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 <subject>Health care services</subject>
 <subject>Information resources management</subject>
 <subject>Interagency relations</subject>
 <subject>Medical information systems</subject>
 <subject>Medical records</subject>
 <subject>Strategic information systems planning</subject>
 <subject>Systems compatibility</subject>
 <subject>DOD Military Health Services System</subject>
 <subject>DOD TRICARE Program</subject>
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<titleInfo>
 <title>Computer-Based Patient Records: Better Planning and Oversight By VA, DOD, and IHS Would Enhance Health Data Sharing</title>
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<abstract>In November 1997, the President called for Department of Veterans
Affairs (VA) and the Department of Defense (DOD) to create an	 
interface that would allow the two agencies to share patient	 
health information. The Government Computer-Based Patient	 
Record&apos;s (GCPR) aim to allow health care providers to		 
electronically share comprehensive patient information should	 
provide the VA, DOD, and the Indian Health Service (IHS) a	 
valuable opportunity to improve the quality of care for their	 
beneficiaries. But without a lead entity, a clear mission, and	 
detailed planning to achieve that mission, it is difficult to	 
monitor progress, identify project risks, and develop appropriate
contingency plans to keep the project moving forward and on	 
track. Critical project decisions were not made, and the agencies
were not bound by those that were made. The VA and DOD Chief	 
Information Officers&apos; (CIO) action to focus on short-term	 
deliverables and to capitalize on existing technologies is	 
warranted and a step in the right direction. However, until	 
problems with the two agencies&apos; existing systems and issues	 
regarding planning, management, and accountability are resolved, 
project costs will likely continue to increase and implementation
of the larger GCPR effort--and its expected benefits--will	 
continue to be delayed.</abstract>
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 <topic>Health care services</topic>
 <topic>Information resources management</topic>
 <topic>Interagency relations</topic>
 <topic>Medical information systems</topic>
 <topic>Medical records</topic>
 <topic>Strategic information systems planning</topic>
 <topic>Systems compatibility</topic>
 <topic>DOD Military Health Services System</topic>
 <topic>DOD TRICARE Program</topic>
 <topic>DOD/IHS/VA Government Computer-Based</topic>
 <topic>Patient Record Project</topic>
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  <title>United States Statutes at Large</title>
  <partNumber>Volume 110 Page 1936</partNumber>
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  <title>United States Public Law 398 (106th Congress)</title>
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