Why GAO did this study. American Indians and Alaska Natives are disproportionately affected by certain health conditions. This includes a higher mortality rate compared with the overall U.S. population. IHS provides care to about 2.8 million such individuals through a system of federally and tribally operated facilities. IHS’s information technology systems contain information that can be used to monitor the quality of care provided to, and safety of, patients at federally operated facilities. GAO was asked to review IHS’s capacity for using its information technology systems to manage patient care and monitor adverse events. Among other objectives, this report examines how IHS (1) uses its electronic health record system to monitor health care quality at federally operated facilities and (2) monitors adverse events. GAO reviewed agency documents, including policies, meeting minutes and agendas. GAO also interviewed IHS officials from headquarters, four area offices, and four federally operated facilities. What GAO recommends. GAO is making two recommendations to IHS. IHS headquarters should regularly review and compare data on adverse events trends for-at a minimum-each area and take steps, as appropriate, to make improvements and disseminate best practices in response to those trends. The Department of Health and Human Services concurred with these recommendations.
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