Exact copy of 1Z0-344 sample test are here to download
We receive reports from applicant on daily basis who sit for Oracle JD Edwards EnterpriseOne Configurable Network Computing 9.2 Implementation real exam and pass their exam with good score. Some of them are so excited that they apply for several next exams from killexams.com. We feel proud that we serve people improve their knowledge and pass their exams happily. Our job is done.
Oracle NetSuite is an enterprise resource planning (ERP) platform that comes with a robust financial management solution.
Its pricing is customized for each user based on the needs and circumstances of your business.
Oracle NetSuite is ideal for midsize businesses, manufacturers and companies that need advanced features.
This article is for entrepreneurs considering implementing Oracle’s NetSuite ERP platform as their financial management and accounting solution.
As your business grows, you may invest in a greater number of software solutions to keep your operations moving forward. Businesses that reach this point often find it’s easiest to streamline all of their systems ‒ including accounting and financial management ‒ into one convenient enterprise resource planning (ERP) platform like Oracle NetSuite.
Invoicing and bill pay
As part of its robust ERP offering, Oracle NetSuite offers an intuitive cloud financial management solution that allows businesses to track their financial data and automate many essential accounting functions. Like any highly-rated accounting software, it offers reporting, planning, and billing features and easily integrates with other software, including Oracle’s suite of business solutions. It can also be used seamlessly with multiple currencies, so it’s a great option for growing companies with a global customer base.
If your business wants to expedite its accounts receivable and payable, accelerate deal closings, and keep up with financial compliance obligations, while taking advantage of a full suite of powerful business management features, Oracle NetSuite is an ideal accounting solution within an ERP platform.
Oracle NetSuite Summary
$999 per month
Invoicing and payments
No. of clients supported
Because they can perform a wide range of complex business management functions, ERP platforms are typically priced on a custom basis. Factors such as business size, annual revenue and desired features all affect the cost of the software. Oracle NetSuite is no different, and to get an accurate price estimate, you’ll need to contact an Oracle sales representative. The sales rep will walk you through all the available features of the platform, including inventory management, financial management, point of sale, customer relationship management (CRM) and human capital management software
Based on our research, Oracle NetSuite pricing includes a $999 monthly licensing fee, plus a per-user fee that starts at $99 a month. While this base price can be used as an estimate, your costs may vary significantly depending on your specific business needs.
Because of its high price point, Oracle NetSuite is likely not well suited for a smaller business with simple accounting and bookkeeping needs. However, if your business is growing internationally and you anticipate needing an ERP platform to manage everything, this can be an excellent accounting solution that sets you up for financial success as your company grows. Thanks to NetSuite’s integrated ecosystem, you can save time and money that would otherwise be spent managing multiple software solutions from different vendors.
Key takeaway: Oracle NetSuite’s price varies depending on the different software modules required, the size of your business, its annual revenue and the number of orders your company processes.
Oracle NetSuite’s financial management solution offers a wide range of useful accounting features. Here’s more about how NetSuite can help growing businesses:
Finance and Accounting
With Oracle NetSuite, your business can seamlessly combine its core finance and accounting functions with strong compliance management. This ERP’s financial management solution offers real-time access to your financial data to help you drill into important details, resolve delays, and generate compliance statements and disclosures for your stakeholders.
NetSuite provides the following basic accounting functions to streamline and simplify your financial processes:
Whether your business operates on a transaction, subscription, usage-based or hybrid model, Oracle NetSuite can help you manage your billing operations. It fully integrates into the platform’s advanced revenue management and compliance functions.
Businesses with financial reporting obligations can use NetSuite to easily comply with accounting standards, including ASC 605, 606 and IFRS 15. Using the platform’s rule-based event-handling framework, you can easily automate numerous revenue management and reporting functions, such as forecasting, allocation, recognition, reclassification and auditing.
Financial Planning and Reporting
NetSuite’s planning, budgeting and forecasting functions allow your business to plot out its financial future based on real-time analytics. Use your business data to forecast revenue, plot out what-if scenarios and develop accurate budgets. Oracle’s powerful reporting and analytics tools also allow you to gain a more complete picture of your business at any time to make better informed decisions about your finances.
