VA, DOD to expand virtual EHR program
Next demonstrations will involve exchanging more types of data
The Veterans Affairs and Defense departments intend to expand their
Virtual Lifetime Electronic Record (VLER) pilot program, officials said
The next series of demonstrations will involve exchange of
additional types of data, including lab data, Dr. Steve Ondra, senior
policy adviser for health affairs at the VA, said at a Health IT Day
conference sponsored by the Bethesda chapter of AFCEA.
The current phase of the VLER pilot program involves adding new datasets and signing up new patients and providers at a location in
Hampton Roads, Va., which should be operating by July 31, Ondra said.
In 2009, the VA and DOD started the first pilot demonstration for
VLER in San Diego, which involved sharing veteran and military health
data with Kaiser Permanente through the Nationwide Health Information
Exchange. The NHIN, sponsored by the Health and Human Services
Department, is a system of protocols and standards that allows for
secure data exchange over the Internet.
That VLER San Diego demonstration was a success and has proven
that secure health data exchange can work, Ondra said. “We found out a
lot, and what we learned we will bring to the Virginia Tidewater Area
pilot,” he added.
What makes VLER different from numerous other VA/DOD data
exchange and interoperability programs is that VLER is the only program
that involves data exchange with the private sector, where veterans
receive about half their care, he said.
“The VLER is not an acquisition program. The VLER is a strategy of standards-based health information exchange,” Ondra said.
Meanwhile, other VA/DOD health information exchange efforts are
ongoing on legacy systems. That will continue and eventually the VLER
will take the place of the legacy systems, Joseph Gardner, deputy
director of the VA/DOD Health Information-Sharing Directorate, said at
the AFCEA event.
“We are building the VLER cautiously and in small steps,” said
Norma St. Claire, director of information management for the Office of
the Undersecretary of Defense for Personnel and Readiness. She
estimated it would be at least a year or two before the VLER is
exchanging significant amounts of clinical data.
One of the hurdles that must be overcome is identity
verification and management of patients and users of the system, St.
Claire added. “We have a problem in making sure that 'Joseph Smith' in
this system, and 'Joe Smith' over there, and 'J. Smith' over there, are
the same person,” she said. “We try not to use Social Security
numbers too much. We are challenged in identity management.”
Alice Lipowicz is a staff writer covering government 2.0, homeland security and other IT policies for Federal Computer Week.