United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office Office of the Comptroller General author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 1999-01-01 monographic deposited born digital 57 p. GA 1.13:OCG-99-7 https://www.govinfo.gov/app/details/GAOREPORTS-OCG-99-7 P0b002ee1803919c1 f:cg99007 DGPO 2010-08-12 2011-03-24 GAOREPORTS-OCG-99-7 machine generated eng fdlp REPORT GAOREPORTS-OCG-99-7 OCG-99-7 Health care programs Accountability Interagency relations Medical information systems Risk management Management information systems Intergovernmental relations Strategic planning Program abuses Information resources management Performance and Accountability Series 1999 Medicare Hospital Insurance Trust Fund Y2K HHS Temporary Assistance for Needy Families Program Head Start Program Maternal and Child Health Block Grant State Children's Health Insurance Program Medicare Program Medicaid Program Medicare Choice Program Medicare Prospective Payment System Letter Report OCG As part of its Performance and Accountability Series, GAO provided information on the major management challenges and program risks facing the Department of Health and Human Services (HHS).<p/>GAO noted that: (1) coordinating the efforts of the numerous administrators of HHS' programs, including its 11 agencies and state and local governments, is critical to ensuring program efficiency and effectiveness; (2) HHS must also coordinate with a number of other federal, state, and local agencies that have programs with similar goals; (3) while HHS recognizes this need, it has not delineated how it plans to ensure effective program coordination; (4) HHS does not have access to the data needed to effectively manage the Department's extensive health insurance programs, grant-making activities, and regulatory responsibilities; (5) developing and maintaining systems to ensure access to such data, however, is challenging since many important HHS programs are administered by program partners, such as state and local governments; (6) yet, without these systems, HHS cannot adequately oversee its programs; (7) maintaining the integrity of HHS' large programs, especially Medicare, continues to be a challenge; (8) although legislation has been enacted in the past 2 years to bolster the Health Care Financing Administration's (HCFA) oversight capacity, initiatives to curb fraud, waste, abuse, and mismanagement have been slow to develop; (9) HHS' Office of the Inspector General reported that HHS and its operating divisions do not have a fully functional integrated financial reporting system capable of producing complete and reliable financial statements in a timely manner; (10) as required by the Government Performance and Results Act of 1993, HHS submitted to Congress a strategic plan for fiscal years 1998-2003; and (11) while this 5-year plan and the Department's 1999 performance plan provide general information about how HHS intends to address these challenges, HHS needs to do more to ensure that its programs achieve intended results and that it is an effective steward of taxpayer dollars. https://www.govinfo.gov/content/pkg/GAOREPORTS-OCG-99-7/html/GAOREPORTS-OCG-99-7.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-OCG-99-7/pdf/GAOREPORTS-OCG-99-7.pdf GAO/OCG-99-7 https://www.govinfo.gov/app/details/GAOREPORTS-OCG-99-7 Letter Report GAO/OCG-99-7; Major Management Challenges and Program Risks: Department of Health and Human Services; Health care programs Accountability Interagency relations Medical information systems Risk management Management information systems Intergovernmental relations Strategic planning Program abuses Information resources management Performance and Accountability Series 1999 Medicare Hospital Insurance Trust Fund Y2K HHS Temporary Assistance for Needy Families Program Head Start Program Maternal and Child Health Block Grant State Children's Health Insurance Program Medicare Program Medicaid Program Medicare Choice Program Medicare Prospective Payment System