Government launches failure investigation into journal systems market amid Cosmic criticism

Following months of criticism over the Cosmic system in Region Dalarna—including doctors' demands for a failure commission and reports of patient safety risks—the government has tasked E-hälsomyndigheten with a national failure investigation of the journal systems market. Region councilor Elin Norén (S) welcomes the move but calls for reforms to public procurement law.

The government has initiated a 'failure investigation' of the market for journal systems (healthcare information systems), assigning the task to E-hälsomyndigheten. This follows widespread issues with the Cosmic system in Region Dalarna, where doctors have reported poor working conditions, reduced efficiency, and threats to patient safety—leading to demands for an external commission to break the contract, which region leadership rejected.

Region councilor Elin Norén (S) welcomes the decision: "The government's decision to appoint a 'failure investigation' of the journal systems market is welcomed," she told Dala-Demokraten. However, she stresses it falls short of addressing the root cause: flaws in public procurement law that hinder better system choices.

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Illustration of Cambio Healthcare executives paying Region Dalarna's fines for the Cosmic procurement scandal, with disapproving Konkurrensverket observer.
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Cambio to pay Region Dalarna's fines in Cosmic case

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Nine regions, including Region Dalarna, avoid paying 10 million kronor fines each for the illegal procurement of the Cosmic journal system. Supplier Cambio Healthcare will cover the costs per prior agreement. Konkurrensverket criticizes the arrangement but will not act in this case.

The government has decided to launch an inquiry into the regions' journal systems in healthcare. The announcement has sparked joy among doctors in Dalarna who have long criticized the Cosmic system.

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A group of doctors in Dalarna is demanding an external failure commission and investigation to break the contract for the Cosmic journal system from Cambio. They claim it threatens patient safety after six months of use. Region leadership rejects the proposal.

The Administrative Court of Appeal in Gothenburg has ruled that addendum agreements to the Cosmic contract for nine regions, including Region Dalarna, violated the law. Each region must pay 10 million kronor in procurement penalty fees following Tuesday's ruling. The Competition Authority prevailed after the Administrative Court had acquitted the regions.

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All regions in the Sussa collaboration, including Region Dalarna, are appealing a Kammarrätten ruling imposing 10 million kronor fines each. The ruling concerns a supplementary agreement on the Cosmic system. The regions are deemed to have erred in the handling.

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