Global Account Management and Consolidation
If your business plans to expand its borders and go global, you need a financial management solution that helps you manage your international transactions and compliance obligations. Oracle NetSuite’s powerful financial engine gives you maximum transparency and visibility into your business across countries and in real time so you can manage your operations at the local and global level.
To make it easier to run an international business, NetSuite offers a variety of language interfaces to overcome language barriers and a multicurrency management system that supports over 190 different forms of currencies and automatically accounts for the current exchange rate for real-time conversion.
Governance, Risk and Compliance
With Oracle NetSuite, your business will always be audit-ready. This ERP platform supports your company’s governance, risk, and compliance (GRC) programs so you can handle increasingly complex regulatory, operational, and compliance challenges as you scale.
The platform can also establish a sustainable risk management and compliance process for your company so you can anticipate major risks before they happen.
Oracle NetSuite offers seamless integration with all its ERP solutions and integrates with many leading business software providers. If you use other vendors to manage your operations, you can use NetSuite’s open APIs to introduce new integrations.
To take advantage of these integrations, businesses can hire a NetSuite dedicated implementation team for an additional fee. The team not only helps set up the ERP platform itself, but also assists with any additional integrations and project management planning.
Want to use Oracle NetSuite as part of a larger ERP solution? Your financial management processes will integrate seamlessly with Oracle’s full suite of products. This is helpful if you’re trying to gain a more holistic view of your business’s financial transactions, budgets and forecasts.
Here are a few additional useful functions you’ll find within Oracle NetSuite.
Stay on top of your warehouse ordering. This solution helps you ensure ideal quantities of each item you sell by automatically analyzing historical sales and logistics data. NetSuite can determine the best reordering time frame for each product and replenish stock to an optimal threshold when it runs low.
NetSuite helps companies with every sales or work order while providing real-time visibility into every step of the production process. This ERP’s end-to-end manufacturing software solution can help you run your entire business and make better-informed decisions.
Supply Chain Management
NetSuite helps you seamlessly manage each point in your supply chain, regardless of where your physical product is manufactured or stored.
Warehouse and Fulfillment
NetSuite helps businesses with inbound logistics, outbound logistics, and inventory management, streamlining your warehousing operations and helping you minimize costs for on-time delivery. The built-in warehouse management solution enables you to manage your distribution operations using customized user-defined strategies and advanced real-time updates and integrations.
With Oracle NetSuite, it’s easy to purchase goods and services for your business quickly and at the best prices. Real-time information helps you better understand your company spend and vendor performance while automation and workflow integrations deliver a more accurate procure-to-pay process.
Human Capital Management
Manage your team and your human resources processes with NetSuite’s HCM solution, SuitePeople. This solution allows you to streamline employee onboarding and information collection for new hires while also giving visibility into your workforce operations.
Did you know? Oracle NetSuite offers several key tools that are critical for financial management, including basic accounting functions, billing, revenue recognition, planning and reporting, GRC, and more.
Oracle NetSuite Pros
For growing international businesses, Oracle NetSuite offers a robust, all-in-one ERP solution that puts your most valuable business data into a single platform. NetSuite’s full product suite allows your organization’s various departments and systems to operate harmoniously and in real time so every person in your company is always up to date.
Key takeaway: Oracle NetSuite provides just about every feature you could want in an ERP, allowing for a seamless single solution for managing all your operations.
Oracle NetSuite Cons
In terms of accounting software, NetSuite may be prohibitively expensive for smaller businesses. Additionally, it may offer far more functionality than your business needs at this point in its growth, and you don’t want to pay for features you’ll never use.
Ultimately, NetSuite is ideal for midsize and large businesses operating a complex operation, as this ERP solution performs best when all of the modules are used in conjunction with one another.
Oracle NetSuite delivers top-notch customer service across its entire ERP platform, including its financial management solution. The company’s educational resources deliver users the opportunity to learn about NetSuite’s full range of products and stay updated on any new features or capabilities.
