Electronic health record modernization: VA needs to address change management challenges, user satisfaction, and system issues : testimony before the Committee on Veterans’ Affairs, U.S. Senate
- Collection:
- Health Policy and Services Research
- Contributor(s):
- United States. Government Accountability Office, issuing body.
- Publication:
- Washington, DC : United States Government Accountability Office, March 15, 2023
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Computer Systems -- legislation & jurisprudence Electronic Health Records -- economics Electronic Health Records -- legislation & jurisprudence Government Regulation Legislation, Medical Veterans Health Services United States United States. Department of Veterans Affairs
- Genre(s):
- Technical Report
- Abstract:
- Why GAO did this study. VA uses the Veterans Health Information Systems and Technology Architecture (VistA), which includes the department’s legacy EHR system, to provide health care to its patients. In June 2017, VA initiated the EHRM program to replace VistA because it is technically complex, costly to maintain, and does not fully support the need to exchange health data with other organizations. Specifically, VA began to acquire the same EHR system DOD was acquiring. VA has reported obligating about $9.42 billion on EHRM from fiscal year 2018 through the first quarter of fiscal year 2023. GAO was asked to testify on its recently completed review to determine the extent to which VA has (1) used organizational change management strategies for the EHRM program consistent with leading practices, (2) assessed satisfaction with the new system, and (3) identified and addressed EHR system issues. GAO identified leading change management practices and evaluated VA’s activities against these practices. It also reviewed results of surveys that VA conducted to determine users’ satisfaction with the new EHR, conducted interviews with selected users, and interviewed officials on user satisfaction goals. Further, GAO analyzed system trouble ticket data and compared them to VA’s service level agreement with its contractor. What GAO recommends. GAO made 10 recommendations to VA to address change management, user satisfaction, system trouble ticket, and independent operational assessment deficiencies. VA concurred with the recommendations.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (30 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918627775006676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918627775006676