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    Subject Term: "Medical care evaluation"

    1 publication with a total of 6 open recommendations
    Director: Farrell, Brenda S
    Phone: (202) 512-3604

    6 open recommendations
    Recommendation: To fully assess the size and composition of the medical force, the Secretary of Defense should direct the Assistant Secretary of Defense (Health Affairs) to conduct a new analysis of the required number of active-duty and civilian medical personnel that mitigates known limitations.

    Agency: Department of Defense
    Status: Open

    Comments: As of January 2018, DOD has taken steps to address this recommendation, but has not completed all necessary actions. In October 2017, DOD issued an interim report describing its plan for updating the Military Health System (MHS) Modernization Study, as required by Section 703 of the National Defense Authorization Act for Fiscal Year 2017. According to the report, the Department anticipates providing the updated Study in early 2018, and DOD officials stated that they expect this recommendation to be addressed at that time. Additionally, Health Affairs officials told us in November 2017 that the Cost Assessment and Program Evaluation (CAPE) is currently validating the services' submissions to meet the requirements of Section 721, which required DOD to outline the process by which it defines operational military medical and dental personnel requirements. Officials said they were concerned by the substantial variation in the military services' analyses and results. Officials stated that they anticipate an interim Section 721 Report will be submitted in February 2017, but CAPE's validation will not be finished at that time. We are currently unaware of any DOD efforts to complete a new analysis that includes civilian medical personnel.
    Recommendation: To strengthen ongoing efforts to analyze the costs of medical force readiness and establish clinical currency standards, the Secretary of Defense should direct the Assistant Secretary of Defense (Health Affairs) to take steps to identify and mitigate limitations regarding the standard for maintaining providers' clinical skills, including improving the accuracy of information concerning providers' workload and conducting an analytically rigorous calculation of active-duty providers' time devoted to military-specific responsibilities.

    Agency: Department of Defense
    Status: Open

    Comments: As of January 2018, DOD has taken steps to address this recommendation, but has not completed all necessary actions. In October 2017, DOD issued an interim report describing its plan for updating the Military Health System (MHS) Modernization Study, as required by Section 703 of the National Defense Authorization Act for Fiscal Year 2017. According to the report, the Department anticipates providing the updated Study in early 2018, and DOD officials stated that they expect this recommendation to be addressed at that time.
    Recommendation: To help achieve DOD's goals for transferring health care into its own facilities and increasing the productivity of active-duty medical providers, the Secretary of Defense should direct the Assistant Secretary of Defense (Health Affairs) to develop a strategy for achieving these goals that reflects the leading practices of effective federal strategic planning.

    Agency: Department of Defense
    Status: Open

    Comments: As of January 2018, DOD has taken steps to address this recommendation, but has not completed all necessary actions. In October 2017, DOD issued an interim report describing its plan for updating the Military Health System (MHS) Modernization Study, as required by Section 703 of the National Defense Authorization Act for Fiscal Year 2017. According to the report, the Department anticipates providing the updated Study in early 2018, and DOD officials stated that they expect this recommendation to be addressed at that time.
    Recommendation: To strengthen ongoing efforts within DOD to address the Study's recommendations to use the provider model outputs to inform execution of health care delivery and to refine the model for future use, the Secretary of Defense should direct the Assistant Secretary of Defense (Health Affairs) to modify DOD's model to reflect the military service of the physicians and military treatment facilities included in the model.

    Agency: Department of Defense
    Status: Open

    Comments: As of January 2018, DOD has taken steps to address this recommendation, but has not completed all necessary actions. In October 2017, DOD issued an interim report describing its plan for updating the Military Health System (MHS) Modernization Study, as required by Section 703 of the National Defense Authorization Act for Fiscal Year 2017. According to the report, the Department anticipates providing the updated Study in early 2018, and DOD officials stated that they expect this recommendation to be addressed at that time. The interim report states that the DHA began refreshing the data and enhancing the MHS Modernization Study model. This included developing and validating a model that reflects a clinical-readiness focus absent from the original Study approach. All model methodologies and results are under review by the Services' analytical communities for accuracy and validity. The Department continues to collect and validate data required for updating its Study models.
    Recommendation: To strengthen any future assessments of additional changes to DOD's network of military treatment facilities, the Secretary of Defense should direct the Assistant Secretary of Defense (Health Affairs) to describe steps taken to assess the reliability of data supporting the assessment, including, at a minimum, the sources of data, data limitations, and efforts to test data reliability.

    Agency: Department of Defense
    Status: Open

    Comments: As of January 2018, DOD has taken steps to address this recommendation, but has not completed all necessary actions. In October 2017, DOD issued an interim report describing its plan for updating the Military Health System (MHS) Modernization Study, as required by Section 703 of the National Defense Authorization Act for Fiscal Year 2017. According to the report, the Department anticipates providing the updated Study in early 2018, and DOD officials stated that they expect this recommendation to be addressed at that time. The interim report does not specify any efforts to assess data reliability.
    Recommendation: To strengthen any future assessments of additional changes to DOD's network of military treatment facilities, the Secretary of Defense should direct the Assistant Secretary of Defense (Health Affairs) to include in any accompanying cost estimates an appropriate level of detail, all significant costs, and an assessment of the reliability of the data supporting the cost estimate.

    Agency: Department of Defense
    Status: Open

    Comments: As of January 2018, DOD has taken steps to address this recommendation, but has not completed all necessary actions. In October 2017, DOD issued an interim report describing its plan for updating the Military Health System (MHS) Modernization Study, as required by Section 703 of the National Defense Authorization Act for Fiscal Year 2017. According to the report, the Department anticipates providing the updated Study in early 2018, and DOD officials stated that they expect this recommendation to be addressed at that time. The interim report does not mention cost savings or cost estimates.