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Killexams : Oracle Implementation health - BingNews https://killexams.com/pass4sure/exam-detail/1Z0-966 Search results Killexams : Oracle Implementation health - BingNews https://killexams.com/pass4sure/exam-detail/1Z0-966 https://killexams.com/exam_list/Oracle Killexams : Why big health systems are moving to Epic

Two large health systems — Atlanta-based Emory Healthcare and Houston-based Memorial Hermann — recently switched their EHRs from Oracle Cerner to Epic, continuing a trend of bigger hospital groups moving to the Verona, Wis.-based software giant.

Several health system CIOs and other IT leaders told Becker's the reasons for this include the desire to consolidate to one EHR from multiple vendors, with Epic being the most dominant player, while others said not to put too much stock in the name of the companies as the EHRs are fairly similar and depend on what your patients and clinicians are looking for.

"When you've seen one health system, you've seen one health system," said Aaron Miri, senior vice president and chief digital and information officer of Jacksonville, Fla.-based Baptist Health.

But he said Baptist Health went to Epic, a transition completed July 30, to integrate into a single EHR.

"While I can't speak for other health system's reasons, I do think that healthcare is becoming so complicated with so many intersecting levels of care that all health systems must be asking themselves how to simplify the equation and make care delivery a much more seamless experience for providers and patients alike," he said. 

Still research bears out this trend. KLAS Research, which studies EHR use among hospitals, has found bigger systems going to Epic in recent years and Oracle Cerner gaining smaller facilities.

"KLAS is still collecting, tabulating and verifying data for 2022, but the trend of Epic gains, especially among large hospitals and IDNs, appears to be continuing. Cerner's trend of winning several small hospitals also appears to be holding," said Coray Tate, vice president of core solutions and interoperability at KLAS.

Epic is also typically the EHR used by academic medical centers, said Lisa Nelson, PharmD, vice president of IT applications for University of Rochester (N.Y.) Medical Center.

"It is the platform used in training a generation of providers, nurses and pharmacists as students and residents," she said.

While Epic dominates the U.S. market, Oracle Cerner is the leader by hospital market share worldwide. Oracle said it could help Cerner expand its global reach after it bought the EHR vendor in June for $28.4 billion.

Even though New York City-based Weill Cornell Medicine uses Epic, its biggest affiliates in the Middle East have opted for Oracle Cerner, said CIO Curtis Cole, MD. He said Oracle Cerner provides better support internationally and is more accommodating of local laws and customs.

"In the U.S., Epic is especially compelling in large systems," he said. "It simply solves more problems and scales better. Epic's strict implementation practices mean you will end up with a functional system, even if it isn't fabulous."

Dr. Cole said some former customers of EHR vendor Allscripts, which also has had a bigger share of academic medical centers, miss its flexibility and innovation potential compared to Epic.

"Epic makes it really hard to be exceptional — exceptionally good or exceptionally bad," he said.

"But with the Oracle takeover, I expect more systems will move to Epic," he added. "Epic's dictatorship is at least benevolent."

Other CIOs pointed to the Oracle deal as a reason for the recent switches. 

"The healthcare industry is risk-averse and does not like uncertainty," said Michael Saad, senior vice president and CIO of Knoxville-based University of Tennessee Medical Center. "For health systems already contemplating a move from Cerner to Epic, the acquisition of Cerner by Oracle has accelerated some of these conversations."

He said one of Oracle Cerner's challenges is a lack of a robust, clinically integrated revenue cycle platform, though he noted that the company plans to implement the beta version of its RevElate solution starting later this year.

"Until Cerner can successfully address this gap and convince health systems that they have an integrated revenue cycle solution, we will continue to see health systems move to Epic," Mr. Saad said.

An Epic spokesperson said the company's gains have been consistent, averaging about 26 large healthcare system pickups a year. The spokesperson pointed to Epic being an integrated system that is built around the patient and preferred by physicians, better financial returns among health systems, high patient satisfaction with MyChart, interoperability among Epic customers, and organizations wanting to collaborate with the Epic peer group. Oracle Cerner didn't respond to requests for comment for this story. 

