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HRD-83-44 1 (1983-03-16)

handle is hein.gao/gaobabmwx0001 and id is 1 raw text is: UNITED STATES GENERAL ACCOUNTING OFFICE _7 WASHINGTON, D.C. 20548 HUMAN RESOURCES DIVISION March 16, 1983 120957 Lieutenant General Bernhard T. Mittemeyer The Surgeon General Department of the Army Dear General Mittemeyer: Subject: Better Control Needed Over the Army's Automated Military Outpatient System (GAO/HRD-83-44) We have completed a survey of the Automated Military Outpatient System (AMOSIST). As you know, this program uses enlisted medical corpsmen with some additional training to provide health care services to adult dependent, military retiree, and active duty outpatients at certain Army hospitals. Because of their limited medical training, these corpsmen (referred to as AMOSISTs) are not supposed to exercise medical judgment and are expected to strictly adhere to medical algorithms--step-by-step directions for diagnosing and treating certain minor illnesses. To ensure that the algorithms are being followed, the Army's Health Service Command (HSC) requires that Army physicians conduct process audits--a comparison of the appropriate algorithms with what was actually done. Our survey was directed toward determining the control exercised over AMOSISTs' patient treatment activities. This included assessing whether hospitals were conducting process audits and whether AMOSISTs were following the algorithms. Our survey work was performed at McDonald Army Hospital, l/ Fort Eustis, Virginia; Womack Army Hospital, Fort Bragg, North Carolina; and Brooke Army Medical Center, Fort Sam Houston, 1/According to the Chief of HSC's Ambulatory Care Division, the McDonald Army Hospital AMOSIST program was ended shortly after our March 1982 visit. (101061) / &O09 7

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