Medical ADP Systems

Analysis of Technical Aspects of DOD's Composite Health Care System Gao ID: IMTEC-88-27 July 11, 1988

Pursuant to a legislative requirement, GAO evaluated the system-level specifications and medical facility work-load data for the Department of Defense's (DOD) Composite Health Care System (CHCS) acquisition.

GAO found that DOD needed to perform additional cost-effectiveness analysis on four system-level specifications relating to: (1) costing all computer operators as contractor-provided, although DOD intended to use its own personnel under certain circumstances; (2) 2-hour maintenance response times; (3) 30-day on-line data retention for inpatients; and (4) 2-year on-line data retention for outpatients. GAO also found that: (1) from 1984 to 1986, the number of outpatient visits decreased by 5 to 14 percent in all three services' medical facilities and varied widely at individual facilities; and (2) unanticipated variations at individual military medical facilities could result in excessive or inadequate computer resources.

Recommendations

Our recommendations from this work are listed below with a Contact for more information. Status will change from "In process" to "Open," "Closed - implemented," or "Closed - not implemented" based on our follow up work.

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