"I am not surprised as we have seen this shift occur over the past decade as health systems move away from best-of-breed strategies, instead focusing on a high level of integration, not only with respect to their internal software systems but additionally integration with other health systems leveraging [Epic programs like] CareEverywhere and Cosmos," said Josh Glandorf, CIO of University of California San Diego Health.

In an era of hospital consolidation, health systems may buy other hospitals or groups that are on different EHR vendors, then decide to integrate them all into one.

"In these situations, there is a 'you can't go wrong with Epic' sentiment that often prevails," said Joyce Oh, CIO of Tampa, Fla.-based Moffitt Cancer Center. "Epic is a perfectly fine and expected choice."

But she said Oracle Cerner is a better fit for Moffitt. She embraces the vision of Oracle Health Chair David Feinberg, MD, to move the company from "technologically driven" to "clinically driven," which could help boost oncology care delivery and research support. She hopes Oracle employs its data expertise to help Cerner customers find better insights for value-based care.

"A race is not a race with only one participant," Ms. Oh said. "Competition keeps participants pushing to improve, excel, and move further than ever before. The Epic-Cerner 'race' is not only healthy but I am certain will Excellerate EHR technology, data, and (ultimately) patient outcomes for the health systems that utilize these platforms."

Mon, 17 Oct 2022 02:12:00 -0500 en-gb text/html https://www.beckershospitalreview.com/ehrs/why-big-health-systems-are-moving-to-epic.html
Killexams : 4 health systems switching from Oracle Cerner to Epic EHRs

Naomi Diaz -

Below are four health systems that have switch to or announced plans to switch from an Oracle Cerner EHR system to an Epic EHR system:

  • Houston-based Memorial Hermann Health System is switching from its Oracle Cerner EHR system to an Epic EHR system. The implementation will begin in early 2023 and take multiple years.
  • Atlanta-based Emory Healthcare is switching from its Oracle Cerner EHR system to an Epic EHR system. The health system made the switch on Oct. 1. According to Emory Healthcare, the new system will help it seamlessly share patient records and Excellerate its billing and scheduling functions.
  • MercyOne health system will transition to Epic EHR to align with Livonia, Mich.-based Trinity Health.
  • In June, Naples, Fla.-based NCH Healthcare System agreed to spend $65 million to transition its Cerner EHR system to an Epic system.

Copyright © 2022 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

Fri, 07 Oct 2022 04:51:00 -0500 en-gb text/html https://www.beckershospitalreview.com/ehrs/4-health-systems-switching-from-oracle-cerner-to-epic-ehrs.html
Killexams : VA Postpones Oracle Cerner EHR Implementations to June 2023 No result found, try new keyword!VA has pushed EHR implementations off to June 2023 after finding more deficiencies with the Oracle Cerner system, including issues with patient scheduling and referrals. Fri, 14 Oct 2022 05:00:00 -0500 en-US text/html https://ehrintelligence.com/news/va-postpones-oracle-cerner-ehr-implementations-to-june-2023 Killexams : Oracle, fear and loathing

With Oracle CloudWorld in Las Vegas kicking off, the on-going battle with third party support provider Rimini Street is once again making the news. On October 10th Oracle said it had informed the court that it is prepared to proceed with a bench trial “because it is the most efficient path to ending Rimini’s illegal conduct, including its longstanding and continuing violations of Oracle’s copyrights.”

Oracle offers three support stages for its enterprise software, tools and databases: Premier Support, Extended Support, and Sustaining Support. In Oracle’s words, these “deliver maximum value by providing you with rights to major product releases so you can take full advantage of technology and product enhancements.”

Premier Support provides a standard five-year support policy for Oracle Technology products; Extended Support provides for an additional three years, and Sustaining Support is indefinite technical support.

