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<classification authority="sudocs">GA 1.13:T-AIMD-99-197</classification>
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 <subject>Clearinghouses (information)</subject>
 <subject>Systems conversions</subject>
 <subject>Computer software verification and validation</subject>
 <subject>Medical information systems</subject>
 <subject>Embedded computer systems</subject>
 <subject>Computer software</subject>
 <subject>Medical equipment</subject>
 <subject>Strategic information systems planning</subject>
 <subject>Y2K</subject>
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 <identifier>FDA/VHA Federal Year 2000 Biomedical Equipment</identifier>
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 <title>Year 2000 Computing Challenge: Much Biomedical Equipment</title>
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<abstract>Pursuant to a congressional request, GAO discussed the year 2000
compliance status of biomedical equipment, focusing on: (1) the status
of the Food and Drug Administration&apos;s (FDA) Federal Year 2000 Biomedical
Equipment Clearinghouse; (2) the Department of Health and Human
Services&apos; (HHS) and the Department of Veterans Affairs&apos; (VA) positions
on GAO&apos;s recommendation to obtain and review the test results supporting
manufacturers&apos; compliance certifications for critical care/life support
medical devices; and (3) information on the biomedical equipment
compliance status of health care providers.&lt;p/&gt;GAO noted that: (1) responsibility for oversight and regulation of
medical devices, including the impact of the year 2000 problem, lies
with FDA; (2) FDA is collecting information from medical device and
scientific and research instrument manufacturers, and providing this
information through an Internet World Wide Web site; (3) in addition,
the Veterans Health Administration (VHA) has taken a leadership role in
determining the year 2000 compliance status of biomedical equipment by
sharing the information obtained from manufacturers with FDA; (4) FDA,
in conjunction with VHA, established the Federal Year 2000 Biomedical
Equipment Clearinghouse; (5) with the assistance of VHA, the Department
of Defense, and the Health Industry Manufacturers Association, FDA has
made progress in obtaining compliance status information from
manufacturers; (6) also, FDA has expanded information in the
clearinghouse; users can now find information on manufacturers that have
merged with or have been bought out by other firms; (7) further, in
collaboration with the National Patient Safety Partnership, FDA is in
the process of obtaining more detailed information from manufacturers on
noncompliant products, such as descriptions of the impact of the year
2000 problem on products left uncorrected; (8) in response to GAO&apos;s
report, HHS stated that it did not concur with GAO&apos;s recommendation to
review test results supporting medical device equipment manufacturers&apos;
compliance certifications; (9) it reasoned that submission of
appropriate certifications was sufficient, further stating that it did
not have the resources to undertake such reviews; (10) however, GAO was
not aware of HHS&apos; requesting resources from Congress for this purpose;
(11) VA stated that it had no legislative or regulatory authority to
implement the recommendation to review manufacturers&apos; test results; (12)
according to FDA, VHA, and the Emergency Care Research Institute,
manufacturers are best qualified to analyze embedded systems or software
to determine year 2000 compliance; (13) they further believe that
manufacturers are the ones with full access to all design and operating
parameters contained in the internal software or embedded chips in the
equipment; and (14) while information is available on the year 2000
compliance status of biomedical equipment through the FDA clearinghouse
and other sources, it is not clear at this time how extensively health
care providers are using this information to determine their year 2000
readiness.</abstract>
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<identifier type="preferred citation">GAO/T-AIMD-99-197</identifier>
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<note>Testimony</note>
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<subject>
 <topic>Clearinghouses (information)</topic>
 <topic>Systems conversions</topic>
 <topic>Computer software verification and validation</topic>
 <topic>Medical information systems</topic>
 <topic>Embedded computer systems</topic>
 <topic>Computer software</topic>
 <topic>Medical equipment</topic>
 <topic>Strategic information systems planning</topic>
 <topic>Y2K</topic>
 <topic>Y2K</topic>
 <topic>FDA/VHA Federal Year 2000 Biomedical Equipment</topic>
 <topic>Clearinghouse</topic>
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