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FEDERALhearing transcript
High Impact

Hearing on the Future of the VA's VistA Health Record System

Original title: VISTA TRANSITION: ASSESSING THE FUTURE OF AN ELECTRONIC HEALTH RECORDS PIONEER

January 1, 2021

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The Frame

What this does

The VA is replacing its decades-old health record system with a new commercial platform, a transition that affects how millions of veterans receive care and how VA staff manage medical data.

Who is mentioned in the record

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

Veterans

The transition to a new health record system impacts the management of their medical data and care delivery.

VA Clinicians and Researchers

These staff members must transition from using VistA to the new commercial system for daily operations and data access.

Cerner

As the commercial provider, they are responsible for supplying the new electronic health record system to the VA.

What changed

Last recorded activity January 1, 2021.

What's next

Next step not available in the current record.

Summary

A House Subcommittee held a hearing to discuss the transition of the Department of Veterans Affairs (VA) from its legacy electronic health record system, , to a new commercial system provided by Cerner. The hearing addressed the technical challenges of replacing a that currently operates in 130 different versions across 1,500 sites.

Key Facts

  • The VA currently operates at least 130 different versions of the VistA system across 1,500 sites.
  • The VA is transitioning from the legacy VistA system to a commercial electronic health record system provided by Cerner.
  • A formal plan addressing the technical and policy aspects of the transition is expected to be completed by the fall of 2019.
  • The transition plan requires concurrence from the Office of Information and Technology, the Veterans Health Administration, and the Office of Electronic Health Record Modernization.
  • VistA was originally developed in the 1970s and is described as operating on an archaic coding language.
  • Previous attempts by the VA to replace or update VistA have not been successful.

Frequently Asked Questions

What is VistA?
stands for Veterans Health Information Systems and Technology Architecture; it is the electronic health record system the VA has used for decades.
Why is the VA changing its health record system?
The VA reports that has surpassed its technology life span and consists of a decentralized, complex network of 130 different versions that are difficult to maintain.
What system is replacing VistA?
The VA is transitioning to a commercial electronic health record system provided by Cerner.

Why It Matters

The VA is replacing its decades-old health record system with a new commercial platform, a transition that affects how millions of veterans receive care and how VA staff manage medical data.

News Coverage

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Sponsors

Discoveries

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

policy shift100% confidence

Shift to Commercial Off-the-Shelf Software

The VA is moving away from its custom-built, internal 'guerilla' IT projects toward a standardized commercial electronic health record system.

Connected Entities

organizationCernerThe commercial provider for the new electronic health record systemMap →
personJim BanksRanking Member of the Subcommittee on Technology ModernizationMap →
personSusie LeeChairwoman of the Subcommittee on Technology ModernizationMap →
otherVistAVeterans Health Information Systems and Technology ArchitectureMap →
organizationDepartment of Veterans AffairsThe federal department managing the VistA transitionMap →
organizationGovernment Accountability OfficeProvided testimony via Carol HarrisMap →

Sources

Open source document

www.govinfo.gov

Analysis Score

0–100
  • Significance85
    How much this matters to a regular citizen
  • Controversy40
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz20
    Current news / social attention level

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