In its Magic Quadrant report for cloud database management products, Gartner warned that Oracle’s on-premises products are often perceived to be expensive and difficult to manage, and customers continue to raise concerns about contract negotiations. In fact, Oracle recently increased maintenance charge from 5% to 8% of the original contract value.

Fixes, updates, and critical patch updates created during Premier Support and Extended Support are the only fixes available when the product reaches Sustaining Support. One needs to question why people continue to buy support, if the only patches they are entitled to are the ones that have already been published.

The challenge for many IT leaders is that while they may wish to continue running Oracle, especially if it is part of a core system of record, such as the Oracle relational database, they are being encouraged, or worse, coerced, into upgrading. One of the big benefits of third-party support contracts is that they separate software from maintenance and support.

But Oracle contracts stipulate that technical support may not be discontinued for a single program module within a custom application bundle. In effect, buying the best Oracle deal bundle will mean the customer remains tied in to paying full maintenance fees on all products in that bundle, even if some are replaced with non-Oracle products or third party support is used.

Rimini Street originally ended up on the wrong side of Oracle IP (intellectual Property) in 2010 and in October 2015, a jury found that Rimini Street infringed 93 copyrights.

While Oracle claims Rimini downloaded its IP illegally, customers paying Oracle for maintenance have every right to obtain fixes, patches and documentation, so long as these things remain on their own systems. What Oracle’s latest actions show is that it remains deadly serious about putting the knife into third party maintenance and support.

Wed, 12 Oct 2022 23:23:00 -0500 en text/html https://www.computerweekly.com/blog/Cliff-Sarans-Enterprise-blog/Oracle-fear-and-loathing
Killexams : Wellsheet Introduces EHR Workflow Relief to Increase Efficiency During Critical Nursing Shortage

KANSAS CITY, Mo., Oct. 17, 2022 (GLOBE NEWSWIRE) -- ORACLE CERNER HEALTH CONFERENCE - Wellsheet Inc., the leading Smart EHR UI provider reducing physician burnout and increasing Electronic Health Record (EHR) efficiency and usability, introduced Virtual Nursing Station, built specifically for nursing workflows to optimize patient care, efficiency and job satisfaction of nursing staff.

"High rates of clinician burnout and worker turnover have resulted in an unsustainable nursing shortage that is impacting patient care and is reflected in the financial losses reported by health systems, which can't cut their way to profitability or higher quality care. They must invest in technology that provides greater efficiency and brings costs down," said Craig Limoli, CEO and founder of Wellsheet.

"Virtual Nursing Station is a cross-functional team collaborative care solution built for nurses, care managers and providers, which increases EHR efficiency and breaks down silos between nurses and providers. VNS enables multidisciplinary care teams to work together within the EHR with immediate access to the latest content on nursing activity and planning, including easy access to each other's notes, recommendations, and real-time notifications to speed care delivery. Faster access to data equates to faster treatment plans and ultimately shorter lengths of stay (LOS)," continues Limoli.

Nursing staff will also have access to an elevated collaboration space where care managers can raise immediate focus to key information on patients and their care plans, which are traditionally buried deep within the EHR. VNS was built in collaboration with healthcare providers and is currently in deployment.

Wellsheet elevates the most relevant data from a Cerner, Epic or athenahealth Electronic Health Record (EHR) based on a clinician's specialty and workflow habits, and prioritizes clinical content and serves it up in a single screen. It assembles the right information in a predictive, intuitive and customizable workflow that allows providers to quickly arrive at the correct clinical insights without compromising the provider-patient interaction. Wellsheet's Smart EHR UI is embedded within the EHR and gives providers, nurses and care managers the ability to understand what needs to be done without compromising the provider-patient interaction, enabling clinicians to make more informed decisions and reduce errors. And Wellsheet's architectural redundancy enables care teams to access patient data and communicate a plan of care even when the EHR goes down due to a cyberattack or other IT outage.

