From Military.com:
“VA, DoD Electronic Health
Records Still Aren't Compatible, and Lawmakers Are Angry “
Acting Defense Secretary Patrick
Shanahan was grilled by lawmakers Wednesday on the lengthy and costly effort to
develop compatible electronic records systems between the Defense Department
and the Department of Veterans Affairs. "I don't ever recall being as
outraged about an issue than I am about the electronic health record
program," Rep. Kay Granger, R-Texas, told Shanahan at a House Defense
Appropriations Subcommittee hearing on the DoD's proposed fiscal 2020 budget. She
said a hearing last month with DoD and VA health program managers on the
progress of meshing the records "was terrible." "I can't believe
that these program managers think that it is acceptable to wait another four
years for a program to be implemented when we've spent billions of dollars and
worked on it for over a decade," Granger said. "For 10 years we've
heard the same assurances" that the electronic health records problem will
be solved," Rep. Hal Rogers, R-Kentucky, said. "It's incredible that
we can't get this fixed. Veterans are suffering "because of bureaucratic
crap," he said. In response to Granger, Shanahan said, "First of all,
I apologize for any lack of performance or the inability of the people that
testified before you to characterize the work of the department in this very
vital area." He added that he personally spent "quite a bit of time
on how do we merge together" with the VA on the records. He said pilot
programs to make the records compatible are underway in Washington state at
Joint Base Lewis-McChord, Naval Base Kitsap, Naval Air Station Whidbey Island
and Fairchild Air Force Base. The "rollout and implementation" of the
fix to the electronic health records has shown promise at those installations,
Shanahan said, and the next step is to put the program in place at California
installations this fall. "I can give you the commitment that these
corrective actions and the lessons learned will be carried forward," he
said. "There's a degree of inoperability" between the VA and DoD
systems that has defied solution over the years, Shanahan said. "The real
issue has been [the] passing on of the actual records. I can't explain to you
the technical complexity of that. "We owe you a better answer," he
told the committee, "and four years is unacceptable" as a time frame
for making the records compatible. He promised to help DoD "deliver"
a fix. Rogers recalled past promises from the VA and DoD and said he is
skeptical that the latest attempt at solving the problem will be successful. He
cited the case of a service member from his district who was badly wounded in
Iraq. He lost an eye, but military doctors in Germany saved his other eye,
Rogers said. The good eye later became infected. The service member went to the
Lexington, Kentucky, VA Medical Center, but doctors there could not get access
to his medical records in Germany. "They could not operate because they
didn't know what had been done before," Rogers said. As a result, the
service member lost sight in the good eye. "Why can't we have the
computers marry? Can you help me out here? Don't promise something you can't
deliver," he told Shanahan. "I can't believe that we have not already
solved this problem." In the latest effort to mesh the records,
then-Acting VA Secretary Robert Wilkie in May 2018 awarded a $10 billion,
10-year contract to Cerner Corp. of Kansas City to develop an integrated
electronic health record (EHR) system, but related costs over the course of the
contract are estimated to put the total price at about $16 billion. Previous
attempts to mesh the EHR systems have either failed or been abandoned, most
recently in 2013 when then-Defense Secretary Leon Panetta and then-VA Secretary
Eric Shinseki dropped an integration plan after a four-year effort and the
expenditure of about $1 billion.
^ I really hope lawmakers at
every level keep up the pressure and the questions on the VA, because not much
good has come out in the years since we learned of the corruption and inability
or unwillingness of the VA to help American veterans (which is the only reason
we have the VA.) Every day the Department of Veteran’s Affairs continues to provide
no care and service (or under-serve) the American veterans more and more men
and women who risked their lives to protect us are dying or suffering. We can not wait years
or even months to fix these problems. We have to fix them NOW!!!!!!! As for those
officials and government workers and contractors that keep prolonging these
problems: I only hope that when the time comes that they need help they get the
same inaction that they are giving to our veterans. ^
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.