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Is the project 'E-health in Latvia' a step towards the right direction?
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 ... 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 ... 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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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 ... 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 ... 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
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
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 ... some improvements and had also enabled implementation of the second project - decreasing the number of government duty sub-accounts. Despite these successes, the combined projects of modernisation ... The Tax Administration of the Republic of Slovenia (hereinafter: the Tax Administration) is responsible for collecting taxes, fees and other compulsory levies (hereinafter: duties ... ... 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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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 ... some improvements and had also enabled implementation of the second project - decreasing the number of government duty sub-accounts. Despite these successes, the combined projects of modernisation ... The Tax Administration of the Republic of Slovenia (hereinafter: the Tax Administration) is responsible for collecting taxes, fees and other compulsory levies (hereinafter: duties ... ... 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
Relocation of government jobs
Difficult experience of relocation of jobs The Danish government decided to move almost 4 thousand government jobs away from the metropolitan area. The purpose of the relocation was to attain a better balance and development across Denmark and ensure that government institutions were located close to the citizens and businesses. Study of the SAI Denmark shows that overall, the departments have implemented the whole operation in an appropriate manner. At the same time, however, the relocation had negative consequences for the institutions’ production which has also affected citizens and businesses.
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Difficult experience of relocation of jobs The Danish government decided to move almost 4 thousand government jobs away from the metropolitan area. The purpose of the relocation was to attain a better balance and development across Denmark and ensure that government institutions were located close to the citizens and businesses. Study of the SAI Denmark shows that overall, the departments have implemented the whole operation in an appropriate manner. At the same time, however, the relocation had negative consequences for the institutions’ production which has also affected citizens and businesses.
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National Audit Office of Denmark
, issued in 2017
Risk cases: 4
Software Developement Effective Practices and Federal Chalenges in Applying Agile Methods
To identify effective practices in applying Agile for software developement solutions and federal challenges in implementing Agile techniques. ... Agile project approach in government practice ... Useful products delivered in a short time are basis for often applauded features of agile project approach. Applied by many private companies, it tends as well to be more and more popular among state ... administrations. American GAO reviewed set of agile projects and revealed - apart from advantages - a set of commonly occurring problems: poor team work, lack of time and deficit of customers’ trust.
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To identify effective practices in applying Agile for software developement solutions and federal challenges in implementing Agile techniques. ... Agile project approach in government practice ... Useful products delivered in a short time are basis for often applauded features of agile project approach. Applied by many private companies, it tends as well to be more and more popular among state ... administrations. American GAO reviewed set of agile projects and revealed - apart from advantages - a set of commonly occurring problems: poor team work, lack of time and deficit of customers’ trust.
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General Accountability Office
, issued in 2012
Risk cases: 4
Audit to the Social Security Systems of Collection of Contributions and Quotes and Relationship with Banking and other Entities Engaged in Collection Initiatives
The audit aims to evaluate the effectiveness and efficiency of the processes implemented in respect of the processing schemes of contributions/quotas, whose Wages Statements (WS) entered ... into the system in the first quarter of 2007, test the reliability, stability and confidence level of the application systems developed and the respective values processed in the entire collection circuit ... and respective accounting, and also check compliance with the contracts celebrated with banking entities. ... ... Application level of Social Security IS analyzed ... Processes maturity and automation of controls appeared to be main problems in the system which reliability, stability and confidence level were tested.
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The audit aims to evaluate the effectiveness and efficiency of the processes implemented in respect of the processing schemes of contributions/quotas, whose Wages Statements (WS) entered ... into the system in the first quarter of 2007, test the reliability, stability and confidence level of the application systems developed and the respective values processed in the entire collection circuit ... and respective accounting, and also check compliance with the contracts celebrated with banking entities. ... ... Application level of Social Security IS analyzed ... Processes maturity and automation of controls appeared to be main problems in the system which reliability, stability and confidence level were tested.
