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U.S. Department of Veterans Affairs (DVA) secretary David Shulkin announced a major overhaul of the department's Electronic Health Records (EHR) systems.
The department will scrap its in-house developed EHR systems, known as VistA in favor of MHS GENESIS, the EHR system in use by the U.S. Department of Defense.
MHS GENESIS is based on the Cerner Millenium API. For those of you who will ask, no, Cerner Millenium is *not* open source.
VistA, the current DVA system was originally conceived as a "paperless" health records management system in the early 1970s, developed and implemented by DVA and other government agencies, both in the United States and in a number of other countries including Finland, Egypt and Germany. VistA is in the public domain
So what say you, Soylentils? Does it make sense to throw out decades of development on a platform both widely used and in the public domain? Should the government be doing its own software development?
Are you a government contractor doing software development? If so, how might this and/or similar actions affect you?
Other Coverage:
White House press briefing/announcement from Secretary Shulkin
Healthcare IT News
Defense One [behind script wall]
Kansas City Star
FCW
(Score: 5, Informative) by MostCynical on Wednesday June 07 2017, @02:01AM (2 children)
cerner is very good at sales.
The Millenium system is no better (and far worse, in some ways) than any other patient admin system.
If every user has to log in as themselves - that will not, and has not eve worked, on any hospital system, ever.
None of these systems integrates with other systems properly (HL7 is a "standard", in the same way XML solved all data issues, ever)
http://www.hl7.org/implement/standards/index.cfm?ref=nav [hl7.org]
If and only if every system happens to be compatible (no old home brew dispensing systems that have worked fine for decades.. No, go buy a new one, and new computers, those Win95 boxes won't work with the new systems)
Then, you get this: Occupational Therapists can't write progress notes in Cerner Millenium, unless the facioity has bought te special notes module, which costs something like $200,000 extra per site.
The old may be bad, the new may be better, but only a little bit, for some people.
"I guess once you start doubting, there's no end to it." -Batou, Ghost in the Shell: Stand Alone Complex
(Score: 1) by rider_prider on Wednesday June 07 2017, @04:56PM (1 child)
"If every user has to log in as themselves - that will not, and has not eve worked, on any hospital system, ever"
Actually unique logins for every user is fundamental to health systems, good clinical practice and most privacy legislation requires it.
(Score: 2) by cafebabe on Thursday June 08 2017, @07:22PM
1702845791×2