Accession Number : ADA259230


Title :   Composite Health Care System: Outpatient Capability is Nearly Ready for Worldwide Deployment


Corporate Author : GENERAL ACCOUNTING OFFICE WASHINGTON DC NATIONAL SECURITY AND INTERNATIONAL AFFAIRS DIV


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a259230.pdf


Report Date : 15 Dec 1992


Pagination or Media Count : 21


Abstract : Defense's development of CHCs is progressing, and the problems it is encountering are to be expected when developing and deploying a system of this size and complexity. However, to begin worldwide deployment of the outpatient portion of the system at this time would be a mistake; one that could lead to later problems and greater risks. This portion of the system is not yet ready to be deployed because Defense has not performed a complete OT and E of the system, the cost/benefit analysis for CHCS is still unclear and unsubstantiated, and Defense's plan for deploying CHCS lacks specificity. The OT and E that Defense performed on CHCS, while noting several security issues that needed to be addressed, concluded that overall the system was satisfactory. However, this OT and E was incomplete because it did not include two critical system capabilities--the ability to archive patient data and the ability to identify, remove, and prevent the creation of multiple patient records. Basing a decision to deploy CHCS worldwide on an incomplete OT and E is unwarranted from an operational-effectiveness standpoint and poses a potential risk to patient safety.


Descriptors :   *MANAGEMENT INFORMATION SYSTEMS , *MILITARY MEDICINE , *MEDICAL SERVICES , *BIOMEDICAL INFORMATION SYSTEMS , ACCEPTANCE TESTS , DEPARTMENT OF DEFENSE , LIFE CYCLE COSTS , MEDICAL COMPUTER APPLICATIONS , PATIENTS , COST ANALYSIS , COST EFFECTIVENESS , DEPLOYMENT


Subject Categories : Information Science
      Medicine and Medical Research
      Medical Facilities, Equipment and Supplies


Distribution Statement : APPROVED FOR PUBLIC RELEASE