End of AHLTA?

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The ultimate enemy of bad is .....worse.
 
I don't get it...

DOD doesn't want to switch to VISTA and CPRS, which is a FREE system that the US government already has experience deploying for the millions of vets that receive care at very large (or larger than military med centers) VA medical centers all over the country. Instead, they are going to go out and buy a commercial system that probably isn't scale-able and adapt it to the needs of the military. I wonder what congressmen (or MC General or Admiral) is getting a guaranteed job after retirement for this decision?

By the way, when I was recently at VA, CPRS never crashed. Radiology is within the same system and is easy to use. The problem lists are disciplined (not 2000 different codes for the same problem like ahlta) and you can easily search for problem based notes and labs. Also there are great graphing systems and worksheets you can build to organize lab data and vitals. And it is easy to log into Vista on the web so you can check things at home.

Stupid.
 
What are the chances that Apple can bid on this contract for new software? It is a US company and I'm pretty sure anything they could make would be light years beyond AHLTA. I'd love to be able to dictate to Siri.
 
upchit said:
What are the chances that Apple can bid on this contract for new software? It is a US company and I'm pretty sure anything they could make would be light years beyond AHLTA. I'd love to be able to dictate to Siri.
Click to expand...

sounds like the spice rack to my fantasy kitchen:naughty:
 
So, 4 years after stating there would be "rapid" progress, we now have the possibility of a new software. Yep, sounds about right.

http://www.nationaldefensemagazine....NotGoodforMilitary'sMedicalRecordsSystem.aspx

In this article, they actually state that one of the main factors for military physicians separating after the end of their contract is AHLTA. I wonder how many good docs we have lost because of it? Its in my top 3 reasons.

The first of which is an RN with a BMI>40, who has not done clinical medicine in 10 years telling me how to take care of my patients but I digress...
 
eagledriver said:
Surprised I haven't seen ecstatic rants about this yet:

http://www.airforcetimes.com/articl...Pentagon-goes-alone-electronic-health-records
Click to expand...

Because that we know the replacement will probably not be based on what doctors want, but instead on what will get some Generals either another star or a sweet job after they retire. And the generals who make the decision will be absolutely intolerant of any criticism of it until after they've all given themselves promotions and retired.

In other words, it will probably just be AHLTA 2.0.
 
upchit said:
What are the chances that Apple can bid on this contract for new software? It is a US company and I'm pretty sure anything they could make would be light years beyond AHLTA. I'd love to be able to dictate to Siri.
Click to expand...

So they could bid on an app that someone could hack is under 2 min...Joint Commission would love that. When Apple takes security seriously then they might be able to penetrate not only medical but military medical markets but until then...
 
grotto said:
I don't get it...

DOD doesn't want to switch to VISTA and CPRS, which is a FREE system that the US government already has experience deploying for the millions of vets that receive care at very large (or larger than military med centers) VA medical centers all over the country. Instead, they are going to go out and buy a commercial system that probably isn't scale-able and adapt it to the needs of the military. I wonder what congressmen (or MC General or Admiral) is getting a guaranteed job after retirement for this decision?

By the way, when I was recently at VA, CPRS never crashed. Radiology is within the same system and is easy to use. The problem lists are disciplined (not 2000 different codes for the same problem like ahlta) and you can easily search for problem based notes and labs. Also there are great graphing systems and worksheets you can build to organize lab data and vitals. And it is easy to log into Vista on the web so you can check things at home.

Stupid.
Click to expand...

It's not the stability of CPRS/VISTA that is the issue, it is at the back end in the DB that is causing the need for replacement. I have consistently had huge issues with VA records not being online for admissions. All of the VA regions do not communicate with each other in an integrated manner. I am not saying I don't like the VA front end but they need a replacement too, for the very reasons that make their system faster.
Last I heard was that Epic was being strongly looked at as the AHLTA replacement...funding was the issue...not that we aren't spending a rediculous amount of money on AHLTA maint.
 
Probably just another rumor, but I was told that the rights to patients records are owned by AHLTA and that if we switch to a different system we lose all of the health records for all the patients. I have a hard time believing this is true, because it would have taken some pretty poor foresight by whoever signed the initial contract... but anything is possible.

If this is the case, wouldn't it be basically impossible to switch to a different system?
 
Mace1370 said:
Probably just another rumor, but I was told that the rights to patients records are owned by AHLTA and that if we switch to a different system we lose all of the health records for all the patients.
Click to expand...
I too have a hard time believing that one. I can't imagine the legality of a contract in which you sign away a patient's history to a third party software vendor. Signing a contract like that would be borderline criminal.
 
Mace1370 said:
Probably just another rumor, but I was told that the rights to patients records are owned by AHLTA and that if we switch to a different system we lose all of the health records for all the patients. I have a hard time believing this is true, because it would have taken some pretty poor foresight by whoever signed the initial contract... but anything is possible.

If this is the case, wouldn't it be basically impossible to switch to a different system?
Click to expand...

Nope, AHLTA is owned by DOD...as are the databases.
 
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