NetSuite offers 24/7, real-time support for industries via phone, email and a built-in chatbot on its website. The automated chat functionality can answer simple FAQs or connect you with a customer service representative.
Key takeaway: Oracle NetSuite’s customer service is on a par with what you would expect from a world-class ERP solution, so you can count on being able to find answers to your questions and concerns.
Oracle Cerner has been working on interoperability for years and announced new efforts in latest months since its $28.4 billion acquisition by Oracle.
Oracle Cerner is a founding member of the CommonWell Health Alliance. The CommonWell Health Alliance aims to advance interoperability by connecting systems nationwide and making health data widely available.
Most recently, the CommonWell Health Alliance announced that it would apply to become one of the first qualified health information networks as part of the Trusted Exchange Framework and Common Agreement. TEFCA is part of the 21st Century Cures Act passed in 2016 that aims to establish a nationwide EHR exchange.
Sam Lambson, vice president of interoperability at Oracle Cerner, called the move "a leap forward in achieving our vision for interoperability."
On June 9, Larry Ellison, chair, co-founder and chief technology officer of Oracle said it plans to create a unified database for patient information. "Together, Cerner and Oracle have all the technology required to build a revolutionary new health management information system in the cloud," Mr. Ellison said. The database would have anonymized data from hospitals, clinics and providers across the U.S. and provide up-to-the-minute information about patients' personal health as well as public health statistics.
Oracle Cerner uses network connections and nationwide exchanges to deliver clinicians access to information and data sharing.
Oracle Cerner has also created the EHR analytics solution, dubbed the Lights On Network, which provides data-driven analysis to help understand which interoperability methods are used across organizations.
In December 2021, Hans Buitendijk, director of interoperability strategy at Oracle Cerner joined the National Health Information Technology Advisory Committee. The committee provides recommendations to the National Coordinator for Health Information Technology on policies and standards, as well as implementation criteria.
Thu, 22 Sep 2022 06:11:00 -0500en-gbtext/htmlhttps://www.beckershospitalreview.com/ehrs/oracle-cerner-interoperability-7-takeaways.htmlKillexams : Alithya's dedicated Oracle Practice completes seven Oracle Cloud HCM Go Lives in 2022
Successful implementations completed for major healthcare networks
ALPHARETTA, Ga., Oct. 4, 2022 /CNW Telbec/ - Alithya Group inc. (TSX: ALYA) (NASDAQ: ALYA) ("Alithya") proudly announces the successful completion of seven Oracle Cloud Human Capital Management (HCM) project go lives this year, reflecting the continued strong performance of the company's dedicated Oracle practice. The seven completed implementations focused on the digital transformation of critical processes including payroll, performance, and other core human resources solutions, laying the foundations for future growth and efficiency.
Alithya's reputation as a trusted advisor for the implementation of Oracle Cloud solutions that connect and transform organizations continues to grow, with more than 3,500 Oracle ERP, EPM, HCM, SCM, and Analytics projects completed to date for more than 1,200 customers. Alithya's Oracle Cloud HCM implementation team relies on deep HR experience to guide clients on their journeys to Boost human resources, talent and workforce management, payroll, and HCM analytics processes.
Quote by Mike Feldman, Senior Vice President, Oracle Practice at Alithya:
"The completion of seven Oracle Cloud HCM projects so far in this calendar year is a significant achievement, particularly in a challenging economic climate. These implementations, as well as numerous Oracle Cloud ERP and EPM implementations, reflect the level of trust that our clients place in Alithya's unparalleled Oracle expertise in enterprise business application deployment."
Alithya is a trusted North American leader in strategy and digital transformation, employing a dedicated and highly skilled workforce of 3,900 professionals in Canada, the United States and internationally. Alithya's strategy is based on a plan of accelerated organic growth and complementary acquisitions to create a global leader. The company's integrated offer is based on four pillars of expertise: business strategies, enterprise cloud solutions, application services, and data and analytics.
