Full report link https://www.gao.gov/assets/gao-24-107265.pdf
From the full report:
Electronic health record modernization. The use of electronic health records (EHR) is crucial to helping VA effectively serve veterans. In 2017, VA initiated the EHR Modernization program to manage the replacement of its legacy EHR system. In May 2023, we found that VA’s EHR Modernization program had not fully implemented leading practices for change management. VA also had not established targets to assess user satisfaction or adequately identified and addressed system issues. We identified 10 priority recommendations in this area. For example, we recommended that VA document a VA-specific change management strategy to help avoid the risk of hindering users’ ability to effectively use the electronic health record system. We also recommended that VA establish user satisfaction targets, which would help VA to ensure that future systems are not deployed prematurely and do not pose unnecessary risks to patient health and safety. Our recommendation to evaluate that the system is operationally suitable and effective should help validate that the system satisfies user needs in the operational environment. Implementing these and the seven other recommendations would also help solve existing problems with the system.
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Nancy Anthracite
I did not submit testimony for a hearing but I spent umpteen hours pounding the halls of the senate and house office buildings trying to convince people not to abandon VistA. That was pretty much an exercise in futility although the documents I circulated did get seen as I had several people say, "Oh, I have seen that!" and when I asked them where they got it, they had no idea. There were lots of "experts" who said, "Oh yes, the VA needs to get rid of VistA" for the usual list of bogus reasons. I believe one was the GAO and now I believe they are changing their tune quite a bit.
This is one version:
https://opensourcevista.net/NancysVistAServer/WhyTheVAShouldKeepVistA-AndRebuildItsDeveloperCorp.doc
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Nancy Anthracite
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