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Author: TriSec    Date: 06/06/2017 09:39:16

Good Morning.

As you probably know, I spent 30 years in the healthcare industry before recently leaving my desk job to learn how to drive a tour bus. (Road test today, BTW!)

In any case, for the last 20 years, I've been working in a niche industry - "EDI", or Electronic Data Exchange. Part of the claims data transactions that I worked on was EHR/EMR, or Electronic Medical Records.


Within healthcare, EMR has been standardized so that all doctors, hospitals, and other providers have access to the same information in the same format. (ASTM E1384, for those of you into healthcare jargon.)

Amazingly, (or not), the Pentagon and the V.A. use two different, and incompatible medical record systems. Active duty personnel receiving care on the base aren't able to access those records when they retire and receive care at the VA Medical Center. This has gone on for almost two decades, and has caused no undue amount of ajita.

In any case - the Secretary of Defence has announced that the VA system, called "VistA" is to be scrapped, and all the records will now be run via the Pentagon's "MHS Genesis" system. Neither of which is industry standard or "off the shelf", which means civilian providers will still have the same problems accessing veteran's records, but it is an improvement over the previous system.


To date, VA and DoD have not adopted the same EHR system. Instead, VA and DoD have worked together for many years to advance EHR interoperability between their many separate applications — at the cost of several hundred millions of dollars — in an attempt to create a consistent and accurate view of individual medical record information.

While we have established interoperability between VA and DOD for key aspects of the health record, seamless care is fundamentally constrained by ever-changing information sharing standards, separate chains of command, complex governance, separate implementation schedules that must be coordinated to accommodate those changes from separate program offices that have separate funding appropriations, and a host of related complexities requiring constant lifecycle maintenance.

And the bottom line is we still don’t have the ability to trade information seamlessly for our Veteran patients and seamlessly execute a share plan of acre with smooth handoffs.

Without improved and consistently implemented national interoperability standards, VA and DoD will continue to face significant challenges if the Departments remain on two different systems.

For these reasons, I have decided that VA will adopt the same EHR system as DoD, now known as MHS GENESIS, which at its core consists of Cerner Millennium.

VA’s adoption of the same EHR system as DoD will ultimately result in all patient data residing in one common system and enable seamless care between the Departments without the manual and electronic exchange and reconciliation of data between two separate systems.


It is true that even a broken clock is right twice a day. While the Trump cabal can say all the flowery things they like, there is undoubtedly one of their cronies poised to make a mountain of cash out of this deal. But nevertheless - if they can actually pull it off, it would be a rare example of them actually doing something to benefit someone other than themselves.

 
 

23 comments (Latest Comment: 06/06/2017 20:06:46 by livingonli)
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Comments:

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Comment by wickedpam on 06/06/2017 13:34:31
Morning

Comment by Raine on 06/06/2017 13:44:10
Is he admitting that he knew that Russia hacked our election?




Comment by Scoopster on 06/06/2017 14:00:15
Quote by Raine:
Is he admitting that he knew that Russia hacked our election?



Sure as hell sounds like it to me. He basically just said he had no fair way to win so he cheated.

Comment by Scoopster on 06/06/2017 14:00:35
Mornin' btw!

Comment by wickedpam on 06/06/2017 14:10:08
Quote by Scoopster:
Quote by Raine:
Is he admitting that he knew that Russia hacked our election?



Sure as hell sounds like it to me. He basically just said he had no fair way to win so he cheated.


Sounds pretty close to an admission to me too.

Comment by TriSec on 06/06/2017 14:11:00
Well, dammit. Perhaps you heard about a Hazmat Situation at Harvard Dental School. (It did make national headlines). I found out last night that a Scouter friend of mine died at the scene.



Comment by Will in Chicago on 06/06/2017 14:27:48
Quote by wickedpam:
Quote by Scoopster:
Quote by Raine:
Is he admitting that he knew that Russia hacked our election?



Sure as hell sounds like it to me. He basically just said he had no fair way to win so he cheated.


Sounds pretty close to an admission to me too.



I think that we need to have serious investigations on the hacking of our elections and Russiagate. Donald Trump may well become the first U.S. president to be removed from office.

Comment by wickedpam on 06/06/2017 14:30:34
Quote by TriSec:
Well, dammit. Perhaps you heard about a Hazmat Situation at Harvard Dental School. (It did make national headlines). I found out last night that a Scouter friend of mine died at the scene.




oh no! I'm so sorry Tri.

Comment by Will in Chicago on 06/06/2017 15:01:16
Quote by wickedpam:
Quote by TriSec:
Well, dammit. Perhaps you heard about a Hazmat Situation at Harvard Dental School. (It did make national headlines). I found out last night that a Scouter friend of mine died at the scene.




oh no! I'm so sorry Tri.



I am so sorry to hear this, TriSec.


Comment by Raine on 06/06/2017 15:03:29
Something is hinky with how the Intercept handled this story.

Comment by wickedpam on 06/06/2017 15:06:28
Quote by Raine:
Something is hinky with how the Intercept handled this story.



Stephanie brought up good points - why wasn't it leaked to a bigger voice.

Comment by Raine on 06/06/2017 15:10:36
Quote by TriSec:
Well, dammit. Perhaps you heard about a Hazmat Situation at Harvard Dental School. (It did make national headlines). I found out last night that a Scouter friend of mine died at the scene.


Oh no... I am sorry.

Comment by Raine on 06/06/2017 15:11:10
Quote by wickedpam:
Quote by Raine:
Something is hinky with how the Intercept handled this story.



Stephanie brought up good points - why wasn't it leaked to a bigger voice.
And that as well.

Comment by BobR on 06/06/2017 15:15:03
Quote by TriSec:
Well, dammit. Perhaps you heard about a Hazmat Situation at Harvard Dental School. (It did make national headlines). I found out last night that a Scouter friend of mine died at the scene.


So sorry about this.

I hadn't heard anything - just did a quick Google search and found a couple stories. Your scout friend worked there? I assume he's the "one person" they found. Have you heard anything else?


Comment by Raine on 06/06/2017 15:41:44
Comment by TriSec on 06/06/2017 15:54:53
And I have passed my CDL road test! On to pillage!

Comment by Raine on 06/06/2017 15:56:23
Quote by TriSec:
And I have passed my CDL road test! On to pillage!



Congrats!

Comment by wickedpam on 06/06/2017 16:00:26
Quote by Raine:
Quote by TriSec:
And I have passed my CDL road test! On to pillage!



Congrats!


WooHoo! Congrats!


Comment by BobR on 06/06/2017 16:01:40
I'm reminded of the KKK attacking black churches in the south - not as severe or deadly, of course, but the irony of terrorizing people at prayer because you think THEY are terrorist is pretty blatant.

Comment by BobR on 06/06/2017 16:02:11
Quote by wickedpam:
Quote by Raine:
Quote by TriSec:
And I have passed my CDL road test! On to pillage!



Congrats!


WooHoo! Congrats!

lock up your pedestrians, Boston!!

Comment by Raine on 06/06/2017 18:53:22
We're bombing Syria again.

Comment by Mondobubba on 06/06/2017 19:19:04
Quote by Raine:
We're bombing Syria again.


In support of this?

Comment by livingonli on 06/06/2017 20:06:46
Quote by BobR:
Quote by wickedpam:
Quote by Raine:
Quote by TriSec:
And I have passed my CDL road test! On to pillage!



Congrats!


WooHoo! Congrats!

lock up your pedestrians, Boston!!

My congratulations as well. I rarely have passengers, so I am my own story.

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