Why GAO did this study. DOD relies on multiple legacy electronic health record systems to create, maintain, and manage patient health information. DOD has determined that these systems, implemented over the past 3 decades, require modernization and replacement. The department has sought to replace these legacy systems with a comprehensive, real-time electronic health record. The conference report accompanying the Department of Defense and Labor, Health and Human Services, and Education Appropriations Act, 2019 and Continuing Appropriations Act, 2019 included a provision for GAO to review DOD’s electronic health record deployment. GAO’s objectives were to (1) determine what progress DOD has made toward implementing a new electronic health record system, and (2) identify the challenges and key risks to MHS GENESIS implementation and what steps DOD is taking to address them. To do so, GAO analyzed test reports, briefing materials, and incident report tracking documents. GAO also held discussion groups with 356 users at selected sites and interviewed relevant officials. What GAO recommends. GAO is making three recommendations, including that DOD develop an approach to retesting incidents, improve training, and develop a plan to ensure MHS GENESIS users are aware of system changes. DOD concurred with the recommendations.
Copyright:
The National Library of Medicine believes this item to be in the public domain. (More information)