{"id":23269,"date":"2018-01-31T00:10:27","date_gmt":"2018-01-31T00:10:27","guid":{"rendered":"https:\/\/one.sightlinemg.com\/federaltimes\/uncategorized\/2018\/01\/31\/gao-manual-health-records-put-coast-guard-personnel-at-risk\/"},"modified":"2026-08-08T04:59:40","modified_gmt":"2026-08-08T04:59:40","slug":"gao-manual-health-records-put-coast-guard-personnel-at-risk","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/federaltimes\/congress\/2018\/01\/31\/gao-manual-health-records-put-coast-guard-personnel-at-risk\/","title":{"rendered":"GAO: Manual health records put Coast Guard personnel at risk"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Two years after the Coast Guard announced it was cancelling its electronic health record (EHR) project, the service continues to rely on a paper management system. That poses serious risks for personnel, a new <a href=\"https:\/\/www.gao.gov\/assets\/690\/689661.pdf\" title=\"\" class=\"\" target=\"_blank\">Government Accountability Office report argues<\/a>. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to the report, Coast Guard regional managers and clinic and sick bay administrators warned the GAO they are \u201cunable to adequately track vital information such as medications,\u201d which puts personnel at risk of medical complications.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The Coast Guard\u2019s failed EHR modernization effort \u2014 known as the Integrated Health and Information System, or IHiS \u2014 was terminated yet still cost $59.9 million between 2010 to 2017 (with no equipment or software reusable for future efforts).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The report further outlines that IHiS did not undergo an independent security assessment and interface testing, potentially compromising the sensitive health information of the service\u2019s 56,000 members.<\/p>\n\n\n\t<aside class=\"smg-interstitial-link wp-block-smg-interstitial-link\">\n\t\t<a href=\"https:\/\/one.sightlinemg.com\/federaltimes\/acquisition\/2017\/12\/08\/two-birds-one-stone-vas-ehr-to-address-interoperability-and-data-centers\/\" class=\"smg-interstitial-link__inner\">\n\t\t\t\t\t\t\t<div class=\"smg-interstitial-link__media\">\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/one.sightlinemg.com\/wp-content\/uploads\/2026\/08\/635992638580930735-3h4a6825jpg.jpg?w=300\" class=\"smg-interstitial-link__image wp-post-image\" alt=\"\" \/>\t\t\t\t<\/div>\n\t\t\t\t\t\t<div class=\"smg-interstitial-link__content\">\n\t\t\t\t<span class=\"smg-interstitial-link__kicker\">Related<\/span>\n\t\t\t\t<h3 class=\"smg-interstitial-link__title\">Two birds, one stone: VA\u2019s EHR to address interoperability and data centers<\/h3>\n\t\t\t\t\t\t\t\t\t<p class=\"smg-interstitial-link__excerpt\">With the Veteran\u2019s Affairs initiative to transition their electronic health records system from the current Vista program to a new system implemented by health IT company Cerner, officials hope to both make the agency interoperable with the Department of Defense\u2019s Cerner system and to kickstart their data center consolidation efforts.<\/p>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/a>\n\t<\/aside>\n\t\n\n\n<p class=\"wp-block-paragraph\">Without an electronic system, clinical staff must handwrite clinical notes into the paper record, handwrite prescriptions and schedule appointments with Microsoft Outlook and print off paper forms for patients when they arrive at the clinic (rather than online before their visit).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The top four problems reported by clinic and sick bay managers are: incomplete medical records, penmanship, tracking changes in health records and medications, as well as the amount of time it takes to manage health records manually.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">To remedy these issues, the GAO recommends the Coast Guard \u201cexpeditiously and judiciously pursue the acquisition of a new EHR system,\u201d while documenting lessons learned from IHiS to ensure key processes and proper governance mechanisms are implemented.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On Jan. 30, Rear Admiral Erica Schwartz, director of Health, Safety and Work-Life, testified before the <a href=\"https:\/\/transportation.house.gov\/calendar\/eventsingle.aspx?EventID=402127\">House Transportation Coast Guard and Maritime Transportation Subcommittee on the service\u2019s dire need for a permanent EHR solution.<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe Coast Guard cannot continue without an EHR long-term &#8230; we must have an EHR system that is interoperable with the [Department of Defense] and one that allows our members to efficiently transition to the [Veterans Affairs],\u201d said Schwartz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">David Powner, the director of information technology management issues for GAO, also testified that \u201cthe Coast Guard needs to strongly consider the EHR solution that <a href=\"https:\/\/www.federaltimes.com\/acquisition\/2017\/12\/08\/two-birds-one-stone-vas-ehr-to-address-interoperability-and-data-centers\/\" title=\"\" class=\"\" target=\"_blank\">DoD and VA are pursuing.<\/a>\u201d <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Although the Coast Guard sent out a request for information regarding a new electronic solution in April 2017, a decision has yet to be made regarding any long-term EHR solution.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When asked by Chairman Duncan Hunter why the Coast Guard would not just use the system that DoD has right now, Rear Admiral Michael Haycock, assistant commandant for acquisition and chief acquisition officer for the Coast Guard, responded, \u201cWe\u2019ve done an analysis of alternatives which is looking at what exists out there for us as potential solutions. One of those solutions is using a federal service provider. That is the solution we would like to go for.\u201d <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Timely acquisition of an electronic health record system is critical to overcoming challenges with the Coast Guard&#8217;s current paper 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By:"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.0 (Yoast SEO v28.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>GAO: Manual health records put Coast Guard personnel at risk - Federal Times<\/title>\n<meta name=\"description\" content=\"Timely acquisition of an electronic health record system is critical to overcoming challenges with the Coast Guard&#039;s current paper process.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"GAO: Manual health records put Coast Guard personnel at risk\" \/>\n<meta property=\"og:description\" content=\"Timely acquisition of an electronic health record system is critical to overcoming challenges with the Coast Guard&#039;s current paper process.\" \/>\n<meta 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