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Medical ADP Systems: Analysis of Technical Aspects of DOD's Composite Health Care System

IMTEC-88-27 Published: Jul 11, 1988. Publicly Released: Jul 11, 1988.
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Highlights

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.

Recommendations

Recommendations for Executive Action

Agency Affected Recommendation Status
Department of Defense To ensure that CHCS meets the needs of the military medical community in a cost-effective manner, the Secretary of Defense should direct the program office, during the operational test and evaluation phase, to determine potential savings from using government personnel instead of contractor-supplied computer operators by acquiring and analyzing data on the circumstances where this substitution should occur.
Closed – Implemented
Cost comparison of government versus contractor operators was made from data at two CHCS Beta sites. The use of government operators resulted in savings of $140,000. As a result of recognized savings, DMSSC and the services plan to incorporate government operators whenever feasible in the CHCS project. Use of government operators at all CHCS sites is a high-priority consideration.
Department of Defense To ensure that CHCS meets the needs of the military medical community cost-effectively, the Secretary of Defense should direct the program office, during the operational test and evaluation phase, to evaluate and determine, during the cost-benefit analysis, the appropriate parameters for maintenance response times and on-line data retention.
Closed – Not Implemented
This older recommendation is being closed out because a more recent product (IMTEC-93-11) contains the same recommendation.
Department of Defense To ensure that CHCS meets the needs of the military medical community in a cost-effective manner, the Secretary of Defense should direct the program office, during the operational test and evaluation phase, to monitor and analyze the work load at military medical facilities to ensure that, to the extent possible, changes in work load are anticipated and planned for. After completing these analyses, the program office should modify the procurement accordingly.
Closed – Implemented
Prior to installing CHCS in medical treatment facilities, the contractor is conducting site surveys and collecting current work load data to size the various equipment configurations which would best support the facilities. Since site surveys are already required by contract, no modification to the procurement is necessary.

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Topics

IT acquisitionsCost effectiveness analysisDefense procurementInformation systemsLabor costsMedical information systemsMedical recordsMilitary hospitalsSolicitation specificationsSystems designComputer resources