Easy and timely access to notifications are key to the efficiency of the nursing staff, the quality of patient care and the cost savings associated with timely discharge. Examples of real-time notifications that have been embraced include:

  • Positive/Negative COVID-19 test: Patient is in a negative pressure room where tests sometimes take time. Fast notification allows decisions (move/discharge/etc) to happen sooner which could impact care plans and Length of Stay (LOS).
  • Lactate >= 4 mg/dL: Requires fast action by provider. Notification via EHR, especially mobile, is faster than critical results workflow. When notified, the provider can evaluate immediately in the context of other data and prioritize seeing the patient.
  • STAT test result: Clinician orders an urgent test. Notification allows the clinician to act on the result without the delay that would otherwise happen.
  • Pending test results: Clinician reviews a set of results, but some are still not ready. Notification allows the clinician to make decisions as soon as the picture is complete.

Modern Cloud-Based Architecture with FHIR APIs

Wellsheet uses the Fast Healthcare Interoperability Resources (FHIR) application programming interfaces (APIs), and can pull and prioritize key patient data from multiple data sources with an accelerated implementation and deployment timeline. It can deploy its Smart EHR UI in weeks, with minimal IT support time, and clinician training takes only minutes. Wellsheet especially impacts productivity for clinicians working across various sites of service in the same facility, or across different EHRs between facilities and different health systems.

Pricing and Availability

Virtual Nursing Station will be available this year for both Cerner and Epic customers and is included at no extra cost with the Wellsheet Smart EHR UI. Wellsheet will show VNS at the Oracle Cerner Health Conference (OCHC) in Kansas City, and HLTH in Las Vegas.

To learn more about how you can deploy Wellsheet's Smart EHR UI to reduce clinician burnout and Excellerate your bottom line:

About Wellsheet

Wellsheet's Smart EHR UI is a predictive clinical workflow platform that works within an existing EHR to surface the most relevant content for clinicians in a view that is contextualized and prioritized for their needs. It is integrated with athenahealth, Cerner and Epic to reduce a physician's time in the EHR, reducing physician burnout, length of stay, and improving the quality of patient care. According to Cerner Lights On Reporting, Wellsheet reduced time in the EHR by 40%. Wellsheet is deployed in enterprise-wide deals, integrated with payers, and is deployed or engaged with 2 of the largest healthcare providers in the country. Learn more at www.wellsheet.com or @Wellsheet_Inc.

Wellsheet and Virtual Nursing Station are trademarks of Wellsheet, Inc.

A photo accompanying this announcement is available at https://www.globenewswire.com/NewsRoom/AttachmentNg/1d9b5a5d-bc29-46d0-94c5-970510d89844

Wellsheet Press Contact:
Mari Mineta Clapp
mari@wellsheet.com 
(408) 398-6433
@MariMinetaClapp

© 2022 Benzinga.com. Benzinga does not provide investment advice. All rights reserved.

Mon, 17 Oct 2022 01:07:00 -0500 text/html https://www.benzinga.com/pressreleases/22/10/g29287757/wellsheet-introduces-ehr-workflow-relief-to-increase-efficiency-during-critical-nursing-shortage
Killexams : VA’s electronic health records system hit with pharmacy module outage Written by

The Department of Veterans Affairs’ electronic health records platform was hit with an outage Thursday that affected pharmacy services, FedScoop understands.

According to government sources, electronic health record pharmacy services were unavailable for outpatients for much of the day. The issue was detected at 8:35 a.m. eastern time and resolved at about 6:19 p.m. eastern time, after Oracle Cerner engineers identified that the downtime was caused by an application package coding issue.

During that downtime, veterans and active-duty service members were unable to fill prescription orders through Medication Manager Retail (MMR), which is a retail pharmacy module that forms part of the EHR system. MMR is designed to provide pharmacists with the information they need to ensure patients receive the correct medication.

In a separate reported IT incident, certain patients were also unable to access Defense Enrollment Eligibility Reporting System, which is a computerized database of military sponsors, families and others around the world who are eligible for U.S. military healthcare benefits. The issues with this system resolved without intervention from technicians, and the VA is undertaking a root cause analysis.

