Electronic Health Records: Outcome-Oriented Metrics and Goals Needed to Gauge DOD's and VA's Progress in Achieving Interoperability, Report to Congressional Committees   [open pdf - 3MB]

From the Highlights: "DOD and VA [Veterans Affairs] operate two of the nation's largest health care systems, serving approximately 16 million veterans and active duty service members and their beneficiaries, at a cost of more than $100 billion a year. For almost two decades, the departments have been engaged in various efforts to advance DOD and VA electronic health record interoperability. Among their most recent efforts, the DOD and VA Secretaries have committed the departments to achieving interoperability between their separate electronic health record systems. The 'Consolidated Appropriations Act', 2014, and accompanying Joint Explanatory Statement, included a provision for GAO [Government Accountability Office] to review the departments' efforts. GAO evaluated the actions taken by DOD, VA, and the IPO [Interagency Program Office] to plan for and measure the progress toward achieving interoperability between the departments' electronic health record systems. GAO reviewed relevant program documents and interviewed agency officials. […] GAO recommends that DOD and VA, working with the IPO, establish a time frame for identifying outcome-oriented metrics; define related goals to provide a basis for assessing and reporting on the status of interoperability; and update IPO guidance to reflect the metrics and goals identified. DOD and VA concurred with GAO's recommendations."

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Government Accountability Office: http://www.gao.gov/
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