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In Feb. 2007, a series of Wash. Post articles disclosed deficiencies in the provision of outpatient services at Walter Reed Army Med. Center, raising concerns about the care for returning servicemembers. These deficiencies included a confusing disability evaluation system and servicemembers in outpatient status for years without a clear understanding about their plan of care. In response, the Army took a number of actions and DoD formed a joint DoD-VA Senior Oversight Comm. This statement provides info. on the near-term actions being taken by the Army and the broader efforts of the Senior Oversight Comm. to address longer-term systemic problems that impact health care and disability evaluations for returning servicemembers. Illustrations.
Under the National Defense Authorization Act for FY 2008, the DoD and the VA are required to accelerate the exchange of health information between the depts. and to develop systems or capabilities that allow for interoperability (generally, the ability of systems to exchange data) and that are compliant with federal standards. The Act also established a joint interagency program office to function as a single point of accountability for the effort, which is to implement such systems or capabilities by Sept. 30, 2009. This report evaluates the dept¿s. progress and plans toward sharing electronic health information that comply with fed. standards, and whether the interagency program office is positioned to function as a single point of accountability. Illus.
The Department of Veterans Affairs (VA) and the Department of Defense (DOD) are engaged in ongoing efforts to share medical information, which is important in helping to ensure high-quality health care for active-duty military personnel and veterans. These efforts include a long-term program to develop modernized health information systems based on computable data: that is, data in a format that a computer application can act on-for example, to provide alerts to clinicians of drug allergies. In addition, the departments are engaged in short-term initiatives involving existing systems. GAO was asked to summarize its recent testimony on the history and current status of these long- and short-term efforts to share health information. To develop that testimony, GAO reviewed its previous work, analyzed documents, and interviewed VA and DOD officials about current status and future plans.
Witnesses: Donna Shalala (former Sec. of Health and Human Services), and Bob Dole (former U.S. Senator from Kansas), Co-Chairs, President¿s Commission on Care for America¿s Returning Wounded Warriors; and Joseph Violante, National Legislative Director, Disabled American Veterans. Statements by: Rep. Bob Filner of CA, Steve Buyer of IN, Harry Mitchell of AZ, Jerry Moran of KS, Ginny Brown-Waite of FL and Jeff Miller of FL. Material Submitted for the Record: (1) Post-Hearing Questions and Responses for the Record; (2) Reports (July 2007): ¿Serve, Support, Simplify: Report of the President¿s Commission on Care for America¿s Returning Wounded Warriors,¿; and Subcommittee Report and Survey Findings. Illustrations.