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DoD, VA Plan To Streamline EMR Integration Effort

The Department of Defense and VA have decided to change the way they integrate their two EMRs, in an effort they say will lower the cost and speed the pace of interoperating.  The new approach is expected to offer at least partial functionality by 2014, rather than forcing the two agencies to wait until 2017, reports FederalNewsRadio.com.

Rather than sticking to their current course, which involves a massive effort to integrate their respective EMRs into a single system, health IT leaders will attempt to make more short term  progress.

To date, the DoD and VA have been working on common requirements and data standards and developing a shared enterprise service bus, all in the service of creating a single system. Agency leaders had estimated that the existing project would cost $4 billion.

The new plan, while keeping the larger goal of integrating by 2017, will include efforts to use existing solutions to get to interoperability quickly. Leaders expect their new direction to be considerably cheaper.

By the end of this year, the two departments will begin sharing a common UI, with the rollout beginning in seven DoD and VA wounded warrior polytrauma centers. Then, by  2014, the VA and DoD expect to be exchanging seven types of critical data, including lab results, clinical notes and allergies. The VA and DoD will accomplish this by standardizing the day their systems currently use, the VA’s chief information officer told FederalNewsRadio.com.

Another key component of the two agencies’ efforts is establishing a common system for identity management.  The identity management system is drawing on the massive Defense Manpower Data Center storehouse of personnel informaton operated by the DoD.

February 12, 2013 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies.

New Open-Source GUI Can Display Multiple EMRs

A non-profit focused on HIT has released an open-source graphical user interface which will provide a common view for patient information from multiple EMRs — a very useful trick if the software delivers what it promises.

The interface, Janus, was created as part of an interoperability program designed to link Department of Defense and VA data.  Right now, Janus is deployed at the VA Pacific Islands Health Care System/Triper Army Medical Center and clinics at James A. Lovell Federal Health Care System.

This seems like a great idea. If doctors in private medical settings could look at multiple EMR outputs at one time, I’m sure they’d be grateful.  After all, it can’t be much fun going from EMR to EMR as you travel from one hospital to another.

Such a unified view would probably save lives, ultimately, as it’d make it easier for doctors to quickly spot problems and review cases distributed across hospitals and clinics. Oh, and reduce doctor burnout too.

Though I’m a big fan of open source efforts, I’m sorry to say that I doubt it will make a dent in the way hospital IT departments and commercial EMRs are deployed.  Unfortunately, most vendors seem to feel they have more to gain by creating silos than making data sharing easy.

Still, it’s good to hear that the VA and DoD are doing something to interoperate. The two have been notorious for spending billions of bucks on integration projects that go nowhere, especially here in the healthcare arena.

The DoD’s AHLTA EMR project alone consumed 13 years and $2 billion, according to one account. The project went wrong due to poor planning and what sounds like arrogance (a failure to appreciate the “significant complexity” of the program), the Government Accountability Office concluded in 2010.

May 30, 2012 I Written By

Anne Zieger is veteran healthcare consultant and analyst with 20 years of industry experience. Zieger formerly served as editor-in-chief of FierceHealthcare.com and her commentaries have appeared in dozens of international business publications, including Forbes, Business Week and Information Week. She has also contributed content to hundreds of healthcare and health IT organizations, including several Fortune 500 companies.