Valtiontalouden tarkastusvirasto

National Audit Office of Finland (VTV)

The implementation of national IT projects in social and health care Read full summary in English

2011 report 217/2011

IT management expenditure in public administration totalled about 2.1 billion euros in 2009. IT management expenditure by local authorities and federations of municipalities in the field of health care totalled about 270 million euros ino 2009. Health care's share of IT management expenditure in public administration thus amounted to about 13 per cent in 2009.

In the report page 2

- have been implemented on top of existing multi-level organisational structures reforms of IT management and information systems

- inflexible structures and outmoded practices, for example in handling documents

In the report

- Adequate cost monitoring has not been performed in the National Archive of Health Information project, nor were costs and benefits investigated adequately whennational solutions were decided

- services resulting from the project will no solve problems in health care information systems

In the report page 3

- seven different patient record systems are in use in public health care organisations; in addition there are numerous special applications and solutions using patient record systems, some of which (such as laboratory and imaging systems) are shared by several organisations

- local authorities also have separate systems for dental care and occupational health care, which must be able to handle electronic prescriptions and patient records and other necessary information in electronic form according to the archive's specifications

- no one is in charge of monitoring systems logic at present

- patient record systems in the public sector are approaching the end of their life cycle, so developing systems in the present manner does not make sense economically or operationally

The risk cases visible on this page are collected and described by the e-Government Subgroup of the EUROSAI IT Working Group in contact with author Supreme Audit Institutions (SAI). In the same way, analytical assumptions and headings are chosen by the Subgroup. We encourage you to read the original texts by SAIs - to be found in the linked files.