Electronic Health Records: VA Has Made Progress in Preparing for New System, but Subsequent Test Findings Will Need to Be Addressed, Report to Congressional Committees [open pdf - 10MB]
From the GAO (Government Accountability Office) Highlights: "VA [Department of Veterans Affairs] relies on its health information system-- the Veterans Health Information Systems and Technology Architecture (VistA)--to deliver health care to 9 million patients annually. VistA contains the department's EHR [electronic health record] and exchanges information with many other applications and interfaces. However, VistA is a technically complex system, has been in operation for more than 30 years, is costly to maintain, and does not fully support VA's needs. In May 2018, VA contracted to acquire a commercial EHR system as part of its EHRM [Electronic Health Record Modernization] program over 10 years at a maximum cost of $10 billion. GAO was asked to review VA's EHR deployment. This report discusses progress VA is making on implementing the new EHR system, among other topics. To perform its review, GAO assessed VA's progress toward making system configuration decisions, developing system capabilities, developing system interfaces, completing end user training, and resolving system test findings. GAO also interviewed relevant officials. GAO is making two recommendations, including that VA should postpone deployment of its new EHR system at planned locations until any resulting critical and high severity test findings are appropriately addressed. VA concurred with the recommendations and described actions the department plans to take to address them."
Government Accountability Office: https://www.gao.gov/