With its second annual meetup around the corner, the open source custodial agent has been undertaking some massive projects, such as unifying the VistA code base. CEO Seong Mun discusses that effort, VistA at the state level, and more.
Is stage 2 amid a "perfect storm" that will cripple hospitals? Three out of four healthcare experts testifying before Congress say that moving too fast to the next phase threatens not just the financial stability of providers but also patient safety.
A security analyst who could have knocked out the internet in the late 1990s says the VA's hacking could be part of U.S.-China cyber salvos. Either way, the agency needs to standardize its web security, especially for PHI.
Facing ongoing and intense public scrutiny about its joint iEHR with the VA, more recent decisions to evaluate commercial options, and perceived absence from similar projects, such as Healtheway, OSEHRA and VLER, the top tech officials discuss challenges of balancing legacy systems with modernization.
The range of managed care policies states have adopted in Medicaid modernization plans spotlight a variety of options that will be available for other states expanding eligibility under the ACA, but sound IT is still a common concern.
Opting against the VA's VistA, the Defense Secretary explained that "commercial alternatives may offer reduced cost, reduced schedule and technical risk, and access to increased current capability and future growth in capability."
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.
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.