The Defense Department's next electronic health record will not be based on the open source architecture that supports the Veterans Affairs Department's EHR.
VA's Office of Information and Technology, or OI&T, requests a total budget authority of $4.13 billion in fiscal 2016 – $231 million more than the fiscal 2015 enacted level and $430 million more than the fiscal 2014 budget.
A marketing campaign aimed at raising the profile of the Veterans Affairs Department's open source electronic health record is in full swing. The Veterans Health Information Systems and Technology Architecture, or VistA, now has a website, Twitter account and LinkedIn group- just as the Defense Department considers a VistA proposal for its new EHR.
After several draft versions, a request for proposal for the Defense Department's highly-anticipated electronic health record is taking shape. Draft solicitations for the DoD's Healthcare Management System Modernization, or DHMSM, have been updated several times since DoD issued its first acquisition draft document in January.
Electronic health record interoperability between the Defense and Veterans Affairs departments has been a long time coming, but an interagency program office is making progress, a DoD official told lawmakers during an April 9 hearing.
House appropriators propose a $3.87 billion budget for information and technology systems at the Veterans Affairs Department. That amount, released April 2 in a draft (pdf) of the fiscal 2015 Military Construction and Veterans Affairs Appropriations bill, includes $344 million for the department's electronic health record.
The department of Defense and Veterans Affairs continue to pursue a project known as the iEHR, which is falling behind schedule, finds the Government Accountability Office.
The Defense Department may select the Veterans Affairs Department's electronic health record system when it procures its EHR, VA Secretary Eric Shinseki said at a House hearing March 13. Defense Secretary Chuck Hagel "assured me we're going to be in the competition, and so my work for the next two years is just to get us as competitive as anybody else," Shinseki told the House Veterans' Affairs Committee.
The White House fiscal 2015 budget request designates $3.9 billion for the Office of Information and Technology and the Veterans Affairs Department. In nominal terms, that's a $2 billion increased from the estimated current year amount of $3.7 billion.
The departments of Defense and Veterans Affairs lack credibility when they say their separate pursuit of electronic health record systems modernization is cheaper than a single EHR would have been, says the Government Accountability Office. A Feb. 27 report from the legislative watchdog also shows how promises of close cooperation in health IT the two departments made during the termination of a program to develop a joint system have been significantly undermined.