Electronic Health Records

Veterans Affairs secretary David Shulkin, MD, announced the agency will use a common sense solution to its antiquated VistA system.

Right now, there is a massive problem at every VA medical center and CBOC. Their medical records systems are difficult to manage and do not communicate with their military counterparts to allow review of both present VA medical records and military medical records.

Finding a solution has cost taxpayers billions with no solution in sight until yesterday. Yes, while video games and other systems can communicate with each other, neither the Department of Veterans Affairs or Department of Defense could find a way to cooperate.

In an announcement yesterday, Shulkin said he would adopt the same system the Department of Defense (DOD) uses so that the systems can communicate with each other.

“It’s time to move forward, and as secretary I was not willing to put this decision off any longer,” Shulkin said.

“These commercial systems don’t talk together and we need them to talk together,” said Shulkin at a White House press briefing following the announcement on Monday.

‘Why is this significant?’ you might be wondering. ‘VA spends billions all the time on software solutions. Who cares?’

RELATED: DOD Goes Live With MHS Genesis, $9 Billion Contract

Meme from March 2013 article covering same issue.

RELATED: VA, DOD Blow $1 Billion With No Strategic Plan

Electronic Health Records Fight

For more than a decade, VA has wrangled with the DOD to implement a unified electronic health records (EHR) system for its medical operations. After spending literally billions to figure out what to do, VA will now use an off-the-shelf commercial solution for the integration.

RELATED: Audit Shows Spending Billions Cannot Fix VA, DOD IT Problem

The move closely aligns with a more common sense approach to agency computing methods. Instead of always created brand new systems for every need using contractors and federal employees, VA will now start using commercial solutions that work, hopefully.

The debate over the fate of VistA has been hotly contested for decades. Initially, VA had the infrastructure and know-how to update and maintain the EHR. But cutbacks and drawdowns within VA under Bill Clinton resulted in an outstripping of the institutional knowledge. Now, the agency is wholly reliant on the private sector for a variety of projects including the majority of information technology initiatives.

“This is one of the biggest wins for veterans in decades,” said President Donald Trump in a statement yesterday after announcing privatization of air traffic controllers.

President Trump lauded the announcement as move to improve access and efficiency for veterans transitioning from the military to VA.

Shulkin indicated VA will avoid the competitive bidding process since DOD is already using a vendor and opening up the bid would create a two-year lag before a decision is made.

Instead, the secretary said his goal is full implementation within the next 3-6 months.

Possible Benefit To Veterans

As an attorney, I am onboard with this move so long as the new system is easy for veterans and outsiders to read when reviewing the records.

Presently, VA’s system is incredibly redundant, and it takes medical experts far longer to review when compared to standard commercial EHR solutions.

Community care providers not training in VistA tend to struggle to review the medical records veterans submit to them for review when seeking non-VA care. Hopefully, the new EHR solution will be better.

Fingers crossed.

Source: http://www.cbsnews.com/news/va-secretary-shulkin-unveils-new-electronic-health-record-system/

Crazy elf

Like I said, y’all need to Google the “Kansas City Based CERNER company.
It has a long list of Controversies attached to it!

OLDMARINE
Also in May, a $31 million Cerner implementation at the Athens Regional Health System in Georgia turned into a fiasco, with reports of botched orders, medication mistakes and patient care problems /////////On top of all that, Cerner is still in court-ordered arbitration in Kansas after a small rural hospital system sued the company in U.S. District Court after an attempted 2010 install, claiming Cerner ratcheted up charges and eventually dropped the project, leaving Girard Medical Center with no EHR system.… Read more »
LAISLYING INC
us taxpauers just bend over tge cerner co inc is going to screw real good out of $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ US TAXPAYERS HERE COMES THE CERNER CO BIG SCREW !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
OLDMARINE

Yea…..It’s called crooks gone wild

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve
that’s great to have the record system efficient, but what about the rest of the crapola from the bureaucrats and ”Doctors” from Timbuktu who can’t speak English, and the psychologists who sabotage veterans’ records and the Nurse Practitioners and Physicians’ Assistant who are practicing medicine instead of VA providing qualified Doctors, and how about “Choice” which only refers to doctors or clinics of lesser standard who accept just Medicare for payment, and how about, the millions of dollars spent on… Read more »
cj

