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Secretary Hagel Commits to Resolving Medical Record Interoperability Issues

April 16, 2013
By George I. Seffers

Defense Department will decide on a path forward within 30 days.

Secretary of Defense Chuck Hagel told members of Congress on April 16 that he is personally committed to solving the database interoperability problems between the Defense Department (DOD) and the Department of Veterans Affairs (VA) that have left thousands of veterans waiting months while benefits claims are processed.

According to VA officials, the agency has been breaking records in the number of claims processed, yet it now takes an average of 273 days to process a claim. The VA has fallen increasingly behind as veterans return from Iraq and Afghanistan, and that backlog is expected to increase as the drawdown in Afghanistan continues.

Part of the issue is that the VA uses an electronic processing system known as the Veterans Health Information Systems and Technology Architecture (VistA), while the Defense Department uses the Armed Forces Health Longitudinal Technology Application (AHLTA) for processing medical records.

Introduced in 1996, VistA offers an automated environment that supports day-to-day operations at local VA health care facilities. It is built on a client-server architecture, which ties together workstations and personal computers with graphical user interfaces at various VA facilities, as well as software developed by local medical facility staff. The system also includes the links that allow commercial off-the-shelf software and products to be used with existing and future technologies.

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