US Department of Defense (DoD)

See the following -

Pentagon Accepts Bids on Long-Awaited Health Records Contract

Frank Konkel | Nextgov | August 26, 2014

The Defense Department on Monday opened its Healthcare Management Systems Modernization contract to bids, beginning what could be an $11 billion effort over the next decade to modernize the way the Pentagon provides health care to service members. Read More »

Pentagon's $11 Billion Healthcare Record System Will Be Obsolete Before It's Even Built

Loren Thompson | Forbes | March 3, 2015

In order to understand why the modernization initiative is doomed to failure, you need only grasp the significance of two key phrases the program office uses in its approach to industry for proposals.  First, it says it is seeking a “state-of-the-market” electronic health record system.  Second, it says whatever it selects will be an “off-the-shelf” product.  In other words, it is seeking to acquire an electronic health record system that already exists in an industry noted for its antiquated approach to the movement of information.

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Pursuing Adoption of Free and Open Source Software in Governments

Free and open source software creates a natural — and even necessary — fit with government. I joined a panel this past weekend at the Free Software Foundation conference LibrePlanet on this topic and have covered it previously in a journal article and talk. Our panel focused on barriers to its adoption and steps that free software advocates could take to reach out to government agencies. Read More »

PwC Pitches Open-Source Electronic Health Records

Adam Mazmanian | FCW | October 29, 2014

One of the entrants in the military's $11 billion electronic health record procurement is proudly flying the open source flag. The group led by PricewaterhouseCoopers includes General Dynamics IT and two open source health record providers whose products are based on the open source Veterans Health Information Systems and Technology Architecture (VistA) -- DSS Inc. and MedSphere.

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Roger Baker: Why VA's Electronic Health Record Mega-Project is Failing

Roger Baker | FCW | July 26, 2021

The Department of Veterans Affairs currently is reassessing its $16 billion-plus Electronic Health Record Modernization (EHRM) effort. Faced with productivity and patient safety issues in its initial pilot site, further rollouts of the EHRM have been paused by VA Secretary Denis McDonough. And while VA has not yet announced the details of the actions it will take to correct the EHRM program, those actions must include addressing the program's fundamental problems, not just the readily apparent quality and productivity problems surfaced at the pilot site. Read More »

The (Awesome) Economics of Open Source

Successful open source software companies "discover" markets where transaction costs far outweigh all other costs, outcompete the proprietary alternatives for all the good reasons that even the economic nay-sayers already concede (e.g., open source is simply a better development model to create and maintain higher-quality, more rapidly innovative software than the finite limits of proprietary software), and then-and this is the important bit-help clients achieve strategic objectives using open source as a platform for their own innovation. With open source, better/faster/cheaper by itself is available for the low, low price of zero dollars. As an open source company, we don't cry about that. Instead, we look at how open source might create a new inflection point that fundamentally changes the economics of existing markets or how it might create entirely new and more valuable markets.

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The HITECH Era in Retrospect

John D. Halamka, M.D. and Micky Tripathi, Ph.D. | The New England Journal of Medicine | September 7, 2017

At a high level, the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009 accomplished something miraculous: the vast majority of U.S. hospitals and physicians are now active users of electronic health record (EHR) systems. No other sector of the U.S. economy of similar size (one sixth of the gross domestic product) and complexity (more than 5000 hospitals and more than 500,000 physicians) has undergone such rapid computerization...

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The VA Waitlist Fiasco: VistA Should Not be Thrown Out With the Bathwater

Without a doubt, the death of American veterans as a result of the VA waitlist debacle is tragic and unacceptable. The Obama administration must move quickly and deliberately to fix the underlying problems and restore faith in the agency. If these issues were common throughout the VA network of hospitals and clinics, it might make sense to consider dramatic, earth-shaking alternatives like moving veterans to private providers and shuttering the VA. But they are not common. Indeed, as Washington Monthly reporter Phillip Longman has documented, the VA’s challenges are regional, not pervasive. Read More »

This mock pandemic killed 150 million people. Next time it might not be a drill

Lena H. Sun | Washington Post | May 30, 2018

A novel virus, moderately contagious and moderately lethal, has surfaced and is spreading rapidly around the globe. Outbreaks first appear in Frankfurt, Germany, and Caracas, Venezuela. The virus is transmitted person-to-person, primarily by coughing. There are no effective antivirals or vaccines...So began a recent day-long exercise hosted by the Johns Hopkins Center for Health Security. The simulation mixed details of past disasters with fictional elements to force government officials and experts to make the kinds of key decisions they could face in a real pandemic. It was a tense day. The exercise was inspired in part by the troubled response to the Ebola epidemic of 2014, and everyone involved was acutely aware of the very real and ongoing Ebola outbreak spreading in Congo.

