deficiencies. The Swedish NAO found that monitoring and evaluation based analysis is of critical importance to avoid problems on the administration side - and what much more important: on the side of financialy vulnerable households.
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Swedish National Audit Office
, issued in 2018
Risk cases: 4
Finally updating the central information system for VAT control
IT system to support combating VAT frauds German Bundesrechnungshof demanded to update the IT system, which plays crucial role in the European system of fighting fraud related to the Value Added Tax (VAT). This BRH's case shows that reminding about appropriate follow-up can be as important as the very recommendation.
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IT system to support combating VAT frauds German Bundesrechnungshof demanded to update the IT system, which plays crucial role in the European system of fighting fraud related to the Value Added Tax (VAT). This BRH's case shows that reminding about appropriate follow-up can be as important as the very recommendation.
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Bundesrechnungshof
, issued in 2014
Risk cases: 1
Effectiveness of the Tax Administration of the Republic of Slovenia in the execution of modernisation projects of the Slovenian duty information system and decreasing the number of duty sub-accounts
The Tax Administration of the Republic of Slovenia (hereinafter: the Tax Administration) is responsible for collecting taxes, fees and other compulsory levies (hereinafter: duties ... ). These are the revenue of the state budget, municipal budgets, the Health Insurance Institute of Slovenia, the Institute for Pension and Disability Insurance of Slovenia (hereinafter: duties recipients) and indirectly ... of the European Union budget. In order to improve its operations, the Tax Authority decided to modernise the Slovenian duties’ collection information system. It used this opportunity to implement also a second ... ... Shaky coordination of investments in important systems ... Slovenian SAI traced a series of problems in management of crucial IT investments in tax administration. Apart from promising goals, unclear business case gave a start to many problems at next stages ... of the project, involving additional spendings, delays and errors in data processing.
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The Tax Administration of the Republic of Slovenia (hereinafter: the Tax Administration) is responsible for collecting taxes, fees and other compulsory levies (hereinafter: duties ... ). These are the revenue of the state budget, municipal budgets, the Health Insurance Institute of Slovenia, the Institute for Pension and Disability Insurance of Slovenia (hereinafter: duties recipients) and indirectly ... of the European Union budget. In order to improve its operations, the Tax Authority decided to modernise the Slovenian duties’ collection information system. It used this opportunity to implement also a second ... ... Shaky coordination of investments in important systems ... Slovenian SAI traced a series of problems in management of crucial IT investments in tax administration. Apart from promising goals, unclear business case gave a start to many problems at next stages ... of the project, involving additional spendings, delays and errors in data processing.
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Court of Audit of the Republic of Slovenia
, issued in 2014
Risk cases: 7
Cyber security of border controls operated by Dutch border guards at Amsterdam Schiphol Airport
Airport prepares for cyber attacks Who does not know the Amsterdam Airport? As put by the Netherlands Court of Audits: the IT systems used for border controls at the Schiphol Airport are in the midst of a process of rapid development. The auditors reviewed the process and pointed at necessity of formal certification and better mechanism of information analysis. The report picutres also the organisation of the controls - must read for all frequent fliers
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Airport prepares for cyber attacks Who does not know the Amsterdam Airport? As put by the Netherlands Court of Audits: the IT systems used for border controls at the Schiphol Airport are in the midst of a process of rapid development. The auditors reviewed the process and pointed at necessity of formal certification and better mechanism of information analysis. The report picutres also the organisation of the controls - must read for all frequent fliers
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Netherlands Court of Audits
, issued in 2020
Risk cases: 8
The Swedish Transport Administrations support to research and innovation
Robust internal control required to manage innovations The Swedish agency dealing with transport innovations did not use sufficient control over its research funds, shows the audit of the Swedish National Audit Office. The deficiencies include risk analysis, administrative procedures and management of taxpayers' money.
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Robust internal control required to manage innovations The Swedish agency dealing with transport innovations did not use sufficient control over its research funds, shows the audit of the Swedish National Audit Office. The deficiencies include risk analysis, administrative procedures and management of taxpayers' money.
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Swedish National Audit Office
, issued in 2018
Risk cases: 3
State funds spent on development, operation and using of data centres services
The aim of the audit was to scrutinise the management of funds spent on building and operating the national data centre (hereinafter “STC1 data centre”), including the expenditure of selected ... organisational units of the state on buying hosting, server-housing and other related services. The audited period was between 2010 and 2014; where relevant, the preceding period was also scrutinised. Audited ... entities: Ministry of the Interior (“MoI”); Ministry of Finance (“MoF”); STÁTNÍ TISKÁRNA CENIN, state firm (state banknote printing firm, hereinafter “STC” or “the state firm”). The audit was conducted ... ... Risks steming from uncoordinated strategy ... SAI of Czech Republic analysed consequences of failures in strategic IT management at the state level. Lack of coordination and implementation rules reduced practical role of the ministry whose task ... was to guard high quality standards for all crucial IT systems in the state administration. Next consecquences were (among others) risk of uneconomical results of large IT investment and risk of inefficient ... supply of services, as well as opposite results of workforce reduction.
