Deficiencies in Reporting Reliable Physical Infrastructure Cost Estimates for the Electronic Health Record Modernization Program [open pdf - 1MB]
From the Introduction: "In this report, the VA [Department of Veterans Affairs] Office of Inspector General (OIG) examines VA's reporting of cost estimates for physical infrastructure upgrades related to the 10-year Electronic Health Record Modernization (EHRM) effort. This effort will replace VA's aging electronic health record system (the Veterans Health Information Systems and Technology Architecture) with a system based on the one used by the Department of Defense. By doing so, VA expects to establish a single common system that will provide a comprehensive, lifetime health record for military service members. Significant physical infrastructure upgrades must occur at facilities nationwide to support successful system deployment, such as electrical work, cabling, and heating, ventilation, and cooling. [...] The OIG initiated this audit to determine whether VA developed and reported reliable life cycle cost estimates (LCCE) for physical infrastructure upgrades needed to support the new electronic health record system. Specifically, the OIG team examined whether the Veterans Health Administration (VHA) developed estimates that were comprehensive, well documented, accurate, and credible, in accordance with VA standards, and whether the Office of Electronic Health Record Modernization (OEHRM) reported reliable estimates to Congress."
Department of Veterans Affairs, Office of the Inspector General, Audit Report No. 20-03178-116
U.S. Department of Veterans Affairs: https://www.va.gov/