About the Alithya Oracle Practice
Combining implementation and advisory services, Alithya's dedicated Oracle Practice helps customers manage their organizations more efficiently by connecting financial, operational, human resource, and supply chain planning across all business levels. Alithya has been a certified Oracle Partner for 25 years, and the Practice is supported by more than 300 certified consultants and multiple Oracle ACEs. Alithya also contributes in an advisory role to the Oracle Product Development team. In 2022, Alithya was named an Oracle Partner of the Year finalist for the Game Changer Award for ERP/EPM Service Delivery.
Mon, 03 Oct 2022 23:30:00 -0500en-UStext/htmlhttps://www.yahoo.com/lifestyle/alithyas-dedicated-oracle-practice-completes-113000560.htmlKillexams : Perficient to Demonstrate Multi-Pillar Oracle Expertise at Oracle CloudWorld 2022No result found, try new keyword!For more than 20 years, Perficient and Oracle have partnered to help clients institute efficiencies across the organization while empowering them to regain accessibility and authority of their ...Mon, 17 Oct 2022 02:06:00 -0500en-UStext/htmlhttps://technews.tmcnet.com/news/2022/10/17/9693616.htmKillexams : Deloitte Launches Oracle MyCloud ERP Offering for Fast Growth and Private Companies
Offering helps organizations with accelerated, risk averse transformations by providing access to Oracle products, implement and support for a predictable monthly fee
NEW YORK, Oct. 10, 2022 /PRNewswire/ -- Deloitte today announced the launch of its Oracle MyCloud ERP offering that can help fast growth and private clients accelerate business transformation enabled by Oracle's modern integrated SaaS Cloud platform. Backed by Deloitte's proprietary industry accelerators and methodologies, the offering helps organizations to get up and running quickly on an Oracle Cloud platform while eliminating the barriers of talent constraints and high upfront costs, which are often associated with ERP implementations. The bundled subscription offering allows organizations to access Oracle Cloud products as well as Deloitte implementation and support services for a consistent monthly fee. This enables companies that are focused on growth to manage their cash flows and to continue to allocate their limited time and resources toward expansive activities.
"We are pleased to have the opportunity to use Deloitte intellectual property and knowledge to serve growth and private clients as they scale and drive their businesses forward. This offering demonstrates our commitment to this market and our desire to assist the leaders of tomorrow," said John Steele, U.S. Oracle offering leader and principal, Deloitte Consulting LLP.
For those interested in exploring Cloud ERP™ further, the starting place is a TruNorth Assessment. A quick, collaborative and effective approach that takes approximately three weeks. Deloitte helps prospects to envision the desired future state, identify transformation opportunities, and develop strategies and roadmaps for the journey.
Experience Deloitte's MyCloud firsthand Deloitte is pleased to be the Global Sponsor of Oracle CloudWorld in Las Vegas, Oct. 17-20, 2022. This new global conference will bring people together to share ideas, develop in-demand skills and learn about cloud infrastructure and applications. Connect with Deloitte professionals at the CloudWorld Hub and attend a theatre presentation on MyCloud ERP enabled by Oracle Cloud.
About Deloitte Deloitte provides industry-leading audit, consulting, tax and advisory services to many of the world's most admired brands, including nearly 90% of the Fortune 500® and more than 7,000 private companies. Our people come together for the greater good and work across the industry sectors that drive and shape today's marketplace — delivering measurable and lasting results that help reinforce public trust in our capital markets, inspire clients to see challenges as opportunities to transform and thrive, and help lead the way toward a stronger economy and a healthier society. Deloitte is proud to be part of the largest global professional services network serving our clients in the markets that are most important to them. Building on more than 175 years of service, our network of member firms spans more than 150 countries and territories. Learn how Deloitte's approximately 415,000 people worldwide connect for impact at www.deloitte.com.
Deloitte refers to one or more of Deloitte Touche Tohmatsu Limited, a UK private company limited by guarantee ("DTTL"), its network of member firms, and their related entities. DTTL and each of its member firms are legally separate and independent entities. DTTL (also referred to as "Deloitte Global") does not provide services to clients. In the United States, Deloitte refers to one or more of the US member firms of DTTL, their related entities that operate using the "Deloitte" name in the United States and their respective affiliates. Certain services may not be available to attest clients under the rules and regulations of public accounting. Please see www.deloitte.com/about to learn more about our global network of member firms.