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The aim of the audit was to scrutinise the management of funds spent on building and operating the national data centre (hereinafter “STC1 data centre”), including the expenditure of selected ... organisational units of the state on buying hosting, server-housing and other related services. The audited period was between 2010 and 2014; where relevant, the preceding period was also scrutinised. Audited ... entities: Ministry of the Interior (“MoI”); Ministry of Finance (“MoF”); STÁTNÍ TISKÁRNA CENIN, state firm (state banknote printing firm, hereinafter “STC” or “the state firm”). The audit was conducted ... ... Risks steming from uncoordinated strategy ... SAI of Czech Republic analysed consequences of failures in strategic IT management at the state level. Lack of coordination and implementation rules reduced practical role of the ministry whose task ... was to guard high quality standards for all crucial IT systems in the state administration. Next consecquences were (among others) risk of uneconomical results of large IT investment and risk of inefficient ... supply of services, as well as opposite results of workforce reduction.
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Supreme Audit Office of Czech Republic
, issued in 2015
Risk cases: 7
Information security work at nine agencies
Difficulties in achieving appropriate IT security Together with the Swedish NAO we assume that the picture that emerges at the agencies audited applies also to most of the other agencies in the public administration. The information security work is not given high enough priority in relation to the risks that exist. This applies to both the Government, which should have been clearer in its directions to agencies on this matter, and to agency managements, which did not give priority to the work of information security to the extent required. Much indicates that it is difficult for many agencies to achieve an appropriate level of information security work.
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Difficulties in achieving appropriate IT security Together with the Swedish NAO we assume that the picture that emerges at the agencies audited applies also to most of the other agencies in the public administration. The information security work is not given high enough priority in relation to the risks that exist. This applies to both the Government, which should have been clearer in its directions to agencies on this matter, and to agency managements, which did not give priority to the work of information security to the extent required. Much indicates that it is difficult for many agencies to achieve an appropriate level of information security work.
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Swedish National Audit Office
, issued in 2016
Risk cases: 4
The Public Web Sites During a Period of Transmission to e-Government
Websites of e-Transformation Turkish auditors bring back their audit of 2006, in which they, among others reveiwed public websites during a period of transmission to e-Governmentbasics of the e-Transformation project.
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Websites of e-Transformation Turkish auditors bring back their audit of 2006, in which they, among others reveiwed public websites during a period of transmission to e-Governmentbasics of the e-Transformation project.
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Turkish Court of Accounts
, issued in 2006
Risk cases: 6
Protection against fraud in migration activities at missions abroad
Migration activities can be a subject to fraud The audit showed that reports on alleged fraud in migration activities at missions abroad increased continually between 2014 and 2017. Altogether about 60 alleged cases of fraud were reported during the period, including selling interview appointments, stolen visa stickers, issuing visas on false grounds and prohibited searches in case management systems. Missions abroad, the Ministry for Foreign Affairs and the Swedish Migration Board are all responsible for migration activities at missions abroad. The division of responsibility between them is sometimes unclear and difficult to assess. According to the Swedish NAO this leads to particular challenges in ensuring satisfactory and common protection against fraud at missions abroad. Ensuring protection is made even more difficult in that the missions abroad vary regarding in terms of size, case volume, case mix and risk exposure. In addition, for the missions abroad the internal control requirements are notsufficiently explicit.
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Migration activities can be a subject to fraud The audit showed that reports on alleged fraud in migration activities at missions abroad increased continually between 2014 and 2017. Altogether about 60 alleged cases of fraud were reported during the period, including selling interview appointments, stolen visa stickers, issuing visas on false grounds and prohibited searches in case management systems. Missions abroad, the Ministry for Foreign Affairs and the Swedish Migration Board are all responsible for migration activities at missions abroad. The division of responsibility between them is sometimes unclear and difficult to assess. According to the Swedish NAO this leads to particular challenges in ensuring satisfactory and common protection against fraud at missions abroad. Ensuring protection is made even more difficult in that the missions abroad vary regarding in terms of size, case volume, case mix and risk exposure. In addition, for the missions abroad the internal control requirements are notsufficiently explicit.
Full description
Swedish National Audit Office
, issued in 2018
Risk cases: 2