FCW May 1, 2020
When the Department of Veterans Affairs signed a $10 billion contract with Cerner to modernize its electronic health care system, it knew it had a heavy lift coming in modernizing facility infrastructure to support the new technology.
The current, homegrown VistA system was operated and updated locally. When the system was launched in 1994, bandwidth was expensive and 1 gigabit internet was essentially science fiction. The ability to run and manage the system on local infrastructure was a feature, not a bug – and the inability to connect with other systems and share records even with other far-flung VA facilities was an unfortunate consequence of the highly federated system.
Once health record interoperability between VA, the Defense Department and non-governmental...