The Post-9/11 GI Bill signed into law in June 2008 provides educ. assistance for vets and members of the armed forces who served on or after 9/11. The VA is responsible for processing claims for these new educ. benefits. VA concluded that its legacy systems and manual processes were insufficient to support the new benefits and, therefore, began an initiative to modernize its benefits processing capabilities. The solution was to provide a fully automated end-to-end IT system to support the delivery of benefits. This report: (1) determined the status of VA's implementation of its IT system to support the implementation of educ. benefits identified in the GI Bill; and (2) evaluated VA's effectiveness in managing this project. A print on demand report.
Federal and state agencies, including the Social Security Administration (SSA), routinely share data through electronic exchanges to help increase the efficiency of program operations, reduce program costs, and improve public service. In light of SSA's broad responsibility for carrying out data exchanges, the author was asked to describe SSA's critical programs that exchange data with other federal and state agencies, as well as the information systems that they rely on; and determine challenges and limitations that SSA may face in effectively using its systems to carry out data exchanges in the future. Charts and tables.
The Dept. of Veterans Affairs (VA), through its Veterans Health Admin. (VHA), provides health care for more than 5 million veterans each year. In 2001, VHA began an initiative, HealtheVet, to modernize its current medical information system. The objectives of this report were to determine the status of the modernization, VA¿s overall plan for completing it, and how VA is providing oversight to ensure the success of the initiative. Includes recommendations. Charts and tables.
The Dept. of Vet. Affairs (VA) provides medical care, disability compensation, and vocational rehab. to veterans. The Vet. Health Admin. (VHA) -- a component of VA -- provides care to over 5 million patients in more than 1,500 facilities. VHA relies on an outpatient scheduling system that is over 25 years old. In 2000, VHA began a project to modernize this system as part of a larger departmentwide modernization effort called HealtheVet. However, in Feb. 2009, VA terminated a key contract supporting the project. This report: (1) determined the status of the project; (2) determined the effectiveness of VA's management and oversight of the project; and (3) assessed the impact of the project on VA's overall implementation of its HealtheVet initiative.
For over a decade, the VA and the DoD have been working on initiatives to share electronic health information. To expedite their efforts, Congress mandated in the National Defense Authorization Act for FY 2008 that VA and DoD establish a joint interagency program office to act as a single point of accountability in the development of electronic health records systems or capabilities that allow for full interoperability (generally, the ability of systems to exchange data) by Sept. 30, 2009. This statement summarizes findings from an upcoming report, focusing on progress in setting up the interagency program office and the depts.¿ actions to achieve fully interoperable capabilities by Sept. 30, 2009.
To promote the use of info. tech. (IT) for the electronic exchange of personal health info. among providers and other health care entities (HCE), Congress passed the Health IT for Economic and Clinical Health Act. It provides incentives to promote the adoption of IT that supports the electronic sharing of data among hospitals, physicians, and other HCE. This report on practices implemented by health info. exchange org., providers, and other HCE that disclose electronic personal health info. describes: (1) the practices implemented for disclosing personal health info. for purposes of treatment, incl. the use of electronic means for obtaining consent; and (2) the effects of the electronic sharing of health info. on the quality of care for patients. Charts and tables.
The use of information tech. (IT) has enormous potential to help improve the quality of health care and is important for improving the performance of the U.S. health care system. Given its role in providing health care, the fed. govt. has been urged to take a leadership role to improve the quality and effectiveness of health care, and it has been working to promote the nationwide use of health IT for a number of years. However, achieving widespread adoption and implementation of health IT has proven challenging, and the best way to accomplish this transition remains subject to much debate. This testimony discusses important issues that have broad relevance to the successful implementation of health IT to improve the quality of health care. Illustrations.
The mission of NARA is to safeguard and preserve gov¿t. records, ensuring continuing access to the essential documentation of the rights of Amer. citizens and the actions of their gov¿t. However, in today's environment of fast-evolving info. tech., fed. agencies are creating vast volumes of electronic records while continuing to create physical records in large numbers. This report assesses NARA's effectiveness in overseeing the governmentwide mgmt. of records, incl. commenting on its capacity to identify risk of unlawful destruction of fed. records; describes its ability to preserve permanent records; and assesses its policies, procedures, and plans supporting key mgmt. and oversight capabilities. A print on demand publication.
