Federal Manager's Daily Report 
Thursday, August 26, 2004
 
Published by FEDweek, the federal government's largest
information resource with now over one million weekly 
readers to its electronic newsletters.

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In Today's Issue:
1. GAO: HHS Health IT System Runs Into Fraud and Abuse Legal Barrier
2. Seminar: Developing Customer-Focused Organizations
3. OSHA Oversight Too Limited, Says GAO

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Today's Issue of Federal Manager's Daily Report is sponsored by
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Aug. 26, 2004

 

1.GAO: HHS Health IT System Runs Into Fraud and Abuse Legal Barrier
  
The Department of Health and Human Services faces legal barriers, 
related to fraud and abuse precautions, to the adoption of its proposed 
health IT system, and its efforts to address them have so far been limited
in scope, the Government Accountability Office has said. GAO said various 
experts it interviewed "indicated that beyond legal issues related to the 
privacy and security of health information, there are various laws -- some 
specifically health-related and some not -- that present barriers to the 
adoption of health IT.
For example, the laws involve antitrust, federal income tax, intellectual 
property, malpractice and state licensing. Laws related to fraud and abuse
include the Physician Self-Referral - Stark -- law and the Anti-kickback
statute, which GAO says impede arrangements between providers such as 
sharing IT resources. 
Because the laws do not specifically address health IT arrangements, there
is some uncertainty among health care providers as to what would result in
violations of the laws, so there is some reluctance to invest in health IT,
according to GAO-04-991R. 
Experts it spoke with felt HHS had not addressed the legal issues enough
to reassure providers. HHS has 19 health IT initiatives, some of which 
are designed to provide overall leadership and coordination for health IT
across HHS, other federal agencies, and other public and private sector
organizations, and collectively represent $228 million in fiscal 2004, said GAO. 
It said the majority of initiatives and funding are for health IT programmatic
activities and grant programs to support the development of standard clinical 
terminologies and fund demonstrations of health information systems.

2. Seminar: Developing Customer-Focused Organizations
The Office of Personnel Management has scheduled a seminar for Sept. 20 - Sept. 24 
for managers, project leaders, and others who are accountable for achieving 
excellence in customer service. 
Given at the Western Management Development Center in Denver, 
"Developing Customer-Focused Organizations, Achieving Excellence in 
Customer Service," is designed to provide public sector managers with the special 
knowledge and skills they need to provide services more efficiently to their 
customers and to inspire customer-responsive behavior throughout their organizations. 
Special emphasis is placed on preparing managers for the consequences of organizational
change, and the resulting problems that can adversely affect customer service. 
The seminar is also designed to give participants a "roadmap" for improving their 
organizational systems and customer service skills.
The $2,600 fee includes meals, lodging, tuition and course materials. 
Learn more and register at: http://fedweek.sparklist.com/t/294935575/821889/298/2/



3. OSHA Oversight Too Limited, Says GAO
The way the Department of Labor's Occupational Safety and Health Administration
 ensures that penalties are correctly determined and violations are properly 
abated - or resolved - could stand improvement, the Government Accountability 
Office has said. 
It said that while the national OSHA office receives copies of the regions' 
annual audits, it does not review them or use them to monitor the extent to which 
penalties are calculated correctly and violations are properly abated. 
Audit results identify problems such as the miscalculation of penalties and the 
failure to conduct required follow-up inspections, according to GAO-04-920. 
However, it said even if OSHA were to use the results of annual audits for oversight 
purposes the information may be incomplete, noting that four of the five regional 
offices GAO reviewed did not conduct audits in full accordance with OSHA procedures 
during fiscal years 2002 and 2003. 
To better understand the factors that influence the variation in penalty amounts, 
GAO said it developed a "multivariate" statistical model. 
It seems to have done its homework. "To assess the extent of OSHA's oversight of 
the civil penalty determination and violation abatement processes, we reviewed 2002 
and 2003 regional audits from the five regions with the most inspections; visited one 
of these regional offices and one area office within this region to interview 
officials and review documents and procedures; conducted telephone interviews 
with the four remaining regional offices and one area office within each of those 
regions; interviewed OSHA officials to identify relevant policies and procedures, 
and reviewed relevant policies and 
procedures," said GAO.


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