Numerous reports have been issued and testimony given detailing the failures in VA’s Electronic Health Record Modernization project. VA officials and legislators have placed at least part of the blame on the original contract that VA signed with Cerner in 2018.
Taxpayers Likely Overpaid by Millions for Veterans Dual Enrolled in the VHA, Medicare Advantage
The federal government appeared to have been massively overpaying for care provided to veterans dually enrolled in VA healthcare and Medicare Advantage plans, according to a new analysis.
VA EHR Rollout at Lovell Federal Healthcare Center Better Than Previous Sites, But Legislators Say Some Issues Persist
About six months ago, the James A. Lovell Federal Healthcare Center became the sixth VA site to switch to the Oracle-Cerner electronic health record (EHR).
VA Renews Oracle Contract Amid Intense Criticism of EHR Rollout
VA has renewed its contract with Oracle Health to support its electronic health record modernization project. The 11-month extension will place emphasis on not only improving the much-beleaguered EHR, but on holding Oracle accountable when goals are not met.
Many Veterans With Diabetic Kidney Disease Might Remain Undiagnosed
The authors of a new study suggested their findings might warrant a revision of diabetic kidney disease (DKD) patient identification and management in U.S. veterans.
Survey Suggests MTF Employees Remain Unhappy With DoD’s New Genesis EHR
A recent survey of employees at military treatment facilities shows significant dissatisfaction with DoD’s new electronic health record system (EHR), which completed its 7-year rollout in March.
Legislators Told AI Both Promising, Scary for Improving VA Healthcare
The speed at which artificial intelligence (AI) is being embraced at the VA has legislators both hopeful and concerned, optimistic that it can improve veterans’ health but worried about data privacy and the possibility of software superseding human decision-making in clinical settings.
Issues With Pharmacy Module in VA EHR Could Cause Medication Errors
Ongoing problems with the pharmacy module in VA’s new Oracle electronic health record (EHR) have the potential to lead to medication errors, increasing lawmakers’ concern about plans to expand the new system.
Usability Testing to Identify Deficiencies, Improve Efficiency in EHR Transition
For healthcare systems changing over from one electronic health record (EHR) system to another—such as the VA’s transition from its legacy EHR system to Oracle Cerner EHR modernization program—the transition poses many challenges, including an impact on medication safety.
Healthcare Facilities Must Be Prepared to Handle Simultaneous Stressors
Healthcare systems are often required to navigate external stressors, such as policy changes, natural disasters and emerging infectious diseases, which can disrupt patient care.
Concerns Raised About ‘Buggy’ Website; VA’s Dependence on It
VA’s main website, va.gov, and several of its support systems have been the victim of bugs that have caused tens of thousands of VA benefits claims to go unprocessed.
Five Facilities Where New Cerner EHR Is Live Face Continuing Issues
As VA approaches the 3-year anniversary of the Cerner electronic health record system going live at its first site, the roll-out remains on indefinite hold as the department endeavors to fix problems at the five facilities where the system is active.
House Subcommittee Chair Expressed Concerns About VA Contractor Conflicts
VA spends more than $3 billion annually on management consulting contracts, relying on those contractors to help run nearly every facet of its operation in VHA and VBA.
Hundreds of Thousands of PACT Act Claims Strain VBA’s Processing Capacity
The VA had received over 700,000 PACT Act-related claims as of last month, testing the department’s processing capacity and threatening to significantly increase the existing backlog of claims.
VA Relying on Fewer Companies, Broader Contracts to Build IT Infrastructure
Despite an increase in spending on information technology contracts, the number of companies that VA is relying on to build its IT infrastructure is decreasing.
VA Renegotiates EHR Contract With Oracle, Seeking More Developer Accountability
VA has renegotiated its $10 billion contract with Oracle, the developer of its troubled new electronic health record (EHR) system, which is currently in use at only five sites across the VA healthcare system.
