The US Old Warriors Affairs canceled many contracts for updating electronic health records, amid more reduction earlier this month. Some canceled works can affect the integrated health care program for ancient warriors company to improve system improvements that guarantee patient safety.
Companies owned by old warriors
VHA initially received multiple offers for 10 possible years, $ 1 billion Support the transformation The contract in 2020 – selected companies such as Aptive HTG, HRS Consulting, RB Management Consultans, Sierra7, Titan Alpha and Trilogy Federral to work on the project.
As of this week, all of these companies have appeared in multiple contracts that received “a notice of ending for comfort” on March 4 in a search for all contracts granted by the Ministry of Old Warriors Affairs as part of the integrated health care transformation program since September on USSpending.gov.
Act of the Benefits of Old Warriors of 2006, Health Care and Information Technology VA requires the use of small companies owned by the veteranBoth the disabled service and so on, for some contracts.
Aptive Resources is a consulting company owned by veteran and owned warriors. Along with the Trilogy Federal, Titan Alpha and others with the canceled EHR conversion support contracts, they are all from small obedient companies and/or old warriors.
According to the documents obtained before Federal News NetworkWho broke story The VA support for EHR on Wednesday was six small companies owned by warriors, small companies owned by old warriors, part of the recent VA cleansing for decades of 585 non -critical or refined contracts, Declare March 3.
EHR data integration repairs
According to what was reported, he told a source fnn Advisors from the Ministry of Governmental Efficiency, Doug, and the legislators who supervise the Ministry of Affairs of the Veterans do not communicate with the discounts in the EHR update program, and the affected companies have already been forced to benefit from the employees.
“The basic work, and all other works, is done by this contract support team,” the source told Fnn. “At the present time, they are only trying to control the damage. It is inevitable, I hate to say this, but when this affects the veteran, someone loses his life, when he rises a fire alarm.”
The agency previously stated that important important contracts were exempt from the cuts it took earlier this month, and that 900 million dollars were provided by canceling this round of contracts are just the first step in reviewing the VA contracts approximately 90,000 contracts worth more than 67 billion dollars. The Ministry of Old Warriors Affairs said that it would re -direct savings from canceled contracts to health care, benefits and services to the beneficiaries.
“Among the cancellation of the contract that was announced today is the one that prompted the contractors to create” delivery operations “to other contractors to fulfill.”
“Other contracts covered the administrative services that VA can perform alone, such as guiding employees, leadership training, preparing assembly devices and meeting minutes, as well as services such as” executive support “that involve the creation of PowerPoint slides.”
Meanwhile, projects such as VHA healthcare management program, which protects patient and beneficiary identity data, can be risk with a contract to convert integrated health care in VHA in disinfection.
Aptive was unable to discuss the contracts that were canceled “due to the provisions contained in our contractual agreements,” a company spokesman said on Thursday with a message. But a Case study It was published on the company’s website in January, in detailing its wide role in ensuring the safety of the largest integrated health system in the country.
Since the VA EHR uses the report of the Ministry of Defense, the reliable identifier of the identifier, the DOD data exchange identifier as a unique identifier for the joint EHR system, the accuracy of the data is necessary to properly identify patients and link clinical records before delivering care to the warriors.
VA’s main person’s index is a database that includes more than 75 million unique posts, a refuge of patient databases and beneficiaries in VA facilities at the country level.
The company said it was dealing with contradictions to integrate VA and DOD data. For example, the DOD and VHA sites in the provider menu send the VHA messages center orders to DOD service providers instead of the appropriate VHA provider, “risk patient safety unless the wrong requests are determined and properly redirect.”
To correct the patient’s errors, VHA was contracted directly to support all aspects of determining the error, decision, reporting, and redesign workflow, according to the company.
“There are major differences in the identity data between VA and DOD that must be processed before the data is deported,” Aptive said in January.
“Although significant progress has been made in reducing the number of problems common to VA and DOD, huge numbers of abnormal cases continue to require manual analysis, which exceed the list’s ability. [identity management program] The company said that the team was successful according to the schedule.
Under the extinguished contract, clear review procedures and specific system errors, detailed tracking to redirect data messages and corrections, re -design workflow to stop potential errors and report to the initial data errors and corrections “as required under the statute”.
Health care news He arrived in VA on Thursday about the non -critical or repeated state of APTIVE contracts and contracts for others and asked for specific contract numbers. Details of 82 VHA health care program awards were provided on March 4.
The agency said it is reviewing the information request. When and if it provides comments or clarifications, this story will be updated.
EHR update gradually
the Inclusion of inter -operational operation between DOD and VA It has been a stumbling block for EHR since an early delay in 2020.
In 2022, the Office of the Inspector General was found VA 149 Patient damage cases It relates to an element of Oracle Health EHR known as the “unknown waiting list”. Inflimited guidance information had failed to alert doctors VA in many cases.
The VA Monitoring Authority has performed several audits and provided many audits Recommendations To prevent roses and alleviate the effect of major performance accidents on VA care processes and patient safety over the past few years.
The government accountability office said on February 21 that although the VA EHR update program has performed More than that, it must be done to eliminate the risks to the old warriors In the sponsorship of VA. The office added three new recommendations to estimate cost, timeline and system standards, up to 18 recommendations.
Andrea Fox is a great health care editor.
Email: Afox@himss.org
Healthcare is Hosz News.
