Current Status of Information Management/Information Technology for Patient Care
As of June 2012, when this report was written, the status of IM/IT for patient care was as follows:
- Single patient registration. Deployed on December 13, 2010. Operational after fixes to accommodate batch processing of recruit classes.
- Single sign-on with context management. Deployed on December 13, 2010. Operational after fixes to deal with inconsistent family member codes used by the DoD and the VA. Continuing problems aligning DoD and VA versions of the program. Due to be replaced by a single program as part of the iEHR system.
- Orders portability for pharmacy. This capability turned out to be too complex to develop by the end of 2010. In March 2011, when the DoD and VA secretaries decided to jointly develop a single EHR system (the iEHR), they elected to use the iEHR’s orders portability solutions for pharmacy and for consultations and referrals at the Lovell FHCC rather than continue to attempt to develop an interoperable solution using the legacy systems, VistA and AHLTA. In the interim, five registered pharmacists are conducting manual checks of prescriptions for potential drug interactions and allergies at a cost of approximately $700,000 per year.
- Orders portability for radiology. User testing in December 2010 found that further development was needed. It was initially deployed in June 2011 and fully operational by the end of 2011.
- Orders portability for laboratory. User testing in December 2010 found that further development was needed. Deployment was delayed until January 2012, after orders portability for radiology was implemented and made fully operational.
- Orders portability for consultations and referrals. This capability is complex to develop and, early in 2010, it was postponed until later in 2011, in favor of making single patient registration, single sign-on, and orders portability for laboratory, radiology, and pharmacy ready for the opening of the Lovell FHCC. Along with orders portability for pharmacy (see above), the DoD and VA secretaries decided in March 2011 to cancel the effort to make consultations and referrals interoperable between the two legacy EHR systems and instead to develop a single joint solution as part of the iEHR system. This would have delayed the capability for several years. Subsequently, given the urgent need for this capability at the Lovell FHCC, an effort to develop an interoperable solution for the