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

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.

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Document Details

Document Type
Technical Report
Publication Date
Dec 15, 1992
Accession Number
ADA259230

Entities

Organizations

  • United States Government Accountability Office

Tags

DTIC Thesaurus Topics

  • Configuration Management
  • Congress
  • Costs
  • Department Of Defense
  • Health
  • Health Care
  • Health Services
  • Information Systems
  • Law
  • Life Cycle Costs
  • Life Cycles
  • National Security
  • Standards
  • System Software
  • Test And Evaluation
  • Therapy
  • United States

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