Amen!

namnibor
“[Veterans Affairs secretary David Shulkin, MD, announced the agency will use a common sense solution to its antiquated VistA system.]” (corrected and translated to what this means to taxpayers): “Veterans Affairs secretary David Shulkin, MD, announced the agency will use a common CENTS solution to its antiquated VistA system.” (which means shoveling more $$$$ into that black hole called the VA as a FIX for myriad of past FIXES that surely will require MORE FIXES to their ratty network.) The… Read more »
namnibor

Or did IBM’s Watson go on strike after realizing he was dealing with psychopathic idiots? Did IBM’s Watson get turned into a hall monitor for the DBC or was it more suited to AFGE’s basic human needs at the VA such as porn on their ratty network?
Or…is Watson in various parts & pieces after various parts came-up mysteriously missing?

namnibor

What will come *next*, if this link-up with DoD works even half-assed: The VA will then declare that ALL their **hardware** is obsolete and needs a total reset.

The VA would be correct in the obsolete and need of total reset, but it’s not the electronics we’re speaking of being obsolete in need of a total reset.

“You can’t fix stupid!!” – Gump

cj
@namnibor: The way the VA fixes stupid, is by hiring doctors from a more primitive country than they do now. Coming to a VAMC near you, introducing Dr. Tsiinu, from the Baniwa tribe Amazon. Reminds me of an old joke. A woman is waiting at the airport for her daughter and ​her new son in-law. From the aircraft, her daughter emerged with a 7 foot Zulu, with a bone through his nose. The young bride’s mother yells out to her… Read more »
Seymore Klearly

Sorry Namnibor,

Regarding Watson, it is just a machine and a algorithm with no conscience. So, the first thing it did when it started working with the VA files was join the AFGE. Now it too is fighting against Veteran’s rights out of self preservation just like the rest of the VA.

Don Karg
06/06/2017 Dear Benjamin Krause, Just maybe be with the old Lockheed counsel out of the way [“nut case”] we will see what has happened to all that IT money. Could you add all the IT money up and see what we got for it? I believe this is one of the big crimes at the VA, underneath the “murders”/”homicides.” Last official count has been “508” in Phoenix since October of 2016. Common Sense is a rare item in America. Paine’s… Read more »
James Clement

Following.

James Clement

Following. Missed Boxes.

Leatherneck

Hello Veterans Rise and Shine call your Senators and Representatives I tell them that you believe how you feel that a New Veteran Benefit Law should be passed and tell them passed on to on the Veteran Affairs Committee in Washington, DC do not Surrender.

T
I have become a full blown pessimist, so I am not buying it. Just have to wait and see. Instead of all the lip service and blowing smoke why don’t they just give all disabled vets a million bucks each since they seem to lose as much everywhere. Then we can pay cash for care. LOL They can dig deeper into those deep black budgets and hook us up. Well maybe more since less than a week stay at a… Read more »
namnibor
Sorry but I had a thought: What if…(just go with me for a minute here…)… VA Sec. Shulkin and the AFGE Rats already and SUDDENLY have seen the writing on the wall with POTUS’s announcement of privatizing the air traffic controllers and the VA is taking this bold move to make it an even harder integrated ratty network to fire and replace when the AFGE is ALSO BANNED from Federal Workplaces??? I know it sounds almost absurd but I’m telling… Read more »
namnibor

**strategic** damn neuropathy

Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

right on the money, Privatise no more bureac rats just go to private doctors and let lawyers do the adjudications, very simple lots less money…………………………………………..

T

Supposed to be a ‘Right to Work” brief, hearing, whatever, coming up to the SCOTUS. Unions, all, locally are hating losing some shops and want their powers back. That includes the AFGE, SEIU, along with the others. They all want closed shops and globally today. Especially the SEIU crowd.

