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It was never designed to accommodate the thousand of Soldiers in MHO.
One thing that frustrates both the command and control and the clinical side of MHO is Soldiers who "fight their Boards.
The current status of MHO is that we have nearly 5,600 on hand.
In the aggregate, or at the level of the individual patient, MHO is a good news story.
It should be noted again that these rules were derived from only two workers, and more should be done to assess to what extent these decision rules are shared by other MHOs.
Thus, in this study, when the MHOs made their initial recommendations, they were not aware of the system recommendation.
Fifty-two new cases were entered into the DSS to assess its ability to predict the recommendations given by the MHOs.
After the input of the MHOs, they were asked to comment on the DSS and its output.
The MHOS contains limited information about cancers; there are only questions that ask if the person has been diagnosed with any of the major cancers (colorectal, lung, breast, and prostate).
The linkage of MHOS and SEER data was accomplished by using an existing file that links persons in the SEER data to Medicare's Master Enrollment File.
To create the SEER-MHOS linked database, we took the HICNUMs from MHOS respondents and attempted to match these numbers to HICNUMs for persons in the SEER-Medicare crosswalk file.
Using this linked SEER-MHOS database, NCI and CMS have constructed a file that is designed to meet the analytical needs of investigators who wish to use the MHOS data to examine cancer-related issues.
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