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TRIBUNAL DE CONTAS DE PORTUGAL
, issued in 2008
Risk cases: 2
Management of IT security in systems outsourced to external suppliers
Security to be improved in IT processes outsourced to external suppliers When IT processes are outsourced to external suppliers, the authorities no longer have direct control of the IT security, but remain responsible for managing the security of the IT. Authorities that fail to manage IT security actively based on risk assessments, and omit to monitor the implementation of these requirements, will not be able to determine if the level of IT security in the outsourced systems safeguards their systems and data. This is how the conclusion of the Rigsrevisionen starts. The Danish auditors noticed improvement in the audited entities, but they add that tha majority of the auditees: can refine their requirements for and follow-up on access control and logging practices
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Security to be improved in IT processes outsourced to external suppliers When IT processes are outsourced to external suppliers, the authorities no longer have direct control of the IT security, but remain responsible for managing the security of the IT. Authorities that fail to manage IT security actively based on risk assessments, and omit to monitor the implementation of these requirements, will not be able to determine if the level of IT security in the outsourced systems safeguards their systems and data. This is how the conclusion of the Rigsrevisionen starts. The Danish auditors noticed improvement in the audited entities, but they add that tha majority of the auditees: can refine their requirements for and follow-up on access control and logging practices
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National Audit Office of Denmark
, issued in 2016
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
Pharmaceutical Stock Information Management System
The SAI Kosovo audit covered digitizing the management of pharmaceutical stock in healthcare institutions to supply medicines and disposable materials to patients from essential and non-essential lists. It was revealed that the system was not fully implemented in all healthcare units, like pharmacies in hospital wards and clinics, as well as Family Medicine Centers. This has led to inadequate management of pharmaceutical stock, lack of proper planning, and inefficient use of medicines and medical supplies. The Pharmaceutical Stock Management System enables the management of the supply process of medicines and medicinal materials, starting from central level institutions to health institutions and up to distribution to the patient.
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The SAI Kosovo audit covered digitizing the management of pharmaceutical stock in healthcare institutions to supply medicines and disposable materials to patients from essential and non-essential lists. It was revealed that the system was not fully implemented in all healthcare units, like pharmacies in hospital wards and clinics, as well as Family Medicine Centers. This has led to inadequate management of pharmaceutical stock, lack of proper planning, and inefficient use of medicines and medical supplies. The Pharmaceutical Stock Management System enables the management of the supply process of medicines and medicinal materials, starting from central level institutions to health institutions and up to distribution to the patient.
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Kosovo National Audit Office
, issued in 2024
Risk cases: $risks.size()
Centralisation of support services of state authorities
Most goals of centralisation of support services were achived Centralisation of support services of state authorities has generally been successful, the quality of accounting has improved, and accounting has become more effective. The objective of saving on costs was not achieved. It would be beneficial to analyse the implementation of a similar model in local governments, i.e. concentrating the accounting services to central units in order to improve the quality of accounting and make work more effective. It would allow saving working time on doing routine accounting procedures and use this time more for financial management, which helps to use public funds better and more expediently.
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Most goals of centralisation of support services were achived Centralisation of support services of state authorities has generally been successful, the quality of accounting has improved, and accounting has become more effective. The objective of saving on costs was not achieved. It would be beneficial to analyse the implementation of a similar model in local governments, i.e. concentrating the accounting services to central units in order to improve the quality of accounting and make work more effective. It would allow saving working time on doing routine accounting procedures and use this time more for financial management, which helps to use public funds better and more expediently.
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National Audit Office of Estonia
, issued in 2018
Risk cases: 2
Coordinated Audit on Information Technology Governance
IT governance needs awareness and SAIs' support The OLACEFS auditors found that the greatest challenge for the SAIs is to raise the awareness of the audit institutions about the importance of IT governance and the benefits that could be obtained by improving its degree of maturity. The audit was conducted by 11 SAIs and coordinated by TCU of Brasil. They concluded: 'It is important, even urgent, to invest resources to implement or enhance: the IT committees; the IT planning process; strategic IT planning; monitoring the IT contracting process; the business continuity plan; the designation of a responsible person or unit to manage security information; a risk management process; an asset inventory process; an information security committee; and a policy for access control.'
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IT governance needs awareness and SAIs' support The OLACEFS auditors found that the greatest challenge for the SAIs is to raise the awareness of the audit institutions about the importance of IT governance and the benefits that could be obtained by improving its degree of maturity. The audit was conducted by 11 SAIs and coordinated by TCU of Brasil. They concluded: 'It is important, even urgent, to invest resources to implement or enhance: the IT committees; the IT planning process; strategic IT planning; monitoring the IT contracting process; the business continuity plan; the designation of a responsible person or unit to manage security information; a risk management process; an asset inventory process; an information security committee; and a policy for access control.'
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Risk cases: 5