President Obama’s ambitious plan to establish a lifetime electronic record for service members and veterans will improve delivery of benefits, speed processing of claims and, over time, open VA health care to any veteran, regardless of their medical condition or income level.
VA Secretary Eric Shinseki first raised the idea of a more sophisticated electronic record system, and linked it to automatic enrollment by all veterans in the VA health system, during a House hearing in February.
Last week, through a press spokeswoman, Shinseki confirmed universal access to VA health care is integral to the administration’s plan to develop as quickly as possible a 21st Century electronic record system.
“Secretary Shinseki and the whole (VA) team believe that ‘uniform registration’ ” in the VA health system “is an essential part of the lifetime virtual record,” said Katie Roberts, his press secretary, in an e-mail.
Shinseki and Defense Secretary Robert Gates were with the president April 9 in the Old Executive Office Building when Obama announced to an audience of veterans a “huge step toward modernizing the way VA health care is delivered and (VA) benefits are administered.”
Obama described a comprehensive electronic record system, to be developed and used jointly by the Department of Defense and VA, which would hold all service-related documents, administrative and medical, on individuals from the time they enter service until “they are laid to rest.”
Members leaving service no longer would have to “hand carry” medical records to VA health facilities. And VA health providers, like military counterparts, would have full electronic medical files on any member or veteran. VA claim processes likewise would have access to military administrative files, thereby reducing delays and mistakes for applicants.
“And it would do all this,” the president said, “with the strictest and most rigorous standards of privacy and security so our veterans can have confidence that their medical records can only be shared at their direction.”
Shinseki, a retired four-star general and former Army chief of staff, told the House Veterans Affairs Committee on Feb. 4 that he already was discussing with Gates a joint electronic record system.
“An individual enters the ranks as a youngster and stays for several years, or stays for 20, and comes to us as a veteran. Those records ought to be transferable … accurate and complete. Not just medical records but personal records as well, because the personnel records are also part of the disability adjudication process. If we can get to this agreement on what an electronic medical record looks like, we will solve the challenges we’re wrestling with today where we have two different records,” Shinseki said.
With regard to medical records, Shinseki said features of the VA Vista system were preferred, even by military doctors, to the more cumbersome AHLTA system used by the Defense Department.
At the same hearing, Shinseki said mandatory enrollment in the VA health care system should be part of any move to a joint electronic record.
Tom Philpott can be contacted at Military Update, P.O. Box 231111, Centreville, Va. 20120-1111, or by e-mail at: firstname.lastname@example.org