US Department of Veterans Affairs (VA)

See the following -

VistA as an EHR System Core for DoD

Here is a copy of the full text of the proposal submitted by the US Department of Veterans Affairs (VA) to the Department of Defense in response to the Request for Information for an electronic health record (EHR) solution that can replace the existing DoD EHR system. This is the approach that makes the most sense as the current core EHR that the Department of Defense (DoD) uses is based on a 30-year-old version of VistA. The current EHR crisis facing DoD stems from the inability to upgrade this older version of VistA. What the VA is proposing is basically an upgrade to DoD's existing core EHR. Read More »

VistA EHR Community and OSEHRA Experiences Extraordinary Growth in 2014

We have recorded a robust year of growth during 2014 and have laid a solid foundation for market expansion in 2015. OSEHRA corporate membership doubled during 2014. Corporate Members include large, medium and small corporations, nonprofits, academic institutions and international organizations that are leaders in health information technology...our primary open source electronic health record product, VistA, was rated by a MedScape survey as the most preferred EHR by physician users again in 2014. Further, our corporate members collaborate on policy, marketing, education and software initiatives. We expect the business opportunities for corporate members to grow considerably next year as the marketplace for open source health IT continues to expand. Read More »

VISTA Expo 2014 Moves to DC

Press Release | VistA Expertise Network, OSEHRA | July 24, 2014

The VISTA Expertise Network is joining forces with the Open Source Electronic Health Record Alliance (OSEHRA) to collaborate in a special strategic meeting regarding the future of VISTA...This special session, entitled Future VISTA: A Technical Town Hall, will be chaired by Rick Marshall, the Network’s executive director. It will be held on the first day of the 2014 OSEHRA Open Source Summit, September 3–5 at the Bethesda North Marriott Hotel & Conference Center, just outside of Washington, D.C. Read More »

VistA Is A Rival to Epic and Cerner in Major Deployments of EHR Systems

According to a recent article in Healthcare IT News, Intermountain Healthcare has just signed a multi-year contract to deploy Cerner electronic health record (EHR) systems. The article claims that "only two companies – Epic and Cerner – seem to be in competition for the large and complex deployments."  However, there is a third option that constantly goes unrecognized - the widespread deployment and use of the world reknowned 'open source' VistA system by large scale healthcare provider organizations in the U.S. and overseas. Read More »

VistA Marketing Ramps Up in Advance of DoD EHR Award

Molly Bernhart Walker | FierceGovernmentIT | January 14, 2015

A marketing campaign aimed at raising the profile of the Veterans Affairs Department's open source electronic health record is in full swing. A non-profit group founded through a VA contract to advance the department's Veterans Health Information Systems and Technology Architecture has stood up a website, Twitter account and LinkedIn group to promote VistA. Read More »

VistA, AHLTA, CHCS: An Evolving Alternative Roadmap to the Future

The obstacles to continue moving U.S. Department of Defense (DoD) and Department of Veterans Affairs (VA) in a common direction with regard to their clinical IT systems are fairly well-known. Having made that statement, it may therefore seem strange that this blog suggests that a conceptually simple technical approach may have the potential to untie the Gordian knot that has defeated many previous efforts. The proposed approach is not some yet-to-be-developed technology that exists only on Powerpoint slides. In fact, the proposed approach is based on technology that has already been validated by the-powers-that-be – at taxpayer expense – and the official conclusion in the official report on file at the DoD(1) states unambiguously and explicitly that the technology works as claimed is scalable, and can handle very large M/Caché systems.

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vxVistA Now Viewable in VistA Visualization Environment

Press Release | OSEHRA, DSS, Inc. | November 18, 2014

VIVIAN™ initiative gives new insight into VistA structure and dependencies; aids understanding and increases open source community collaboration

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Wall Street Journal: "ObamaCare’s Electronic-Records Debacle"

This Wall Street Journal (WSJ) Op-Ed could have been entitled "President Sucker: Led Down the Garden Path by The Healthcare IT Industry." It is entitled "ObamaCare’s Electronic-Records Debacle", as below.  First, though: On Feb. 18, 2009 the WSJ published the following Letter to the Editor authored by me...I have a different view on who is deceiving whom. In fact, it is the government that has been deceived by the HIT industry and its pundits. Stated directly, the administration is deluded about the true difficulty of making large-scale health IT work. The beneficiaries will largely be the IT industry and IT management consultants.

