Najwyższa Izba Kontroli

Sumpreme Audit Office (NIK)

Informatisation of hospitals Read full summary in English

2013 report 20/2013/P/12125/KZD

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"

In the report: part para. 3 (page 1)

- The Act on the Informatisation System being a framework, caused a number of key technical issues to be controlled by specific regulations. Their lack caused service providers failed to adapt to the requirements of that Act.

- lack of clear and precise rules defining basic parameters of system construction

In the report page 1-2

- There are no regulations so the heads of the individual facilities do not know what and how to prepare themselves to start the system implementation.

- The National Centre still has no idea to what extent the hospitals and other service providers are equipped with the systems and machines essential for cooperation with CSIOZ.

- Lack of clear and precise rules defining basic parameters of systems construction caused that some of the heads of the individual facilities started to act on their own.

In the report: part para. 3, 4, 6 (page 1)

- The ordinances crucial for the system operation are not in place yet (concerning e.g. the data replacement format)

- Despite the fact that the first works on the system construction were started already in 2008, the tender for developing the key subsystem was not settled until the end of 2012.

- Selected modules handling individual areas, e.g. emergency medical services, should have been working since November last year.

- serious risk of system not being ready on time

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.