The outages represent the latest problems to afflict the VA’s troubled electronic health records modernization program, which has provoked ire from lawmakers and VA frontline medical staff.

The VA’s Office of Inspector General earlier this year published a trio of reports that identified major concerns about care coordination, ticketing and medication management associated with the EHR program launch.

The implementation of the VA’s new EHR system on an Oracle Cerner developed platform to medical centers around the country has been delayed from its original estimates by at least one to two years due to long-identified issues with the program’s reliability and safety that could put veterans in danger.

Oracle Cerner and the VA did not immediately respond to a request for comment.

Fri, 07 Oct 2022 07:47:00 -0500 Nihal Krishan en text/html https://www.fedscoop.com/vas-electronic-health-records-system-hit-with-pharmacy-module-outage/
Killexams : VA extends delay of electronic health record launch to June 2023
The Department of Veterans Affairs has suspended the rollout of its new multibillion-dollar electronic health records system until June 2023 to allow more time to overcome recurring problems with the computer program at several hospitals across the country, agency officials announced Thursday, Oct. 13, 2022.

The Department of Veterans Affairs has suspended the rollout of its new multibillion-dollar electronic health records system until June 2023 to allow more time to overcome recurring problems with the computer program at several hospitals across the country, agency officials announced Thursday, Oct. 13, 2022. (U.S. Air Force)

WASHINGTON – The Department of Veterans Affairs has suspended the rollout of its new multibillion-dollar electronic health records system until June 2023 to allow more time to overcome recurring problems with the computer program at several hospitals across the country, agency officials announced Thursday.

“Right now, the Oracle Cerner electronic health record system is not delivering for veterans or VA health care providers – and we are holding Oracle Cerner and ourselves accountable to get this right,” Deputy Secretary of Veterans Affairs Donald Remy said in a prepared statement. “We are delaying all future deployments of the new EHR while we fully assess performance and address every concern. Veterans and clinicians deserve a seamless, modernized health record system, and we will not rest until they get it.”

The announcement followed the death of a veteran in September at the Chalmers P. Wylie Veterans Outpatient Clinic in Columbus, Ohio, which was reported by The Spokesman-Review, a newspaper in Spokane, Wash.

“Patient safety is VA’s top priority, and we are investigating the patient’s death, which occurred at a community hospital,” according to a VA statement issued Friday. “Currently, this investigation is ongoing and there has not been any determination made on the root cause of this incident.”

There was also another records system outage that affected pharmacy services on Oct. 7 for almost 10 hours, according to Fed Scoop, a federal technology website.

The VA said the outage impacted all Defense Department, Coast Guard and VA sites that now use the new records system from the company Oracle Cerner. The agency said Oracle Cerner engineers are working on fixing the problem, but this outage was not the reason for extending the delay on the records system rollout.

The VA had originally scheduled to launch the new records system in July at the Boise VA Medical Center but moved it to 2023 after the VA inspector general released a report that revealed the system caused harm to 149 VA patients.

So far, the new records system has been launched at five of the VA’s 166 health care facilities. In some cases, additional launches at some facilities have been postponed because of ongoing problems with records system, along with delays caused by the impact of the coronavirus pandemic.

At the Mann-Grandstaff VA Medical Center in Spokane, Wash., where the system was launched first in October 2020, issues included unauthorized and inaccurate medication orders, patients' name and gender errors, issues in scheduling primary care appointments, misdirected links to video medical appointments and lost referrals.

In the meantime, the VA said it will continue to focus on the five facilities where the new records system has been launched. The agency said it also will send letters to veterans who had been impacted by the system’s issues, inquiring whether they had experienced delays in medications, appointments, referrals, or test results. If they have experienced any issues, the VA said the veteran should reach out to the agency and expect someone to follow up with them within five business days to resolve the issue.