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To Protect Voting, Use Open-Source Software

R. James Woolsey and Brian J. Fox | The New York Times | August 3, 2017

Although Russian hackers are reported to have tried to disrupt the November election with attacks on the voting systems of 39 states, the consensus of the intelligence community is that they were probably unsuccessful in their efforts to delete and alter voter data. But another national election is just 15 months away, and the risk that those working on behalf of President Vladimir Putin of Russia could do real damage — and even manage to mark your ballot for you or altering your vote — remains...

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Two New Federal Reports Released That Have Major Public Health Impacts

Two new Federal reports were recently released that have a public health impact. First, the Office of the National Coordinator for Health Information Technology (ONC) released its 2022 Report to Congress: Update on Access, Exchange, and Use of Electronic Health Information. This report covers the current state of adoption of health information technology and access to electronic health information guided largely by the requirements of the 2016 21st Century Cures Act. The report observes that, “Although tremendous progress has been made with EHRs that capture and support the use of health information about individuals, the COVID-19 pandemic exposed gaps in health IT systems that support capturing and using population data. The challenges exposed during the public health response to the COVID-19 pandemic pinpointed the importance of health IT to monitor population health regarding public health surveillance of testing, diagnosis, and vaccine distribution.”

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U.S. Coast Guard Terminated Contract with Epic for EHR Implementation

Heather Landi | Healthcare Informatics | April 22, 2016

The U.S. Coast Guard has discontinued an Integrated Health Information System (IHiS) implementation project, which is an expansion of an electronic health record (EHR) implementation project as part of a contract awarded to Verona, Wis.-based Epic Systems in 2010, a USCG representative said. The Coast Guard is pursuing an alternative EHR system, and, in the interim, Coast Guard physicians are continuing to use paper-based records, "without interruption of service to members and dependents," the USCG spokesperson, Alana Ingram, public affairs officer, said...

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U.S. Trying to Find More Doctors to Send to Disaster Areas

Melanie Evans | The Wall Street Journal | October 14, 2017

A U.S. government program that sends doctors and nurses to disaster zones says it needs more health-care workers, as relief efforts during this hurricane season are near the end of a second month with no end in sight in Puerto Rico and the U.S. Virgin Islands. The National Disaster Medical System, which recently wrapped up big deployments to hurricane-ravaged areas in Texas and Florida, says it will start recruiting more medical professionals in the next few weeks...

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US Defense Think Tank Calls for DoD to Adopt the Open Source VistA EHR and Avoid Closed and Proprietary EHRs.

One of the most prestigious U.S. defense think tanks, the Center for a New American Security (CNAS), issued a white paper Thursday calling on the Department of Defense (DoD) to replace their existing dysfunctional “vendor-lock” medical records system with an electronic health records system (EHR) that is "extensible, flexible and easy to safely modify and upgrade as technology improves and interoperability demands evolve." The white paper warns that a "closed and proprietary" commercial EHR - such as the ones offered by Epic, Cerner or Allscripts - will lead to "vendor-lock” and isolation of health data. Read More »

US Department Of Defense Publishes New Guidelines For The Internal Use Of Open Source For Cyber Defense Purposes

On January 24, 2022, John Sherman, the Chief Information Officer (CIO) of the US Department of Defense (DoD) released internally (and published two days later) a Memorandum for the Senior Pentagon Leadership, the Commandant of the Coast Guard, the Commanders of the Combatant Commands, the Defense Agency and the DoD Field Activity Directors. Particularly, it provides the Department of Defense with new guidelines on software development and open source software, addressing the opportunities and challenges that open source can represent for the public sector, and how the latter should interact in this regard.