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Warren: VistA Is Here To Stay

Adam Mazmanian | FCW | March 20, 2015

The Pentagon eliminated a bid for an open-source health record solution based on the VISTA software developed by the Department of Veterans Affairs from its $11 billion electronic health record procurement, but that doesn't mean VA is going to shift gears in the future. "I do not see the VA moving away from VISTA," Steph Warren, acting CIO at the VA, said on a March 19 call with reporters. Read More »

Where did the issue of health data exchange disappear to?

There has been extensive talk about the scandals at the VA and remedies for them, including the political and financial ramifications of partial privatization. Republicans have suggested it for some time, but for the solution to be picked up by socialist Independent Senator Bernie Sanders clinches the matter. What no one has pointed out yet, however–and what makes this development relevant to the Datapalooza–is that such a reform will make the free flow of patient information between providers more crucial than ever. Read More »

Which Bionic Limb to Prescribe? VA's Gait Lab Aims to Build Evidence-Based High-Tech Prosthetics

Prosthetics has come a long way—witness the $35,000 computerized knee that sits on a table in Maikos' Gait and Motion Analysis Lab, coupled with a $30,000 bionic foot. The high-tech components are awaiting testing with Veteran amputees who come to the lab. Some have lost a leg to an IED or rocket-propelled grenade in Iraq or Afghanistan—or perhaps to a mine or mortar blast decades ago in Vietnam. Others have lost a foot or leg in an accident, or to diabetes or vascular disease. The purpose of the tests is twofold: to help determine the best prescription for the Veterans, and to gather research data. Along with gait abnormalities, Maikos studies functional outcomes such as walking speed and distance.

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While Waiting for a State Health-Records Exchange, Medical Society Launches One

Julia Werth | The CT Mirror | August 18, 2017

Electronic medical records have become common, but the ability to share them easily between providers still lags. Frustrated that after 10 years of effort the state of Connecticut has yet to launch a functioning health information exchange (HIE) allowing physicians, hospitals and other health care providers to share patient medical records, the Connecticut Medical Society is offering one of its own. Available to all clinicians in the state and called CTHealthLink, it is based on a system currently used in Kansas...

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Why Computerized Medical Records Are Bad for Both You and Your Doctor

Samuel Shem | Newsweek | November 1, 2019

We should not click for cash, but for care. We can use the data to benefit the patient-and the medical professionals...The EMR could have been a lifesaver. It still can be. If we get rid of on-screen, for-profit billing, and use electronic screens exclusively for care, we solve a lot of problems. We could create a true national health care system, modeled after our existing two national systems-Medicare/Medicaid and the VA. As in all other national systems, each procedure would cost about the same all over the country. On longitudinal charts showing the health of Americans as they age, a sharp rise in good health suddenly increases at age 65, when Medicare kicks in. Read More »

Will Va Secretary McDonald Go Back To P&G For His CIO?

Bob Brewin | NextGov | August 1, 2014

Robert McDonald, the former Procter & Gamble CEO and secretary of Veterans Affairs since Wednesday afternoon, may enlist Filippo Passerini, the P&G chief information officer, as VA CIO, according to medium-strength signals I’ve picked up. The VA CIO slot has been empty since February 2013, when Roger Baker resigned. Read More »

Wisconsin reps trying to torpedo VA's open source strategy

For those of you folks who think that open health is a staid field, this week saw the unfolding of an epic scandal. NexGov's inimitable reporter, Bob Brewin, author of the column What's Brewin, got his hands on a stash of documents showing that elected representatives from Wisconsin are trying to torpedo the open source strategy being pursued by the Department of Veterans Affairs (VA).

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