“When it comes to delivering the quality health care our nation’s veterans have earned, we have to hit the mark the first time around,” Sen. Jon Tester, D-Mont., chairman of the Senate Committee on Veterans’ Affairs, said in a prepared statement. “That’s why I’ll continue holding VA and Oracle Cerner’s feet to the fire in fixing system-wide issues so existing facilities and any future rollouts guarantee VA health care staff have the tools to provide veterans safe, timely care.”

The VA originally signed a $10 billion contract with Cerner in May 2018 to overhaul the agency's health records system and make it compatible with the Defense Department’s system. However, the cost of the project later increased to about $16 billion.

Last October, Paul Brubaker, acting principal deputy assistant secretary and deputy chief information officer at VA's Office of Information Technology, told House lawmakers that the agency contracted with the nonprofit Institute for Defense Analysis to calculate an estimate of costs of the Cerner electronic health record system. A review issued in July by the institute estimated the implementation of the electronic health record system would cost nearly $39 billion in 13 years. The estimate also included more than $17 billion to sustain the system.

Rep. Mike Bost of Illinois, the top Republican on the House Committee on Veterans’ Affairs, said the new electronic health record should not be rolled out anywhere else until Oracle Cerner fixes its problems.

“When I visited [VA facilities in] Walla Walla [Wash.] in July and Columbus [Ohio] in September, the staff made it clear that this flawed system is making their jobs more difficult and crippling the delivery of care to veterans, and I have heard the same thing from the other sites,” Bost said in a prepared statement. “Unfortunately, these delays are nothing new. VA and Oracle must prove that this time is different, and I won’t allow them to continue throwing good money after bad.”

Mike Sicilia, executive vice president for industries at Oracle, which purchased Cerner in June, told the Senate Committee on Veterans' Affairs in July that he reviewed the system's problems. Oracle took over Cerner's electronic health record contract with the VA, Defense Department and the Coast Guard and established a command center led by Oracle's senior engineers.

Sicilia said at last month’s Senate Appropriations Committee that Oracle hosted a summit with the VA, Defense Department, Federal Electronic Health Record Modernization Office, and Leidos Holdings Inc. to discuss the federal electronic health record system's performance and its problems. Sicilia said the meeting led to plans for the system and that Oracle sent a letter to the VA detailing the plans and a roadmap.

Sicilia also said Oracle is working with the VA to revamp training for employees to learn to use the electronic health records system. He also said he still thinks the company can still launch a safe rollout at the rest of the VA’s facilities in 10 years as it was originally contemplated.

Thu, 13 Oct 2022 09:51:00 -0500 en text/html https://www.stripes.com/veterans/2022-10-13/veterans-affairs-health-records-7682551.html
Killexams : VA delays health record rollout again — this time until summer 2023

Veterans Affairs officials are again delaying further deployment of their new electronic health records system amid ongoing issues with the new software, this time pushing back any new site rollouts until June 2023.

In a message to the VA workforce Thursday, Under Secretary for Health Dr. Shereef Elnahal said the delay is needed “to address challenges with the system and make sure it is functioning optimally for veterans and for VA health care personnel.”

In June, department officials announced a halt to all new deployments of the Oracle-Cerner Millennium electronic health record system until early 2023 because of patient safety issues that occurred in the first five sites using the software.

Stress over VA’s new health records is causing staffers to leave

“Over the coming months, we will implement an ‘assess and address’ period to correct outstanding issues with the new system — especially those that may have patient safety implications — before restarting deployments at other VA medical centers,” Elnahal wrote in his message to staff.

“In the meantime, VA will continue to focus on the five facilities where the new system has already been deployed to ensure every patient is getting the world-class health care they deserve.”

VA officials will also send letters in coming weeks to patients who “may have been impacted by these system challenges” to make sure they are able to schedule appointments, receive medications and fulfill other medical needs.

The 10-year, $16 billion health records modernization project started in 2017 and was touted as a way to provide better care to troops and veterans throughout their lives.

But the effort has been besieged by problems since its initial implementation. Deployments have been postponed multiple times because of staff training and patient safety issues.

