About Us
Mission Statement
Rules of Conduct
Remember Me

Ask a Vet
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)
   Perma Link

Share This!

Furl it!