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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
Protection of automatically processed personal data
protection conforms to the data processing practices; - personal data is properly processed at public sector bodies; - the State Data Protection Inspectorate (SDPI) performs sufficient supervision ... of the processing of personal data. The audit was conducted at the SDPI, data and information was collected at the Ministry of Justice, Ministry of Transport and Communications, Ministry of Health, Ministry ... of the Interior, Information Society Development Committee under the Ministry of Transport and Communications, and public establishment Central Project Management Agency. ... ... Data protection needs a long term strategy ... not addressed by the existing legislation. Moreover, SAI of Lithuania revealed failures in organization and control of personal data protection by public sector. ... Rapid development of information and communication technology continuously brings about issues of personal data protection. Due to lack of long-term vision in this area they are frequently
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protection conforms to the data processing practices; - personal data is properly processed at public sector bodies; - the State Data Protection Inspectorate (SDPI) performs sufficient supervision ... of the processing of personal data. The audit was conducted at the SDPI, data and information was collected at the Ministry of Justice, Ministry of Transport and Communications, Ministry of Health, Ministry ... of the Interior, Information Society Development Committee under the Ministry of Transport and Communications, and public establishment Central Project Management Agency. ... ... Data protection needs a long term strategy ... not addressed by the existing legislation. Moreover, SAI of Lithuania revealed failures in organization and control of personal data protection by public sector. ... Rapid development of information and communication technology continuously brings about issues of personal data protection. Due to lack of long-term vision in this area they are frequently
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National Audit Office of the Republic of Lithuania
, issued in 2013
Risk cases: 2
Performance measurement by regulators
Performance measurement for regulators Primary adressees of this good practice guide - by the British NAO - are regulators, the public institutions established for making sure that an industry or system works legally and fairly. But we are sure that many more can find this guidance useful - including auditors. NAO presents a comprehensible framework for performance measurement and hints how to focus on influence that regulators can use.
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Performance measurement for regulators Primary adressees of this good practice guide - by the British NAO - are regulators, the public institutions established for making sure that an industry or system works legally and fairly. But we are sure that many more can find this guidance useful - including auditors. NAO presents a comprehensible framework for performance measurement and hints how to focus on influence that regulators can use.
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National Audit Office
, issued in 2016
Risk cases: 2
Has Public Administration Used All Opportunities for Efficient Management of ICT Infrastructure?
Efficient Management of ICT Infrastructure Centralised management of ICT services and infrastructure would allow the institutions to optimise in long run their resources – financial, human, material and technical. However, we observed during the audit that the move towards ICT centralisation and single data centres has ceased. The different ministries and even the institutions subordinated to the same ministry do not cooperate sufficiently with each other regarding the ICT management, maintenance, and infrastructure placement. They rather choose to maintain their own, sometimes even several, data centres.
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Efficient Management of ICT Infrastructure Centralised management of ICT services and infrastructure would allow the institutions to optimise in long run their resources – financial, human, material and technical. However, we observed during the audit that the move towards ICT centralisation and single data centres has ceased. The different ministries and even the institutions subordinated to the same ministry do not cooperate sufficiently with each other regarding the ICT management, maintenance, and infrastructure placement. They rather choose to maintain their own, sometimes even several, data centres.
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State Audit Office of the Republic of Latvia
, issued in 2019
Risk cases: 3
Public access point to the Polish e-Administration
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'. ... 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 ... ... 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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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'. ... 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 ... ... 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
The information system of the Public Real Estate Registry does not enable the recording of data in a completely efficient manner
Users to be involved SAI Serbia analysed the Public Real Estate Registry. Starting from missing involvement of users, primary goals of the project were not met. Key issues regarding data input and access are discussed in the text.
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Users to be involved SAI Serbia analysed the Public Real Estate Registry. Starting from missing involvement of users, primary goals of the project were not met. Key issues regarding data input and access are discussed in the text.
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State Audit Institution
, issued in 2019
Risk cases: 3
Report on the problems connected with the development and implementation of the digitally based Shared Medication Record
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 ... . 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 ... a sufficient framework for carrying through the SMR programme? 2) Has the Ministry of Health and the NHA directed the SMR programme towards delivering within the agreed costs, time and quality parameters ... ... 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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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 ... . 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 ... a sufficient framework for carrying through the SMR programme? 2) Has the Ministry of Health and the NHA directed the SMR programme towards delivering within the agreed costs, time and quality parameters ... ... 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
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
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