1:05:00 talking about VA's all running differently is part of the issue with the VA. Veterans should have the same access to care and same level of care at all facilities.
1:17:00 DOD, isn't using CERNER for everything like the VA is forced to do. They are using 11+ other systems and tools outside of CERNER to accomplish the mission. Yet everything we are told to do in CERNER and why certain changes can't be made is because DOD says it can't be changed, or because CERNER isn't capable of actually performing the action. As a Veteran, I understand the mission of the active duty Warrior. there are 3 million Active duty and family members who receive DOD healthcare delivery... but there are almost 17 million Veterans. Why are we not making sure the larger population can be served appropriately?
The.STAFF must me Drained keep having increased responsibilities taking time off from direct patient care doesnt make things better all the hirings is not reflected on better care
2:20:00 CMR had on her website how she was the one who started and pushed for EHR change. She had it up on her website until this year. She was part of the big push for the no-bid contract to have CERNER and the one who pushed for Spokane to be the test site. She was proud of all those moments and shirks back from it now. CMR also voted against the PACT act.
58:00 discussing the various department concerns with the implementation of CERNER. We new prior to implementation the ancillary clinics were going to have the biggest struggle as no EHRM in use at the time including CERNER had the means to address the special needs of these clinics or the checks and balances required within the VA system to ensure we limit fraud waste and abuse in prosthetics.
I don’t even go to a VA facility that has the EHRM rolled out and it still takes doctor’s 15-20 clicks to get anything done. I’ve also had them miss reports/labs from other departments within the same VA hospital. The VA’s incompetence has nothing to do with the EHRM roll out. Also, all this talk with “if you’ve seen one VA, you’ve seen one VA.” STANDARDIZE OUR HEALTHCARE. This is why I’ve gotten private insurance and no longer use the VA for primary care.
I agree in theory. However, it's very difficult for rural sites to attract the same level of talent and expertise that largest "more desirable" locations can. The VA pays rural providers LESS which just compounds the issue.
Ps I or my lawyer will be contacting everyone on this committee within the next 60 days. This mistreatment and the breach of contract has been going on for 15years, I have had enough of the run around, negligence, and incompetence. Something is going to give or you committee members will give up your seat and I will see you in the primaries.
@2:01:40 they talking about intuitiveness with the software. The current software the VA uses is trash, the only reason the employees aren’t complaining about it is because they’ve used it for 20 damn years.
Tell the Veteran population what "specifically and precisely" is entered into their EHR and the reasoning thereof for the entries? Release all pertinent details about third party PII contractor supplied and outsourced data. How often are EHR's updated with new "PII Patient data" when a veteran may never have been an active "Patient" with the VA (or a private practice doctor/health care center)?
1:05:00 talking about VA's all running differently is part of the issue with the VA. Veterans should have the same access to care and same level of care at all facilities.
1:17:00 DOD, isn't using CERNER for everything like the VA is forced to do. They are using 11+ other systems and tools outside of CERNER to accomplish the mission. Yet everything we are told to do in CERNER and why certain changes can't be made is because DOD says it can't be changed, or because CERNER isn't capable of actually performing the action. As a Veteran, I understand the mission of the active duty Warrior. there are 3 million Active duty and family members who receive DOD healthcare delivery... but there are almost 17 million Veterans. Why are we not making sure the larger population can be served appropriately?
The.STAFF must me Drained keep having increased responsibilities taking time off from direct patient care doesnt make things better all the hirings is not reflected on better care
2:20:00 CMR had on her website how she was the one who started and pushed for EHR change. She had it up on her website until this year. She was part of the big push for the no-bid contract to have CERNER and the one who pushed for Spokane to be the test site. She was proud of all those moments and shirks back from it now. CMR also voted against the PACT act.
58:00 discussing the various department concerns with the implementation of CERNER. We new prior to implementation the ancillary clinics were going to have the biggest struggle as no EHRM in use at the time including CERNER had the means to address the special needs of these clinics or the checks and balances required within the VA system to ensure we limit fraud waste and abuse in prosthetics.
I don’t even go to a VA facility that has the EHRM rolled out and it still takes doctor’s 15-20 clicks to get anything done. I’ve also had them miss reports/labs from other departments within the same VA hospital. The VA’s incompetence has nothing to do with the EHRM roll out. Also, all this talk with “if you’ve seen one VA, you’ve seen one VA.” STANDARDIZE OUR HEALTHCARE.
This is why I’ve gotten private insurance and no longer use the VA for primary care.
All u have to do is scane into the emr.
Or. Or server. U have.
1:16:00 yes STANDARDIZED VA HEALTHCARE IS THE KEY
I agree in theory. However, it's very difficult for rural sites to attract the same level of talent and expertise that largest "more desirable" locations can. The VA pays rural providers LESS which just compounds the issue.
Ps I or my lawyer will be contacting everyone on this committee within the next 60 days. This mistreatment and the breach of contract has been going on for 15years, I have had enough of the run around, negligence, and incompetence. Something is going to give or you committee members will give up your seat and I will see you in the primaries.
@2:01:40 they talking about intuitiveness with the software. The current software the VA uses is trash, the only reason the employees aren’t complaining about it is because they’ve used it for 20 damn years.
52:27 Bost brings up the PACT ACT like he didn't line vote against it.
Tell the Veteran population what "specifically and precisely" is entered into their EHR and the reasoning thereof for the entries? Release all pertinent details about third party PII contractor supplied and outsourced data. How often are EHR's updated with new "PII Patient data" when a veteran may never have been an active "Patient" with the VA (or a private practice doctor/health care center)?
All talk nothing will get done. What a waste. Of my vote
I was assaulted at the VA and the Police swept it under the rug
U don't want to waste money
Why are staff protected if the Violate HIPPA?
Why does the VA allow staff to file false police reports?