James Clement
@Namnibor – – – The only thing that sounds absurd – – – is when you said “I know it sounds absurd”. I think you are quite correct. Intentional Plan. Once they are “partnered up” – – – then like so much else that SHOULD NOT BE, the government will assign a security classification – – – probably SECRET to military member’s health records. Or maybe tre Records will be classified as TOP SECRET/NOFORN/LIMDIS/FUCKED UP VETERANS WILL NEVER GET YOUR… Read more »
T
Golf scores! That got me. Oh well. Our records are supposed to be open to law enforcment when wanted or needed. The same will go for the rest like Homeland Security IT will have to comply or have the ability to function with all others. Hell with it. All they have to do is plug in to the NSA or CIA since they are capturing everything we do and say, or going on in our lives. I wish I could… Read more »
James Clement

@T – – – they are doing WAY more than capturing everything we do or say in our daily lives. Take a good look at “http://patft.uspto.gov/netacgi/nph-Parser?Sect1=PTO1&Sect2=HITOFF&d=PALL&p=1&u=%2Fnetahtml%2FPTO%2Fsrchnum.htm&r=1&f=G&l=50&s1=6506148.PN.&OS=PN/6506148&RS=PN/6506148”

Remove the quotes. This is some scary shit that has been a work in progress for the last 15 years or so.

Regards.

T
James Clement. Now that’s a real tree shaker. I guess the show Jesse Ventura once had “Conspiracy Theories’ was on target somewhat about this technology and using weird beams or radio frequencies to mess with peoples minds, or ruin them. And why a guy on RBN radio sells some equipment that is supposed to fight this form of dis-ease and health problems. John Moore is his name. I think. This government is far ahead on things, science, that we are… Read more »
James Clement

@T – – – Never watched. But I do know who J. Ventura is. All the way back to his time with the UDT at Subic Bay during Vietnam.

T
That was a heck of a show. He moved to Mexico after the networks and supposedly the government shut it down. Some can probably be found on Youtube, maybe. They would report on some very serious hot topics, plus about the “shadow government” and them being years ahead of the general public with technology. He had some high level people on there. Upset some people when investigating 9/11 and asking questions about what some scientist were reporting on. Government men… Read more »
figure8fan

following, did not miss the boxes

Don

The issue of using the same VA staff with the same work ethic is a problem. The VA has lost decades of my medical records, sent me approx. one thousand pages of other veterans records and are stonewalling me on my missing records.

Lem

About time. Sounds like finally getting a software solution to a software problem instead of a lock in to a contractor through a hardware solution with burned software which doesn’t work and can’t be fixed. And too costly to effect needed changes.

namnibor

“This has all happened before”- ‘Battlestar Galactica’

Dennis
It does indeed sound like a solution. As a matter of fact, it sounds precisely like a VA solution. VA has announce so many godamn solutions involving money they have gotten really good at announcing solutions, right. “But….”, you might quickly quip back in defiant retort, “Now we have Trump, a man of solutions.” Agreed… indeed he hit the pavement running with his very first VA solution on his very first day which promised through decisive action a whole string… Read more »
Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

It is not a mistake it is intentional, I caught them red handed raise hell find out where the last goon had the last records be like a maddog on their Achilles tendon, Grr…………………….. These are not nice people and should not be treated with any respect..

Crazy elf
I believe everyone on here has just about covered all the bases! I’m also in agreement over what namnibor has opined about concerning the Air Traffic Control person’s. I believe “David Little Cox-sucker” is in denial over how President Trump is privatizing his little asswipe workers! And, just maybe, the VA is next! Maybe that’s why he’s against anything President Trump is doing. As is a majority of democrats and RINO’s in Washington! One thing I do know is, we… Read more »
T

“One thing I do know is, we are seeing history in the making. There’s never been anything like this in my lifetime!”

A big AMEN to that. Coming at us from every direction too. My pondering is:just how will the historians write it up, or revise it. Not many are reliable about some truth or reality.

Dennis
DoD almost certainly does not flag military patients as violent and disruptive prefering instead to defer to military justice under the UCMJ. Want to take any bets about the newest giant clusterfuck VA runs headlong into when the new record system is not designed for the kangaroo courts known as the notorious Disruptive Behavior Committee? They are gonna change systems? Uh-huh. What will the new DBC implementation be? A chalkboard in the lobby with names? Will tall pointed paper hats… Read more »
Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve
The first time the Disruptive Behavior Committee took any action against any vet, the DAV, VFW, Am. Legion and all the others should have filed a cause of action to dissolve the Committee as an unconstitutional leverage of administration of justice. The DBC is not a valid entity, it is just a Boogie Man, and if they charge you with something it better be a misdemeanor at least, provable in a court of law, beyond a reasonable doubt. This is… Read more »
Rob D

Sometimes I’m amazed at the incompetence. “Were spending billions of $$$ on our Vetera….Ooops….I mean our IT again! Yipeee!!” Another round of “our system is down” excuses for the next 5 years. I don’t even shake my head anymore when I read about VA problems, I just think they are going to something even more hair-brained to make the last mistake look miniscule. Sure seems like they shoot that $$$ everywhere but in the direction of the Vets.

