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IMTEC-93-29R 1 (1993-06-03)

handle is hein.gao/gaobackih0001 and id is 1 raw text is: AO United States General Accounting Office Washington. D.C. 20548 Information Management and Technology Division i i I I II B-253320It iH 149278 June 3, 1993 The Honorable Les Aspin The Secretary of Defense Dear Mr. Secretary: In October 1989 the Department of Defense introduced its Corporate Information Management (CIM) initiative to reengineer its business practices and make better use of information technology. In May 1990, a Medical Functional Group was established within the Office of the Assistant Secretary of Defense for Health Affairs to institutionalize the CIM process within the Military Health Services System. This letter addresses our review of CIM's implementation in military health services--one of the eight functional areas selected for initial CIM implementation. At a time when health care costs are rising dramatically, CIM offers opportunities to reduce not only health care information technology expenses but, more important, the overall costs of providing care. At this point, the future of CIM is uncertain. However, in view of the ongoing restructuring of military health services and the need for managed change in that process, there are valuable lessons to be learned from examining CIM implementation in military health care and identifying the obstacles encountered in pursuing its goals. OBSERVATIONS Defense is faced with the challenge of making major changes in the delivery of health care. This is a complex, daunting undertaking. CIM has offered a framework and approach that would help Defense in this difficult area. However, Health Affairs has yet to fully embrace a process that could make the undertaking easier. While Health Affairs and the military services have initiated a variety of CIM activities, CIM's impact and usefulness have been limited by its organizational placement, underutilized analyses, and the lack of a strategic plan to guide decisionmaking. GAO/IMTEC-93-29R, DEFENSE: Health Care

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