DOD's EHR Failure Due to Poor Planning, Says GAO

John Commins, for HealthLeaders Media , October 8, 2010

Shortcomings in the Department of Defense's failed 13-year, $2 billion transition to electronic medical records were largely due to poor planning and execution, and a failure to appreciate the "significant complexity" of the program, the Government Accountability Office said.

DOD's EHR project—the Armed Forces Health Longitudinal Technology Application (AHLTA)—was expected to give the military's healthcare providers realtime access to health information for the 9.6 million active duty service members, their dependents, and other beneficiaries worldwide. However, the system hasn't met expectations.

GAO was asked by DOD to examine AHLTA's shortcomings as the military prepares to acquire a replacement system called EHR Way Ahead, for which the federal government has budgeted $302 million in fiscal 2011.

GAO found that AHLTA had met some benchmarks for outpatient care and dental care documentation, but that DOD had been forced to scale back other capabilities. "In addition, users continued to experience significant problems with the performance (speed, usability, and availability) of the portions of the system that have been deployed," GAO reported.

DOD has begun to improve system performance and enhance functionality and plans to continue to stabilize the AHLTA system through 2015, as a "bridge" to EHR Way Ahead. "However, it has not carried out a planned independent evaluation to ensure it has made these improvements. Until it ensures that these weaknesses are addressed, DOD risks undermining the success of further efforts to acquire EHR capabilities," GAO reported.


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2 comments on "DOD's EHR Failure Due to Poor Planning, Says GAO"

John Flowers (3/29/2011 at 5:00 PM)
To call AHLTA a failure is a pretty gross exaggeration. Of course there have been mistakes and shortcomings, but the system is not a failure. It is fielded world-wide and in use every day. Of course there is lots of room for improvement, but the system is being used to document over 160,000 provider-patient encounters every day. Of course there are lots of information processing failures in government and industry[INVALID]they involve systems that are never completed, never fielded, and/or never put into "live" use. That is simply not the case with the AHLTA system.

J. Kuriyan (10/12/2010 at 3:10 PM)
A similar upgrade to the Veteran's administration was also abandoned after several hundred million dollars in expenditures. In the Veteran's case several Big accounting firms guided them over the cliff. I wonder which ones did the DOD in? Does anyone keep track of these "failed" consulting companies or are we just going to chalk it up to "poor planning and execution" by unknown people? $2 billion is not chump change.




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