In this first brief phase of its study, the committee has had limited opportunity to gather data and conduct its deliberations. Thus this report is necessarily preliminary in nature, is not comprehensive, and does not provide findings or recommendations. The committee received a series of briefings by teleconference from CMS staff, and it convened an information-gathering workshop on September 27 and 28, 2010, to hear a range of perspectives internal and external to CMS. In addition to those sources of background and related information, this report draws on the committee members’ individual expertise and experience with health IT specifically and with IT systems in general (see Appendix B for biosketches of the members of the study committee). The committee has not yet completed its fact-finding activities. For example, it has yet to receive much formal input on Medicaid or CHIP.

In its final report, to be issued in 2011 at the completion of the second phase of its study, the committee will review the current state of and plans for the evolution of CMS's IT infrastructure. That report will provide a framework for analyzing and guiding decision making on how to evolve business processes, practices, and information systems to meet today's continuing needs and tomorrow's new demands.

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