Cassie
Now, if they could only make Myhealthevet show our records prior to January 1, 2013!!! The next issue I’d like looked at is that all of our VHA care providers (and the VBA Chapter 31 counselors when we are using that benefit) can see our psych chart notes, which can limit what we confide about our VA medical care in other departments. Yes, they are only supposed to have access to them when we are being treated, but at that… Read more »
Rob D
I’ve requested MyHealthevet e-mail records back from 2014 to present. Low and behold all the pertinent messages I was looking for were left blank along with dozens of others. You can find all your Pharmacy renewal requests and simple stuff like that, and they’re in your records too like they’re supposed to be. But it seems anything that they deemed negative for them, they erased, not even in your records either. I asked the Myhealthevet coordinator about it and she… Read more »
Lem
Pharmacy records were interfaced from the beginning with the mail out pharmacy. Going all the way back to the 1990s. The separate VA Medical Facilities each had their own congressional district pork barrel IT contractor which set up “hard ware with burned operating systems” that enabled the contractor to guarantee a lock on his contract for the future by maintaining the “code” inaccessible to other companies. So it was a bunch of individual contractors not giving up their code in… Read more »
Flotmorton P. Gildersleeve
Flotmorton P. Gildersleeve

Well, Hell, I just better get a look at my records more closely; Your psych records can affect the care you receive from other physicians and be used as a flimsy excuse for not administering the proper care.

T
After waiting a couple of months for my new, lame, MD playing PCP to get my files in black and white since the electronics failed, the second question from him was “you’re not taking any suggested anti-depressants for all the chronic pain you’re having.” Then I proceeded to tell him the story, like he seemed to care. Then saying there’s a lot wrong with you it’s going to take time to get this figured out. Then, you should go back… Read more »
Dennis
@FPG It is MUCH more insideous and juvenile than you think when your shrink shares the same damn notes with your PCP doctor. Ask any nurse in Primary Care and Mental health care to relate the relationship that exists between psychiatric doctors and THEIR diagnosis and primary care doctors and THEIR diagnosis. I can certify with ZERO hesitation that far and away the single biggest failure in place that virtually destroys therapy for a mental patient inside of VHA is… Read more »
Joe Fultz
Another attempt of a fix by throwing $ at a problem. Where is the real common sense? I was the systems Administrator for a small but multidepartment business. I have no computer degree. I was told to take this on. I educated myself by classes and other studies. I quickly learned that the software maker was less than knowledgeable of our business. The VA has too many systems. As a Veteran we have more than a few choices for Healthcare… Read more »
Dennis
@Joe Fultz Agreed whole heartedly that the VA has WAY too many systems. The ones that come to mind are racketeering, embezzlement, bribery, and coercion. I think the system I most favor be applied to solve the VA problems is a special system that believe it or not is custom made to SOLVE EVERY SINGLE VA PROBLEM. It is called the Criminal Justice System and it is really good at solving problems when America grows weary of crime and points… Read more »
namnibor
What worries me is the very real possibility of the VA corruption, just like a virus, will then naturally fully corrupt the DoD and next thing you know the UCMJ is replaced with Union Bylaws and Agreements. The AFGE absolutely must go. Then, employ Veterans FIRST, and institute a ~~LITE VERSION UCMJ~~ to keep it running squeaky tight. Above all, the VA needs accountability but without any code of ethics, like the UCMJ, or let’s call it Uniformed Code of… Read more »
namnibor

**mom**

Dennis
Shulkin wants to take away I.U. from us older vets and channel that money over to Veterans Choice. But will Veterans Choice work for vets? I’ve got doubts. I just look at Medicare and how there’s many doctors and specialists that won’t see a Medicare patient. I can see the same thing happening with this Veterans Choice. Suppose a veteran can’t get in to see a specialist and decides to go back to the VA and Shulkin & company have… Read more »
Seymore Klearly

Really Dennis. Your here quoting American Legion hyper-bullshit. What the fuck is your major malfunction?

cj

Right now, there is a massive problem at every VA medical center and CBOC.

