Health care services (1 - 10 of 143 items)
Defense Health Care Reform: DOD Needs Further Analysis of the Size, Readiness, and Efficiency of the Medical Force
GAO-16-820: Published: Sep 21, 2016. Publicly Released: Sep 21, 2016.
The Department of Defense's (DOD) approach in its Report on Military Health System Modernization (the Study) did not consistently follow relevant generally accepted research standards for research design and execution. While the Study's recommendations position DOD, over time, to take actions to improve the effectiveness and efficiency of the Military Health System, GAO found a number of shortco...
Defense Health Care: Availability and Quality Measurement of Women's Health Care Services in U.S. Military Hospitals
GAO-16-596: Published: Jun 23, 2016. Publicly Released: Jun 23, 2016.
Almost all of the domestic military hospitals in the Department of Defense’s (DOD) Military Health System (MHS) offered general women’s health care services, including general maternity, neonatal, and gynecological care, with fewer offering specialty care services. Specifically, according to officials from the three military services and the National Capital Region (NCR) (which includes two mi...
Human Capital: Additional Actions Needed to Enhance DOD's Efforts to Address Mental Health Care Stigma
GAO-16-404: Published: Apr 18, 2016. Publicly Released: Apr 18, 2016.
Military servicemembers' perceive that a stigma exists with seeking mental health care, but little information is known about Department of Defense (DOD) deployed civilian perceptions. GAO's analysis of the most recently available data from a DOD-wide survey found that about 37 percent of active duty servicemembers in 2011 and 39 percent of reservists in the 2010/2011 timeframe responded that they...
Federal Health Care Center: VA and DOD Need to Address Ongoing Difficulties and Better Prepare for Future Integrations
GAO-16-280: Published: Feb 29, 2016. Publicly Released: Feb 29, 2016.
The governance structure for the Captain James A. Lovell Federal Health Care Center (FHCC) demonstration—which includes leadership officials within the Departments of Veterans Affairs (VA) and Defense (DOD)—helped resolve collaboration problems with local leadership, but limitations with the FHCC's leadership selection and evaluation processes may impede future collaboration. For example, VA a...
DOD and VA Health Care: Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices
GAO-16-158: Published: Jan 5, 2016. Publicly Released: Jan 5, 2016.
The Department of Defense (DOD) and the Department of Veterans Affairs' (VA) Veterans Health Administration (VHA) have collaborated to develop clinical practice guidelines for post-traumatic stress disorder (PTSD) and mild traumatic brain injury (TBI). The mild TBI guideline does not include recommendations based on scientific evidence regarding the use of medications to treat symptoms because of...
Electronic Health Records: VA and DOD Need to Establish Goals and Metrics for Their Interoperability Efforts
GAO-16-184T: Published: Oct 27, 2015. Publicly Released: Oct 27, 2015.
As GAO reported in August 2015, the Departments of Veterans Affairs (VA) and Defense (DOD), with guidance from the Interagency Program Office (IPO) tasked with facilitating the departments' efforts to share health information, have taken actions to increase interoperability between their existing electronic health record systems. These actions have included work on near-term objectives such as sta...
Defense Health Care Reform: Actions Needed to Help Ensure Defense Health Agency Maintains Implementation Progress
GAO-15-759: Published: Sep 10, 2015. Publicly Released: Sep 10, 2015.
Nearly 2 years after the creation of the Defense Health Agency (DHA), the Department of Defense (DOD) has made progress toward completing its implementation process, but has not addressed issues related to GAO's past recommendations regarding personnel requirements, an approach to cost savings, and performance measures.Personnel - The DHA has initiated the process of assessing personnel requiremen...
Army Reserve Components: Improvements Needed to Data Quality and Management Procedures to Better Report Soldier Availability
GAO-15-626: Published: Jul 31, 2015. Publicly Released: Jul 31, 2015.
The Army reserve components do not have complete, accurate, and timely information to report soldiers' non-availability rates. In January 2015, the Army Reserve and the Army National Guard reported overall non-availability rates of 22 and 21 percent, respectively. However, GAO analyzed a limited number of medical, training, and administrative availability-related variables for all 85,000 soldiers...
Military Personnel: Visibility over Junior Enlisted Servicemember Access to Services on Bases Could Be Enhanced
GAO-15-488: Published: May 14, 2015. Publicly Released: May 14, 2015.
Department of Defense (DOD) policies and procedures at multiple levels—the Office of the Secretary of Defense (OSD), the military services, and four bases GAO visited—govern on-base services and programs and establish access for all servicemembers, including junior enlisted, who are in the early stages of their military career and in the first four of nine pay grades of the military compensati...
Defense Health Care: Additional Information Needed about Mental Health Provider Staffing Needs
GAO-15-184: Published: Jan 30, 2015. Publicly Released: Jan 30, 2015.
In response to the enactment of the National Defense Authorization Act (NDAA) for Fiscal Year 2010, the Department of Defense (DOD) military health system (MHS) increased its mental health provider staffing level by 34 percent. Specifically, DOD increased the number of mental health providers across the MHS from 4,608 providers in fiscal year 2009 to 6,186 providers in fiscal year 2013. Social wor...