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AIMD-94-47R 1 (1993-10-22)

handle is hein.gao/gaobackkz0001 and id is 1 raw text is: OStates General Accounting Office Washington, D.C. 20548 Accounting and Information Management Division B-248716 October 22, 1993 The Honorable Cliff Stearns Ranking Minority Member Subcommittee on Commerce, Consumer Protection, and Competitiveness Committee on Energy and Commerce House of Representatives Dear Congressman Stearns: In 1992 nationwide health care cost over $800 billion and generated an estimated ten billion pages of medical records. Currently most medical organizations keep their records in manual, paper-intensive systems that, when compared to the automated systems used by such industries as banking and the airlines, are often slow in retrieving and transferring information, are labor intensive, and require huge amounts of storage. These shortfalls increase the difficulty of evaluating the costs and effectiveness of health care. Because timely and reliable information is considered to be a critical element in efforts to reform the health care system, the President's proposal calls for sharing automated medical information electronically. In response to your request, we are providing information on issues that need to be addressed to take advantage of information technology to improve the cost and performance of health care services to the public. In subsequent discussions with your office, we agreed to provide you with information summarizing our past reports that address the benefits and barriers of automating medical information,' including issues addressed by the Department of Defense (DOD) in its development of the Composite Health Care System (CHCS). 'Medical ADP Systems: Automated Medical Records Hold Promise to Improve Patient Care (GAO/IMTEC-91-5, Jan. 22, 1991); Automated Medical Records: Leadership Needed to Expedite Standards Development (GAO/IMTEC-93-17, Apr. 30, 1993); and Medical ADP Systems: Composite Health Care System Is Not Ready to be Deployed (GAO/IMTEC-92-54, May 20, 1993). GAO/AIMD-94-47R, Automating Medical Information

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