Best Care Anywhere

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Aspect of Health Law Has Been Helping Veterans for Years

Anne Geggis | Gainesville.com | March 26, 2012

As Supreme Court arguments for and against the Affordable Care Act began Monday, the retiring director of the country's biggest Veterans Health System district said one element of the law transformed health care for veterans long ago. Read More »

Been there, Done that, Doesn’t Work: Veterans Health Administration IT goes back in time

If you have an interest in the worlds of economics, healthcare or technology, here’s a story that’s emerged this month that is worth noting for the record books. In the US, amidst the chaos of the Trump administration, yet another mistake has been made this month. For the record, it is worth noting that the US Department of Veterans Affairs (VA) Veterans Health Administration (VHA) ended up with a contract for a large IT solution for the next 10 years worth about $10 billion as of May 2018. On the face of it that may appear to be unremarkable news: just another big expensive contract for an IT system. Yet there is a part sad/part silly dimension to it that is well worth flagging up at this point.

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Beyond the theatrics of the VA wait-list scandal

Merrill Goozner | Modern Healthcare | May 24, 2014

The spin cycle of a Washington scandal, once set in motion, is more entertaining to watch than clothes washing at the local laundromat, even though the latter is better at cleaning up a mess. Read More »

How VA Outsourcing Hurts Veterans

On Thursday, Sen. Bernie Sanders, chairman of the Senate Veterans Affairs Committee, announced that he had reached a compromise with John McCain and other Senate Republicans on how to fix whatever it is that needs fixing at the VA...the bill also contains one provision that is a significant concession to Republican enemies of government. If enacted, it would lower the quality of health care received by veterans while setting back the movement for health care delivery system reform generally.

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Obama and Biden Blast EHR Vendors for Data Blocking

As they are winding their terms in office, President Barack Obama and Vice President Joe Biden dropped a stink bomb on the health IT industry. Speaking at different events on Friday, January 9th, the President and Vice President both criticized proprietary electronic health record (EHR) vendors as the primary obstacle to the success of their administration’s health care strategy. This is the highest level acknowledgement so far of the serious impact that “lock-in” EHR software vendors are having on America’s medical infrastructure and the ability of physicians to provide medical care.

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Phillip Longman's Senate Testimony Before the The State of VA Health Care Hearings

Phillip Longman | U.S. Senate Committee on Veterans’ Affairs | May 14, 2014

We need to open up the VA and grow it, extending no-questions-asked eligibility not only to all vets but to their family members as well. This not only makes clinical sense, it also makes economic sense. So long as the VA remains one of, if not the most, cost- effective, scientifically driven, integrated health care delivery systems in the country, the more patients it treats, the better for everyone.

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VA Care: Still The Best Care Anywhere?

...[A]s the author of the title Best Care Anywhere, Why VA Health Care would be Better for Everyone, it’s been dispiriting to have it confirmed by a preliminary inspector general’s report that some frontline VA employees in Phoenix and elsewhere have been gaming a key performance metric regarding wait times. But what’s really has me enervated is how the dominant media narrative of the VA “scandal” has become so essentially misleading and damaging to the cause of health care delivery system reform...

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Veterans aren’t the only ones waiting for health care

Ezra Klein | Vox | May 23, 2014

But the big question with these stories about the VA is, "compared to what?" This scandal wouldn't exist if the VA didn't have performance metrics on its employees. If it didn't measure or care whether veterans get prompt appointments it could just do what the rest of the health-care system has done and not hold people responsible for these metrics. Read More »

VistA is Going Places, and Also Staying Put

The Veterans Health Administration's hospital software, VistA, is a computing legend. Few pieces of software have become the subject of a popular book (Best Care Anywhere), won repeated awards for their usability, or been credited with a 180-degree turn-around in an organization's quality. But VistA is getting long in the tooth, and many--including now the VA itself--are questioning whether it's time for something new.The speculations aren't just about VistA. They extend to all health care software of that generation, including the industry's leading electroinc health record (EHR) system--Epic--and the venerable Intermountain Healthcare.

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