Mon, 10 Oct 2022 02:28:00 -0500entext/htmlhttps://markets.businessinsider.com/news/stocks/deloitte-launches-oracle-mycloud-erp-offering-for-fast-growth-and-private-companies-1031793401Killexams : Oracle Lays Off 201 Employees In California
The cuts affected workers at Oracle offices in Redwood City, Calif., home to the tech giant’s former headquarters. The jobs that were affected included data scientists, application developers, marketing specialists and software developers.
The Austin, Texas company cut 201 jobs in total on Oct. 3 from its Redwood City, Calif. office, according to its Worker Adjustment and Retraining Notification (WARN) filed in California. The job cuts took effect Oct. 3 and was received by the California Employment Development Department Sept. 30, according to the WARN.
In a letter to the state obtained by CRN, Oracle said the layoffs would be permanent and said that its Redwood Shores campus would not be closing as a result of the job cuts. Oracle formerly housed its headquarters in Redwood City, but moved it to Austin at the end of 2020.
Among the jobs cut in this round, according to the Aug. 4 letter to the state from Anje Dodson, senior vice president of human resources at Oracle: data scientists, application developers, marketing specialists and software developers.
CRN has reached out to Oracle for comment.
As of this past May, Oracle employed approximately 143,000 full-time employees, of which about 48,000 are based in the U.S. and the rest internationally, according to a regulatory filing.
The company is the No. 1 employer in Redwood City, Calif. with over 6,500 workers there, according to the city.
Thu, 13 Oct 2022 06:05:00 -0500entext/htmlhttps://www.crn.com/news/cloud/oracle-lays-off-201-employees-in-californiaKillexams : VA will halt Oracle-Cerner implementation until patient safety concerns are addressed
The Veterans Health Administration's rollout of its Oracle-Cerner EHR system will not continue until patient safety concerns are addressed, according to Sept. 26 reporting in FedScoop.
VA Secretary Denis McDonough confirmed the news Sept. 26, responding to questions at an event hosted by the Defense Writers Group. Mr. McDonough confirmed that the VA is working through an implementation checklist with each hospital setting up the new EHR system.
The rollout was paused in June after a federal watchdog alleged that a flaw in Cerner's system caused harm to 148 veterans at Spokane, Wash.-based Mann-Grandstaff Medical Center.
"I think we've been clear that we have to be confident that these risks to patient safety are addressed before we go live. So we're not just focused on the passage of time between now and next year; we're focused on improving the system," Mr. McDonough said.
Becker's has reached out to Cerner and will update this report if more information becomes available.
Mon, 26 Sep 2022 09:20:00 -0500en-gbtext/htmlhttps://www.beckershospitalreview.com/ehrs/va-will-halt-oracle-cerner-implementation-until-patient-safety-concerns-are-addressed.htmlKillexams : Oracle pays to make bribery charges go away
Only in America you can pay to make bribery charges go away
Oracle has paid $23 million to the US Securities and Exchange Commission to settle corruption charges that subsidiaries in Turkey, United Arab Emirates and India used "slush funds" to bribe foreign officials to win business.
The SEC said Oracle violated provisions of the Foreign Corrupt Practices Act (FCPA) during a three-year period between 2016 and 2019.
The cash that was apparently set aside was to paying foreign officials to attend technology conferences, which breaks Oracle's own internal policies and procedures.
SEC said that in some instances, it found Oracle staff at the Turkish subsidiary had spent the funds on taking officials' families with them on International conferences or side trips to California.
SEC investigator Charles Cain said: ""The creation of off-books slush funds inherently gives rise to the risk those funds will be used improperly, which is exactly what happened here at Oracle's Turkey, UAE, and India subsidiaries. This matter highlights the critical need for effective internal accounting controls throughout the entirety of a company's operations."
However, because Oracle wrote a cheque for its antics it does not have to admit or deny the findings of the SEC's investigation, it just has to promise not to do the thing it does not admit to, ever again.
