by clicking on the page. A slider will appear, allowing you to adjust your zoom level. Return to the original size by clicking on the page again.
the page around when zoomed in by dragging it.
the zoom using the slider on the top right.
by clicking on the zoomed-in page.
by entering text in the search field and click on "In This Issue" or "All Issues" to search the current issue or the archive of back issues respectively.
by clicking on thumbnails to select pages, and then press the print button.
this publication and page.
displays a table of sections with thumbnails and descriptions.
displays thumbnails of every page in the issue. Click on a page to jump.
allows you to browse through every available issue.
FCW : May 30, 2013
May 30, 2013 FCW.COM 19 A VA spokesperson told FCW that OIT s workforce, including manage- ment, "is committed to VA s mission of serving veterans and has contin- ued its high level of performance and productivity." The spokesperson said Warren would not comment on speci c complaints raised by FCW. "VA appreciates the hard work and commitment of our dedicated IT employees to the mission of serving veterans," the of cial said. "Much of VA s IT work supports the technolo- gy that directly affects our ability to deliver services our veterans deserve. Change is never easy, but our talent- ed staff is meeting the challenge and succeeding." It is unclear how the turmoil in VA s OIT will affect the agency s overall mis- sion to care for veterans. What is cer- tain, though, is that employees within the department are unhappy with leadership, technical capabilities and The Integrated Electronic Health Record (iEHR) program is not the Department of Veterans Affairs only lightning rod, but it is a major one. Of cially in the works since 2011, the records-sharing program took root after 15 years of discussion and cooperation between VA and the Defense Department to share military members health data. In 2012, however, cracks began to show. In September, the Government Accountability Of ce outlined hindrances to collaboration, cost documentation and performance measurement. GAO also highlighted fragmented processes across medical facilities --- a breakdown between regional of ces and headquarters illustrative of VA problems writ large. In February, VA Secretary Eric Shinseki and then-Defense Secretary Leon Panetta announced a shift in strategy that signaled a rift in the joint effort. The announcement was swiftly spurned by GAO and Capitol Hill. On Feb. 27, GAO issued another critical report stating that the change of course raised "concerns about the departments ability to successfully collaborate to share electronic health information. " The following week, Congress passed a continuing budget resolution that suspended all but 25 percent of iEHR program funding for IT systems development, modernization and enhancement until DOD and VA satis ed the concerns of the House and Senate appropriations committees. In April, Shinseki testi ed before Congress that VA would move forward with the electronic records-sharing program and said his agency is waiting for DOD of cials to decide what core IT platform they want to use. VA is using its self-developed Veterans Health Information Systems and Technology Architecture, and VA of cials had hoped DOD would do the same. Shortly thereafter, Defense Secretary Chuck Hagel told House lawmakers that he had blocked the release of a request for proposals for a new core system pending further review. "I stopped it from going out [at] the end of March because I didn t think we knew what the hell we were doing, " he said during testimony on April 16. The program remains in limbo while DOD leaders mull the best way forward. Insiders say it is possible for the two agencies to share information without sharing the same core IT platform, but it could require jumping through extra hoops --- and, undoubtedly, spending more money. --- Amber Corrin THE TROUBLE WITH iEHR progress on any of a number of key initiatives. "Right now, the personality of the people at the top is just toxic," said one VA source with nearly a decade of experience at the agency. "From Day One, it s been dysfunctional, but right now, it s circular ring squad stuff." ■ Amber Corrin and former FCW staff writer Camille Tuutti contributed to this report. VA Secretary Eric Shinseki AP IMAGES
May 15, 2013
June 15, 2013