VA Health IT Modernization: Historical Perspective on Prior Contracts and Update on Plans for New Initiative

Abstract

VA operates the largest health care delivery system in America and VistA is essential to helping deliver the health care services and ensure the quality of health care received by the nations veterans and their dependents. The system has been in operation for more than 30 years, is costly to maintain, and does not readily support VA's need to electronically exchange health records with the Department of Defense and private health care providers. VA has pursued initiatives to modernize VistA, using government contractors to support its efforts. In June 2017, VA announced a new effort to purchase a commercial solution to replace VistA. GAO was requested to review VA's prior and current efforts to modernize VistA. This review determined (1) VA's efforts to modernize VistA, including key contractors, contract costs, and expected contractor activities and (2) VA's current plans for modernizing VistA and the progress that has been achieved to date. To conduct its study, GAO reviewed VA documentation and its prior work and requested and obtained data on contracts, related obligations, and expected contractor activities for previous efforts. GAO also obtained documentation on plans for VA's current modernization efforts and progress made on the efforts, and interviewed VA officials. GAO has made recommendations to VA aimed at improving its prior modernization efforts. The department concurred with the recommendations and generally took responsive actions. GAO is making no recommendations at this time. VA provided technical comments on this report, which were incorporated as appropriate.

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Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2018
Accession Number
AD1169423

Entities

People

  • Charles Youman
  • Chris Businsky
  • Christy Tyson
  • David Powner
  • Eric Trout
  • Jacqueline Mai
  • Jennifer Stavros-turner
  • Mark Bird
  • Nancy Glover
  • Paris Hawkins
  • Vern Cumarasegaran

Organizations

  • United States Government Accountability Office

Tags

DTIC Thesaurus Topics

  • Acquisition
  • Application Software
  • Computer Programming
  • Computer Programs
  • Computers
  • Congress
  • Contracts
  • Delivery Of Health Care
  • Department Of Defense
  • Department Of Veterans Affairs
  • Electronic Mail
  • Governments
  • Health Care
  • Health Informatics
  • Health Services
  • Information Systems
  • Medical Personnel
  • Organizational Structure
  • Procurement
  • Project Management
  • United States Government
  • Veterans Health

Fields of Study

  • Medicine

Readers

  • Defense Technology Research and Development.
  • Government Contracting/Procurement.
  • Personnel Management and Statistics in the Military and Department of Defense

Technology Areas

  • Microelectronics