New release delivers seven JDK Enhancement Proposals to increase developer productivity, Boost the Java language, and enhance the platform's performance, stability, and security
Java 19's key capabilities to be showcased at JavaOne 2022 in Las Vegas on October 17-20
AUSTIN, Texas, Sept. 20, 2022 /PRNewswire/ -- Oracle today announced the availability of Java 19, the latest version of the world's number one programming language and development platform. Java 19 (Oracle JDK 19) delivers thousands of performance, stability, and security improvements, including enhancements to the platform that will help developers Boost productivity and drive business-wide innovation. Oracle will showcase the latest capabilities in Java 19 at JavaOne 2022, taking place October 17-20 in Las Vegas, and via a keynote broadcast airing on dev.java/ at 9:00 a.m. PT on Tuesday, September 20.
"Our ongoing collaboration with the developer community is the lifeblood of Java. As the steward of Java, Oracle is steadfastly committed to providing developers and enterprises with the latest tools to help them create innovative apps and services," said Georges Saab, senior vice president of development, Java Platform and Chair, OpenJDK Governing Board, Oracle. "The powerful new enhancements in Java 19 are a testament to the monumental work across the global Java community."
The latest Java Development Kit (JDK) provides updates and improvements with seven JDK Enhancement Proposals (JEPs). Most of these updates are to be delivered as follow-up preview features improving on functionality introduced in earlier releases.
JDK 19 delivers language Improvements from OpenJDK project Amber (Record Patterns and Pattern Matching for Switch); library enhancements to interoperate with non-Java Code (Foreign Function and Memory API) and to leverage vector instructions (Vector API) from OpenJDK project Panama; and the first previews for Project Loom (Virtual Threads and Structured Concurrency), which will drastically reduce the effort required to write and maintain high-throughput, concurrent applications in Java.
"Java developers are increasingly seeking tools to help them efficiently build highly functional applications for deployment in the cloud, on-premises, and in hybrid environments," said Arnal Dayaratna, research vice president, software development, IDC. "The enhancements in Java 19 deliver on these requirements and illustrate how the Java ecosystem is well-positioned to meet the current and future needs of developers and enterprises."
Oracle delivers new Java Feature releases every six months via a predictable release schedule. This cadence provides a steady stream of innovations while delivering continuous improvements to the platform's performance, stability, and security, helping increase Java's pervasiveness across organizations and industries of all sizes.
The most significant updates delivered in Java 19 are:
Updates and Improvements to the Language
JEP 405:Record Patterns (Preview): Enables users to nest record patterns and type patterns to create a powerful, declarative, and composable form of data navigation and processing. This extends pattern matching to allow for more sophisticated and composable data queries.
JEP 427:Pattern Matching for Switch (Third Preview): Enables pattern matching for switch expressions and statements by permitting an expression to be tested against a number of patterns. This allows users to express complex data-oriented queries concisely and safely.
JEP 424:Foreign Function and Memory API (Preview): Enables Java programs to more easily interoperate with code and data outside of the Java runtime. By efficiently invoking foreign functions (i.e., code outside the Java Virtual Machine [JVM]), and by safely accessing foreign memory (i.e., memory not managed by the JVM), this API enables Java programs to call native libraries and process native data via a pure Java development model. This results in increased ease-of-use, performance, flexibility, and safety.
JEP 426:Vector API (Fourth Incubator): Enables superior performance compared to equivalent scalar computations by expressing vector computations that reliably compile at runtime to vector instructions on supported CPU architectures.
Project Loom Preview/Incubator Features
JEP 425:Virtual Threads (Preview): Dramatically reduces the effort of writing, maintaining, and observing high-throughput concurrent applications by introducing lightweight virtual threads to the Java Platform. Using virtual threads allows developers to easily troubleshoot, debug, and profile concurrent applications with existing JDK tools and techniques.
JEP 428:Structured Concurrency (Incubator): Streamlines error handling and cancellation, improves reliability, and enhances observability by simplifying multithreaded programming and treating multiple tasks running in different threads as a single unit of work.