VA Stops All EHR Rollouts; Says It Plans a ‘Reset’ of Program
VA has called a halt to all future deployments of its new electronic health record (EHR) system in order to prioritize fixing issues at the five sites where the system is already deployed.
Substance Use Disorders Increasing Fastest Among Older Veterans
The past few years have seen significant increases in diagnoses for cannabis and stimulant use disorder at the VA, especially among older adults.
GOP Bill Calls for End of VA’s EHR Modernization Program; Democrats Vehemently Disagree, Calling Effort ‘Unsound’
A group of Republican lawmakers has introduced legislation that would end VA’s Electronic Health Record Modernization Program. The bill is a response to the frequently delayed and problem-ridden rollout of the department’s new EHR, which the bill’s authors say is fundamentally broken and doing more harm than good to veterans.
Columbus, OH, VAMC Is Latest Facility to Face Problems With New EHR
Staff at the Columbus, OH, VAMC, the last VA facility where the department’s new electronic health record system was installed, are experiencing many of the same kinds of problems that occurred in Spokane, WA, where the EHR was piloted.
VA Further Postpones Electronic Health Record Rollout to New Facilities
VA has postponed the rollout of its new electronic health record (EHR) system to new facilities, including to Boise, ID, where it had been scheduled to go live last month.
VA Pauses Further EHR Expansion Because of Patient Care Issues
The VA has paused any further expansion of its new electronic health record (EHR) in reaction to an early draft of a VA Office of the Inspector General (OIG) report.
Facility Performance Metrics Unavailable With Spokane EHR Rollout
When VA’s new electronic health record (EHR) went live at the Mann-Grandstaff VAMC in October 2020, the system did not have the metrics in place to allow the hospital to measure how the facility was performing, according to a recent study released by the VA Office of the Inspector General.
Glitches, Legislative Objections Don’t Stop VA Electronic Record Rollout
VA recently launched its new electronic healthcare record system in a third region, despite evidence of problems with previous deployments and strong objections from legislators and oversight groups.
EHR Rollout Increased Patient Error Risks, Made Staff Jobs More Difficult
Due to the sheer number of complaints received about VA’s rollout of its new electronic health record (EHR) at the Mann-Grandstaff VAMC, the VA Office of the Inspector General (OIG) initiated two separate, simultaneous inspections into the EHR process.
Omicron Variant Surge Causes Disruptions in VA, DoD Health Systems
The surge in COVID-19 cases created by the omicron variant has caused no small amount of chaos for federal healthcare agencies, resulting in the postponement of major projects, deployment of emergency medical staff and even the infection and subsequent quarantining of agency leaders.
OIG: VA Aware of Scheduling System Issues Before Second VAMC Rollout
VA knew of problems with its new scheduling system prior to its implementation at the Chalmers P. Wylie VA Ambulatory Care Center in Columbus, OH, and later at the Mann-Grandstaff VAMC in Spokane, WA, but failed to fix them before going live at the two facilities, according to a report released last month.
Survey: VA EHR Deployment Drove Down Staff Morale at Spokane VAMC
Despite lingering problems with the deployment of its new electronic medical record system at the Mann-Grandstaff VAMC in Spokane, VA, officials said the department is still on track to deploy the system in Columbus, OH, early in 2022.
VA Efforts to Secure Its IT System Hampered by Congressional Doubts
For years, VA has struggled to secure its IT systems, with cybersecurity appearing as a persistent weakness in inspectors’ reports.
The department has said it believes that one of the steps toward making progress is addressing the buildup of outdated technology and software, or “technical debt,” that VA has accrued over the decades. VA estimates the total cost of fixing that current debt at $1.3 billion.
VA Commissions Independent Cost Analysis of EHR Modernization Overruns
After underreporting the cost of its Electronic Health Record Modernization (EHRM) project by billions, VA is undertaking an independent cost analysis that is estimated to take as long as 12 months to complete.
