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June 2010

From the Editor-in-Chief:
"Aw Heck, Lets Try Again"


Editor-in-Chief, Chester ‘Trip’ Buckenmaier III, MD, COL, MC, USA.

The Armed Forces Health Longitudinal Technology Application (AHLTA) is the military’s electronic health record system.

It is a system that many federal providers love to hate. One particularly disgruntled user who was struggling with the system suggested that AHLTA really stands for “Aw heck, let’s try again!” “Heck” wasn’t really the term he used but his frustration was humorously conveyed.

I was first commissioned in the Army in 1986, and I have lived through the Composite Health Care System (CHCS), CHCS II, and now AHLTA, so I could not help but smile at this user’s play on words. My father worked as a government contractor on the first CHCS. I think it is fair to say the frustrations expressed by this AHLTA word play are grounded in some serious issues with the system.

The software can be difficult to use and AHLTA down time is paralyzing to clinical activity. That said, this editorial is in praise of the Military Health System’s efforts to comply with the presidential directive of 1997 for DoD to develop a centralized, longitudinal electronic medical record that would be accessible throughout the military worldwide. read more

JUNE ISSUE

Focus On:: Coagulation/
Venous Thrombosis

VA Hospital Targets DVT by Making Prevention the Norm

Military Seeks New
Products to Halt
Battlefield Bleeding

Forward
U.S. Medicine Direct
to a Colleague

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HIGHLIGHTS FROM THE JUNE ISSUE OF U. S. MEDICINE

Thefts Highlight Data Security Problems at VA
WASHINGTON, DC—Two recent instances of VA information security breaches have attracted the attention of Congressional overseers who have concerns that the problem of VA data security — one that VA has struggled with for several years—is not being given the attention and resources it needs.
read more

VA Looking to Standardize Pharm Rep Regulations Nationwide
WASHINGTON, DC—A proposed regulation published last month in the Federal Register by VA will lay the groundwork for the nationwide standardization of how employees at VA facilities and pharmaceutical industry representatives interact. read more

Animal Model Facilitates Breakthrough Research Against Viruses
Scientists published a paper last month on the development of an animal model that showed the same disease signs that humans do when exposed to the Nipah virus. read more

Pilot for Rural Vet Care Delayed and Limited in Scope
WASHINGTON, DC—In 2008, Congress authorized VA to implement a pilot program enhancing contract care for rural veterans. The law required that the program be well on its way within 120 days following the law’s authorization in October 2008. read more

VA Considering Reviving Vietnam Vet Study 25 Years After First Effort
WASHINGTON, DC—Nearly 25 years ago, Congress directed VA to arrange for an independent, scientific study of the adjustment of Vietnam veterans, with the goal of providing an empirical basis for the formulation of policy regarding veteran’s mental health. read more

No Proven Way to Prevent Alzheimer’s Experts Say
BETHESDA, MD—While the last 20 years have provided important insights into the nature and pathology of Alzheimer’s disease (AD) and cognitive decline, there is little evidence to support any of the various prevention methods currently being used. read more

More From the June Issue of U.S. Medicine...

Carla Mau
Managing Editor, U.S. Medicine
mau@usmedicine.com
39 York Street
Lambertville, NJ  08530



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