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FEDERALhearing transcript
High Impact

Review of VA Appointment Scheduling System Modernization

Original title: THE FUTURE OF VA SCHEDULING: IMPLEMENTING A COMMERCIAL OFF THE SHELF SCHEDULING SOLUTION AT THE DEPARTMENT OF VETERANS AFFAIRS

January 1, 2021

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The Frame

What this does

The VA is attempting to replace a 20-year-old scheduling system to improve how veterans book medical appointments, a project that has historically faced management challenges and significant financial investment.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Veterans

Veterans rely on the scheduling system to book and manage their medical appointments at VA facilities.

VA Schedulers

VA staff must navigate the current legacy scheduling system and will be required to adapt to any new commercial software implemented.

What changed

Last recorded activity January 1, 2021.

What's next

Next step not available in the current record.

Summary

This hearing transcript documents a Congressional review of the Department of Veterans Affairs' (VA) long-standing efforts to replace its outdated patient appointment scheduling system. The committee examined past failures, including the project, and discussed the transition to a scheduling solution.

Key Facts

  • The VA has been attempting to update its patient appointment scheduling system for nearly 20 years.
  • The current legacy system, VistA, uses archaic programming language and complex workflows that require schedulers to memorize hundreds of rules.
  • The VistA Scheduling Enhancement (VSE) project failed to address core data quality issues and was described as a 'fresh coat of paint' rather than a true modernization.
  • An August 2019 Office of Inspector General report identified leadership turnover and inadequate requirements development as primary causes for VSE project failures.
  • In 2015, the VA entered into a $624 million contract to implement a commercial off-the-shelf (COTS) scheduling system.
  • The committee expressed concern that the VA lacked clear requirements for the scheduling system before signing previous development contracts.

Frequently Asked Questions

Why is the VA changing its scheduling system?
The current system, , is outdated, uses archaic programming, and has a confusing user interface that makes scheduling appointments difficult for staff.
What was the VistA Scheduling Enhancement (VSE) project?
It was a previous attempt by the VA to modernize the scheduling system that failed to address underlying data quality issues and suffered from poor management.

Why It Matters

The VA is attempting to replace a 20-year-old scheduling system to improve how veterans book medical appointments, a project that has historically faced management challenges and significant financial investment.

News Coverage

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Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift90% confidence

Shift to Commercial Solutions

The VA is moving away from custom-built legacy systems toward commercial off-the-shelf (COTS) software to modernize operations.

Connected Entities

personLarry ReinkemeyerAssistant Inspector General for Audits and EvaluationsMap →
personJim BanksRanking Member of the Subcommittee on Technology ModernizationMap →
personSusie LeeChairwoman of the Subcommittee on Technology ModernizationMap →
personJohn H. WindomExecutive Director, Office of Electronic Health Record ModernizationMap →
organizationDepartment of Veterans AffairsThe federal department responsible for veteran healthcareMap →

Sources

Open source document

www.govinfo.gov

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment20
    Compellingness for a non-policy-wonk reader
  • Buzz15
    Current news / social attention level

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