Driving Java Innovation in the Cloud
The Java 19 release is the result of extensive collaboration between Oracle engineers and other members of the worldwide Java developer community via the OpenJDK Project and the Java Community Process (JCP). In addition to new enhancements, Java 19 is supported by Java Management Service – an Oracle Cloud Infrastructure (OCI) native service – that provides a single pane of glass to help organizations manage Java runtimes and applications on-premises or on any cloud.
Supporting Java Customers
The Oracle Java SE Subscription is a pay-as-you-go offering that provides customers with best-in-class support, entitlement to GraalVM Enterprise, access to the Java Management Service, and the flexibility to upgrade at the pace of their businesses. This helps IT organizations manage complexity, contain costs, and mitigate security risks. In addition, Java SE and GraalVM Enterprise are offered free of charge on OCI, enabling developers to build and deploy applications that run faster, better, and with unbeatable cost-performance on Oracle Cloud.
Underscoring Java's popularity with the global developer community, Oracle is proud to recognize the one millionth completed Java certification. Java certifications help developers stand out as Java experts and raise their profiles with enterprises seeking to attract highly skilled Java professionals.
Oracle offers integrated suites of applications plus secure, autonomous infrastructure in the Oracle Cloud. For more information about Oracle (NYSE: ORCL), please visit us at www.oracle.com.
Oracle, Java, and MySQL are registered trademarks of Oracle Corporation.
Tue, 20 Sep 2022 04:04:00 -0500en-UStext/htmlhttps://finance.yahoo.com/news/oracle-releases-java-19-151000595.htmlKillexams : A VA Official Has 'Deep Concerns' About the Agency's Electronic Health Record Deployment
Senators pressed officials from the Veterans Affairs Department to address cost and usability issues hindering the rollout of VA’s multi-billion dollar Oracle-Cerner Millennium electronic health record system during a Senate Appropriations Subcommittee on Military Construction, Veterans Affairs and Related Agencies hearing on Wednesday.
Dr. Shereef Elnahal, VA’s undersecretary for health, said he has “deep concerns about the system as it’s functioning for frontline employees and service to veterans,” noting that he visited the VA Central Ohio Healthcare System in Columbus earlier this year following the medical center’s EHR deployment and “saw folks struggling with this system deeply.”
“Among the most concerning things that I saw was a phenomenon whereby our frontline clinicians, when they put in an order or were trying to interface with the system, they were not confident in many cases and in many clinical settings that those orders were actually getting where they needed to go,” Elnahal said, adding that the experience led to a broader review within VA of how workflows and the configuration of the EHR system could be improved.
Sen. Martin Heinrich, D-N.M., who chairs the subcommittee, reiterated his support for VA’s EHR modernization efforts, calling it “an extremely important effort to solve a decades-long problem.” But Heinrich expressed concern about VA’s transparency throughout the EHR deployment process, citing cost overruns that were not initially conveyed to Congress when the program was launched and an implementation process that has been hindered by delays and functionality concerns.
“I am glad VA is not rushing deployments until there’s more confidence in the likelihood of success, but the department needs to be straightforward with Congress about what is reasonable and achievable,” Heinrich said.
VA signed a $10 billion, 10-year contract with Cerner in 2018 to implement new, interoperable EHR software across the department’s national network of 171 medical centers, replacing its legacy system. The EHR system rollout, however, has been plagued by software outages, logistical delays and patient safety issues that have hampered the deployment process. A highly critical watchdog report released by the VA Inspector General’s office in July found that the EHR system deployed at the department’s initial rollout site—the Mann-Grandstaff VA Medical Center in Spokane, Washington—routed more than 11,000 clinical orders for veterans to an “unknown queue” without alerting clinicians.
Sen. John Boozman, R-Ark., the subcommittee’s ranking member, noted that approximately $8.5 billion has already been appropriated to launch the EHR system over the past five years, and that VA is seeking another $1.75 billion for the program for fiscal year 2023.
“At the outset, we were told that this program would cost no more than $16 billion and would be complete in 10 years,” Boozman said. “In the years since, VA has deployed the new system at only a small handful of sites, and those rollouts have been challenging, to say the least.”