In September, Elnahal told lawmakers on the House Veterans’ Affairs Committee that problems with the new system have encouraged some staffers to quit. VA Secretary Denis Mcdonough has said he is frustrated with the progress so far, and frequent past outages with the software.

But VA leaders said they are still confident that the Oracle-Cerner plan is the best option for updating the department’s aging health records system.

“VA remains committed to building an [health record] solution that will link with the Department of Defense’s health record system to create a lifetime of seamless care for service members and veterans,” Elnahal wrote. “That end goal is achievable if we take these necessary steps forward.”

Setbacks with new health records system have ‘shaken’ VA secretary

In September, Mike Sicilia, executive vice president for Oracle, said officials are making improvements to the system and are working closely on a new deployment schedule to get the project back on track.

He said he still believed a 2028 end date for the project is realistic, but that was assuming a restart in early 2023.

VA officials have been more reserved in their timelines, saying they are focused on getting the training and implementation processes right.

Meanwhile, lawmakers have expressed concerns with the high price tag and low return on investment of the project thus far. Several House committee members told VA officials last month that they need to show results soon or risk having the entire program canceled.

Thu, 13 Oct 2022 04:45:00 -0500 en-US text/html https://news.yahoo.com/va-delays-health-record-rollout-164542277.html
Killexams : Active Design Advisors Raises $3.5M in Funding

Active Design Advisors Inc., a NY-based affiliate of the Center for Active Design (CfAD), the sole operator of Fitwel, a building certification system optimizing buildings to support health, raised $3.5m in funding.

The round was led by RET Ventures with participation from Kilroy Realty.

The company intends to use the funds to further drive current demand and increase the implementation of its strategies — e.g. design attributes, amenities, and operational policies that boost tenant wellbeing, to enhance its tech platform, and to meet market demand for healthy buildings.

Led by Joanna Frank, President and CEO, Active Design Advisors is a business unit designed to help grow and drive the implementation of Fitwel. Affiliated with CfAD, Adai is responsible for promoting and administering the Fitwel certification as it expands across key markets, as well as maintaining Fitwel’s best-in-class customer service. provides

Leading companies that have implemented Fitwel strategies include Boston Properties, Harrison St., Oracle, Nike, Gensler, and Meta.

FinSMEs

16/10/2022

Sun, 16 Oct 2022 04:33:00 -0500 FinSMEs en-US text/html https://www.finsmes.com/2022/10/active-design-advisors-raises-3-5m-in-funding.html
Killexams : VA Extends Delay of EHR Rollout Until June 2023 to Address ‘Outstanding Issues’

The Veterans Affairs Department announced on Thursday that it was extending the delay in the rollout of its multi-billion dollar Oracle Cerner Millennium electronic health record system until June 2023 to address continuing technical and performance issues with the software.

In a press release, the VA said it “will continue to work closely with Oracle Cerner to resolve issues with the system’s performance, maximize usability for VA health care providers and ensure our nation’s veterans are served by an effective records system to support their healthcare.”

“During this ‘assess & address’ period, we will correct outstanding issues—especially those that may have patient safety implications—before restarting deployments at other VA medical centers,” the VA said, noting that the delay was needed “to address challenges with the system and make sure it is functioning optimally for veterans and for VA health care personnel.”

The EHR software’s deployment across the VA’s national network of 171 medical centers has been bogged down by system outages, cost overruns, patient safety concerns and technical issues since it first went live in 2020 at the Mann-Grandstaff VA Medical Center in Spokane, Washington. A highly critical report released by the VA Inspector General’s office in July found that the EHR system’s deployment at Mann-Grandstaff improperly routed over 11,000 clinical orders for veterans to an “unknown queue” without the knowledge of clinicians.

VA officials previously announced in July that they were delaying the rest of the scheduled rollouts of the EHR system at VA medical facilities until early 2023 to address patient safety concerns and technical issues that impeded the rollout of the new software. The VA’s EHR deployment schedule, which has not been updated since the latest delay was announced, has the system scheduled to go live at 25 medical sites in the 2023 fiscal year. The VA has only deployed the new system at five medical facilities so far.

