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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 ... 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 ... ... 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 ... 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 ... ... 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
Population registration - uphill quality work
Quality of population register The Swedish NAO notes that quality requirements for population registration are highand that quality work should concentrate on the errors that have the most seriousconsequences for society. They point then at the need to increase knowledge of the errors, improve IT tools and governance to receive more quality work.
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Quality of population register The Swedish NAO notes that quality requirements for population registration are highand that quality work should concentrate on the errors that have the most seriousconsequences for society. They point then at the need to increase knowledge of the errors, improve IT tools and governance to receive more quality work.
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Swedish National Audit Office
, issued in 2017
Risk cases: 4
Federal Human Resources Data
Internal control weaknesses may put mission at risk GAO audited the Enterprise Human Resources Integration payroll data warehose. The American auditors pointed at problems that may impede 'leverage of these data to meet its mission and allow others to make full use' of them. The critical internal contols areas to be improved in this cas are: completeness, accuracy, and validity of information, authorization, documentation, monitoring, results' evaluation.
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Internal control weaknesses may put mission at risk GAO audited the Enterprise Human Resources Integration payroll data warehose. The American auditors pointed at problems that may impede 'leverage of these data to meet its mission and allow others to make full use' of them. The critical internal contols areas to be improved in this cas are: completeness, accuracy, and validity of information, authorization, documentation, monitoring, results' evaluation.
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General Accountability Office
, issued in 2016
Risk cases: 2
Improved Planning and Performance Measures Are Needed to Help Ensure Successful Technology Modernization
Massive modernization effort needs coordination Social security issues can touch lives of many. Information technology in this area are increasingly costly and difficult to maintain. GAO is recommending to develop comprehensive metrics to effectively gauge modernization progress; complete comprehensive strategic planning, including its enterprise architecture; and define the new roles and responsibilities to help ensure effective oversight.
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Massive modernization effort needs coordination Social security issues can touch lives of many. Information technology in this area are increasingly costly and difficult to maintain. GAO is recommending to develop comprehensive metrics to effectively gauge modernization progress; complete comprehensive strategic planning, including its enterprise architecture; and define the new roles and responsibilities to help ensure effective oversight.
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General Accountability Office
, issued in 2012
Risk cases: 3
Improving government’s planning and spending framework
Value for money vs. short-term planning NAO reviewed the UK government's progress in improving their planning and spending framework. The auditors found that the complex structure and lack of longer term perspective in planning form a significant obstacle to fully benefit from the framework.
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Value for money vs. short-term planning NAO reviewed the UK government's progress in improving their planning and spending framework. The auditors found that the complex structure and lack of longer term perspective in planning form a significant obstacle to fully benefit from the framework.
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National Audit Office
, issued in 2018
Risk cases: 7
Does the state administration effectively use the stored information?
State administration could use the accumulated information more effectively Latvian auditors found that government institutions have a good cooperation in the area of data use, but there are still several areas wherein a person still has to perform the function of a 'courier'. Many channels of data exchange and distribution used in state administration create a fragmented and complicated environment for maintenance of ICT, while responsible ministry does not become actively involved and does not coordinate cooperation of institutions.
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State administration could use the accumulated information more effectively Latvian auditors found that government institutions have a good cooperation in the area of data use, but there are still several areas wherein a person still has to perform the function of a 'courier'. Many channels of data exchange and distribution used in state administration create a fragmented and complicated environment for maintenance of ICT, while responsible ministry does not become actively involved and does not coordinate cooperation of institutions.
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State Audit Office of the Republic of Latvia
, issued in 2017
Risk cases: 4
CRITICAL INFRASTRUCTURE PROTECTION: EPA Urgently Needs a Strategy to Address Cybersecurity Risks to Water and Wastewater Systems
US GAO reviewed cybersecurity threats facing the water sector and the federal government’s efforts to address these threats. Auditors found out problems including: funding prioritization, incident reporting, sector-wide risk assessment and vulnerability self-assessment tool. Recent cyber incidents highlight the vulnerability of the 170,000 water and wastewater systems in the U.S. water sector.
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US GAO reviewed cybersecurity threats facing the water sector and the federal government’s efforts to address these threats. Auditors found out problems including: funding prioritization, incident reporting, sector-wide risk assessment and vulnerability self-assessment tool. Recent cyber incidents highlight the vulnerability of the 170,000 water and wastewater systems in the U.S. water sector.
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US Government Accountability Office
, issued in 2024
Risk cases: $risks.size()
Open Data Trend Report 2015
How to activate the open data policy The Dutch SAI looks for ways to improve open data practice in the Netherlands. They point at experience of two leading countries: UK and US, and advise to: prepare a concrete action plan, to increase number of mandatory published data, to develop government-wide data inventory and to put open data to work.
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How to activate the open data policy The Dutch SAI looks for ways to improve open data practice in the Netherlands. They point at experience of two leading countries: UK and US, and advise to: prepare a concrete action plan, to increase number of mandatory published data, to develop government-wide data inventory and to put open data to work.
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Netherlands Court of Audits
, issued in 2015
Risk cases: 4
Smart tax administration system
Smart tax vs. shadow economy Lithuanian taxpayers use the e-services and the Lithuanian state uses a data analytics centre to handle part of the identified data modelling. The smart tax administration project's objetives are to enhance the positive processes. As the SAI Lithuania discovered, due to the implementation weaknesses, however, the project's success may be partially reduced.
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Smart tax vs. shadow economy Lithuanian taxpayers use the e-services and the Lithuanian state uses a data analytics centre to handle part of the identified data modelling. The smart tax administration project's objetives are to enhance the positive processes. As the SAI Lithuania discovered, due to the implementation weaknesses, however, the project's success may be partially reduced.
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National Audit Office of the Republic of Lithuania
, issued in 2019
Risk cases: 5
Australian Taxation Office: Administration of Australian Business Number Registrations
More elligibility and data integrity needed The Australian Business Number (ABN) and Australian Business Register initiatives were implemented as part of theGovernment's comprehensive reform of the taxation system in 2000. Their introduction involved challenging issues of technology and governance , including the imperative to process and register significant numbers of applications in a short time. Overall, the Australian SAI concluded that the ABN registration process is operating effectively. However, matters relating to the eligibility of some ABN applicants need to be reviewed. Further, some data integrity issues remain outstanding.
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More elligibility and data integrity needed The Australian Business Number (ABN) and Australian Business Register initiatives were implemented as part of theGovernment's comprehensive reform of the taxation system in 2000. Their introduction involved challenging issues of technology and governance , including the imperative to process and register significant numbers of applications in a short time. Overall, the Australian SAI concluded that the ABN registration process is operating effectively. However, matters relating to the eligibility of some ABN applicants need to be reviewed. Further, some data integrity issues remain outstanding.
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The Australian National Audit Office
, issued in 2003
Risk cases: 3