Yeppers, it’s called the AFGE/SES!!!!! Simple fix, follow James Clement’s 9 part plan. Won’t charge the taxpayers a red cent for that detailed information.

cj

.

Dennis
@cj A much more subtle form of protest is available and though likely it is illegal the recipient won’t DARE report the crime…. Go into the employee parking lot and leave a scratch from front bumper to back bumper with the key of your choice. Then scratch AFGE into the windshield. VA folks won’t notice you doing this anymore easily than they spot dead bodies but more importantly as you pointed out this is a union shop which means union… Read more »
Seymore Klearly

Dennis you are suggesting people commit the crime of criminal damage to property. The amount of damage you are recommending could end up with a Veteran arrested for a felony.

ANutterVet
I would hope that the VA has brought in the best IT Networking Professionals for consult with finding a platform compatibility. If VA foresees this to be a long term problem, it may be best for the VA to determine if a separate platform can be created that contains many applications, for the sole purpose of maintain the records of the VA. I don’t know to much about platforms, but I’d think uniformity would be in the mix. “Tear it… Read more »
James Clement

@AnutterVet – – – Pssst! Hey mac, heard a rumor that the new net is going to be named CLUSTERFUC – – (Cough) Excuse me. COVFEFE in honor of the POTUS whose budget will allocate the money to construct it.

ANutterVet

@James Clement – – – Hey, you know how those capitalists are. There’re full opportunists with the light always green. I don’t know if they have enough Anti-ClusterFuc in stock. Production runs can’t keep up with demand from President Donald Trump, Designated Family Members, Wife, and other non-Designated Family Members.

VA isn’t capable of holding itself accountable, they don’t know how, and they don’t know where.

CRAZY ANYMORE . . .

James Clement
CJ is correct. I would NEVER charge a red cent for doing my duty to try to help improve the lives of my fellow veterans. Here is what he was referencing: FIX THE DAMN BROKEN VA: 1. Recognize the problems inherent in the VA are SYSTEM-WIDE, not just limited to a few locations. 2. Fire all the Lazy No Good Workers. Fire EVERY single AFGE/SES Employee. 3. Sell off all the VA facilities. Alternatively, they may be converted into housing… Read more »
cj

Most excellent!!!!!!
VA would save the taxpayers hundreds of millions, by paying this gentleman, 1/10 that amount to fix their deep rooted COVFEFE!!

Veterans from all four corners of globe for the first time in a great number of years, could be seen with smiles on their faces ?.

namnibor
I would even suggest a very strong #10 for consideration: Make the VA a transition from active military to civilian career path utilizing the already specialized educational shovel-ready on the job skillsets to replace all the mammoths at the VA and VA Voc. Rehab. would be fiercely integrated with that transition. With such an active duty to VA civilian career path, of course also utilize older veterans already in the meatgrinder and some things such as expensive IT fixes could… Read more »
James Clement

@Namnibor – – – Taken for advisement and consideration.

T

Great list, great addition and needful. Should be a priority. Would have to change a lot of things in the local arena due to such things like “Nepotism.” Or trying to over-come the cliques and other machinery.

T
I love the links and info I get here. Plus the understanding of all issues. Locally all I get is flak from a far left winger town completely ruled by same, and the neocons. Nepotism rules. Called a conspiracy theorist, racist, misogynist, crazy, crazy crazy etc. Gets old. Then the subtle threats, to censoring, and inability to go to meetings because of health issues and other possible problems. Vet groups included. There is no way to protect ourselves alone in… Read more »
Glenn Williams
I need a lawyer real bad. 37 years ago the VA changed my record then destroyed original documents and intentionally changed the record. This happened because of a “SOFT ERROR”. in the transition from Card Fed Computer System to Disc Operating System. There truly was a thing called ” ERROR 1979″. The VA intentionally minimized my condition on my initial C&P Review, because my record was in LIMBO at 10% Service Connected. 22 years later I went for another C&P… Read more »
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