Along with scaling its digital claims processing system, the VA is trying to get more veterans to file fully developed claims -- putting more documentation responsibility on vets, but promising a faster response at the same time.
A grant program is trying to help doctors, clinics and hospitals in rural California link to HIEs, so patients being referred for specialized care in urban areas can have their medical history follow them.
Despite the frustration and the jokes around iEHR, real data exchange is happening between the DoD and VA and the potential to build on that for the future resides in creatively using resources built in the past.
Saying that the proposed legislation would address "the failure of DoD and VA to develop a single unified medical record," one of the bill's backers explains that it would require VA and DoD to prove they are implementing a plan for that single medical record.
In a rousing and impassioned speech, ONC's chief said that America is halfway through digitizing healthcare and five percent of the way through transforming workflows to take advantage of the infrastructure. Achieving that will require new roles of the entire care team.
The proposed CMS regulations on Accountable Care Organizations (ACOs) took the first step in promoting discussions about lowering costs, but how to align these costs between each healthcare stakeholder is still an issue and obstacle, leaving most of us to wonder — how will this all actually work?