This is a print on demand edition of a hard to find publication. The Freedom of Information Act (FOIA) establishes that federal agencies must provide the public with access to government information, enabling them to learn about government operations and decisions. To help ensure proper implementation, the act requires that agencies annually report specific information about their FOIA operations, such as numbers of requests received and processed and other statistics. In work reported from 2001 to 2008, the auditor examined the annual reports for major agencies, describing the status of reported implementation and any observable trends. This testimony discusses previous work on FOIA implementation, as well as on selected changes in the FOIA landscape resulting from legislation, policy, and guidance.
Through its Retirement Systems Modernization (RSM) program, the Office of Personnel Mgmt. (OPM) is modernizing the paper intensive processes & antiquated information systems it uses to support the retirement of civilian fed. employees. RSM is intended to deploy new or modified systems beginning in Feb. 2008 to improve the efficiency & effectiveness of the agency¿s retirement program. This report: (1) determines whether OPM is effectively managing the RSM program to ensure that system components perform as intended; & (2) evaluates the risks, cost, & progress of the RSM program. To meet these objectives, the author analyzed program documentation against relevant plans, policies, & practices. Includes recommendations. Charts & tables.
The Nat. Defense Authorization Act for FY 2008 required the DoD and the VA to accelerate their exchange of health information and to develop systems or capabilities that allow for interoperability (generally, the ability of systems to exchange data) by Sept. 30, 2009. It also required compliance with fed. standards and the establishment of a joint interagency program office to function as a single point of accountability for the effort. This is the third report on the project and evaluated: (1) the departments' progress and plans toward sharing fully interoperable electronic health information that comply with fed. standards; and (2) whether the interagency program office is positioned to function as a single point of accountability. Includes recommend. Illus.
The National Defense Authorization Act for FY 2010 directed the DoD to submit a report to congressional defense committees on improvements to the governance and execution of its health information management and information technology (IT) programs to support medical care within the military health system. DoD submitted its report in June 2010. The act also required this assessment of the report and DoD's plan of action to achieve its goals and mitigate risks in the management and execution of health information management and IT programs. Specifically, this assessment determined whether DoD addressed the reporting requirements specified in the defense authorization act. Charts and tables. This is a print on demand report.
Federal agencies are increasingly using electronic means to create, exchange, and store info., and in doing so, they frequently create fed. records: that is, info., in whatever form, that documents gov¿t. functions, activities, decisions, and other important transactions. As the volume of electronic info. grows, so does the challenge of managing electronic records. Both fed. agency heads and the National Archives and Records Admin. (NARA) have responsibilities for managing fed. records. After providing some context about records management in the fed. gov¿t. and the roles of fed. agencies and NARA, this testimony describes the challenges of electronic records management and potential means of addressing these challenges. Illustrations.
A catastrophic public health (PH) event could threaten our national security and cause hundreds of thousands of casualties. Recognizing the need for efficient sharing of real-time info. to help prevent devastating consequences of PH emergencies, Congress mandated the Dept. of Health and Human Services (HHS), in collaboration with state, local, and tribal PH officials, to develop a strategic plan for the establishment and evaluation of an electronic nationwide PH situational awareness capability. This report reviewed HHS's status of efforts to implement these capabilities, described collaborative efforts to establish a network, and determined grants authorized by the act and awarded to PH entities. Charts and tables. This is a print on demand report.
For over a decade, the VA and the DoD have been engaged in efforts to improve their ability to share electronic health info. In addition, Congress has mandated that VA and DoD jointly develop and implement, by 9/30/09, electronic health record systems or capabilities that are fully interoperable and compliant with applicable fed. standards. The experience of VA and DoD in this area is also relevant to broader efforts to advance the nationwide use of health info. tech. (IT) in both the public and private health care sectors. This statement describes VA's and DoD's achievements and challenges in developing interoperable electronic health records, including brief comments on how these apply to the broader national health IT effort. Illustrations.
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