VA’s beleaguered EHR deployment has garnered bipartisan criticism from lawmakers, who passed legislation—the VA Electronic Health Record Transparency Act—earlier this year requiring that the VA Secretary submit reports to Congress on cost, performance and patient safety issues related to the system’s deployment. President Joe Biden signed the bill into law in June. The Senate subcommittee hearing was held one day after lawmakers on two House Veterans’ Affairs subcommittees faulted VA for its major acquisition failures, including its EHR system deployment.
Sen. Jon Tester, D-Mont., who chairs the Senate Veterans’ Affairs Committee, criticized VA’s lack of progress deploying the new EHR system and said “I don’t know if we’ve got a return on investment to speak of at all.”
“We're into this damn near five years—it’ll be five years in May—and we still haven't done a damn thing,” Tester said. “I mean, we've implemented, and it's been a trainwreck, in my opinion."
The VA had rolled out the EHR system at five medical sites, before announcing in July that it was postponing future deployments of the software until next year. VA initially delayed a planned EHR rollout at Boise VA Medical Center in June, before indefinitely postponing the site’s rollout in July after an assessment determined that “more could be done to ensure a safe and successful deployment.” VA’s EHR deployment schedule currently has the software slated to go live at 25 medical sites, including Boise, in fiscal year 2023.
VA Deputy Secretary Donald Remy said the department is “looking closely at the schedule” and that “there are issues that need to be resolved before we can go live.”
Remy said that VA uses a site readiness checklist—which includes issues related to training, infrastructure and patient safety protections—to determine whether or not the EHR system is ready for deployment. That review process, he said, will largely guide future rollouts.
“As we’re working with a site for potential deployment, we work through these issues to make sure they have them covered,” Remy added. “An example of the effectiveness of that checklist was Boise recently, where we determined we weren’t going live as we went through the checklist.”
A cost estimate provided to Congress by the Institute for Defense Analyses—or IDA—in July estimated that the lifecycle cost of the EHR system’s implementation would be more than $50 billion over 28 years, with the EHR deployment process at all of VA’s medical centers taking 13 years. As was noted during the hearing, VA has not yet allowed IDA to publicly release its cost estimate.
Dr. Brian Rieksts, a research staff member in IDA’s cost analysis and research division, said that VA’s 10-year, $16 billion implementation and cost estimate did not take into account assumed productivity losses at medical centers deploying the EHR software, as well as sustainment costs needed to keep the EHR systems operational. And Rieksts told Boozman that IDA’s additional three-year deployment estimate was based on risk analysis.
“We estimate a range of one to five additional years over the 10-year period that will be required, and that’s based on both looking at historical programs and the challenges that they’ve had, and then events that have happened with the current program that have led to delays that don’t indicate that this program would behave differently than historical programs,” Rieksts said.
Remy said, however, that VA still believes it can accomplish the EHR rollout within the 10-year contract period—although he added the caveat that the department is committed to doing so in a “safe, effective manner for our clinicians and our veterans.”
“If that needs to go beyond 10 years, we’re working through the process of determining what that time period might be,” Remy said.
Mike Sicilia, executive vice president for industries at Oracle, told the senators that proper implementation of the EHR system was Oracle’s “most important” priority and added that the company has moved 2,000 employees onto the project to complement the existing Cerner team. Sicilia said Oracle—which acquired Cerner in June—still believes it “can deliver this system within the budget envelope and without the need for any additional funds.”
Sicilia cited Oracle’s latest partnership with Accenture to “evaluate the current training program,” as well as the launch this week of a new dashboard “that catalogs our to-do list and progress being made” on the project, as examples of the company’s commitment to ensuring the success of the EHR system’s deployment moving forward.
“As we have examined the underlying causes for these delays and challenges, our conclusion is that we have found nothing that can’t be addressed in reasonably short order to get us back on a workable schedule and within budget,” Sicilia said. “We know we have a lot to prove with deployments next year at larger, more complex sites. We view the next year as a key window for building momentum and turning the corner.”