“Right now, the Oracle Cerner electronic health record system is not delivering for veterans or VA healthcare providers—and we are holding Oracle Cerner and ourselves accountable to get this right,” Deputy Secretary of Veterans Affairs Donald Remy said in a statement. “We are delaying all future deployments of the new EHR while we fully assess performance and address every concern. Veterans and clinicians deserve a seamless, modernized health record system, and we will not rest until they get it.”

VA said it plans to use the additional time to review the five medical facilities where the EHR system has been deployed and will send letters “to every veteran who may have been impacted by these system challenges in some manner, asking that if they have experienced a delay in medications, appointments, referrals or test results, to contact VA through the call center or online.”

In addition to the delay, The Spokesman-Review reported on Thursday that the VA “confirmed it was aware of the death in late September of a patient at the VA clinic in Columbus, Ohio” that was attributed by the facility’s assistant chief of pharmacy “to incorrect information in the Oracle Cerner system.” The patient’s death is reportedly being treated as a possible “sentinel event.”

Lawmakers on both sides of the aisle have also excoriated the VA and Oracle Cerner over their handling of the EHR system’s deployment, with President Joe Biden signing bipartisan legislation—the VA Electronic Health Record Transparency Act—in June that gave Congress additional oversight over problems related to the system’s rollout. Congressional leaders have also balked at an estimate provided by the Institute for Defense Analyses that places the cost of the EHR system’s implementation across all of the VA’s medical centers at more than $50 billion over 28 years.

Following the VA’s announcement that it was extending the delay in the EHR system’s rollout, leading lawmakers on House and Senate committees overseeing the department expressed renewed concerns about efforts to address systemwide issues with the software. 

Rep. Mike Bost, R-Ill., ranking member of the House Veterans’ Affairs Committee, told Nextgov in a statement that he has “long said that the new electronic health record should not be rolled out anywhere else until Oracle Cerner fixes its serious problems.”

“I am glad to see that the secretary and his team agree with me,” Bost added. “When I visited Walla Walla [Washington] in July and Columbus [Ohio] in September, the staff made it clear that this flawed system is making their jobs more difficult and crippling the delivery of care to veterans, and I have heard the same thing from the other sites. Unfortunately, these delays are nothing new. VA and Oracle must prove that this time is different, and I won’t allow them to continue throwing good money after bad.”

During a committee hearing in July, Bost said that lawmakers should “seriously consider pulling the plug” on the EHR system’s rollout and that he would “be writing legislation to do just that."

Sen. Jon Tester, D-Mont., chairman of the Senate Veterans’ Affairs Committee, also said in a statement that “the new EHR simply cannot be deployed before it's ready for prime time.”

“When it comes to delivering the quality health care our nation’s veterans have earned, we have to hit the mark the first time around,” Tester added. “That’s why I’ll continue holding VA and Oracle Cerner’s feet to the fire in fixing systemwide issues so existing facilities and any future rollouts guarantee VA health care staff have the tools to provide veterans safe, timely care.”

An Oracle representative did not respond to a request for comment. 

During a Senate Appropriations Subcommittee on Military Construction, Veterans Affairs and Related Agencies hearing last month, Mike Sicilia—the executive vice president for industries at Oracle, which acquired Cerner in June—told lawmakers that the company launched a dashboard to track “our to-do list and progress being made” on the project.

As of Oct. 13, the public-facing dashboard—the link to which Oracle previously shared with Nextgov—shows that the company has closed out seven “assigned issues as originally identified by VA as priorities in February and May 2022 briefings to Congress and as cited in a letter from Congress to VA on June 27, 2022.” 

Oracle’s dashboard lists eight other issues to address that are in progress; another four issues that are scheduled; and two others that are marked as “in development.”

Thu, 13 Oct 2022 09:45:00 -0500 en text/html https://www.nextgov.com/technology-news/2022/10/va-extends-delay-ehr-rollout-until-june-2023-address-outstanding-issues/378424/
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