[20141113]IN10179_国防部何时将使其电子健康记录系统现代化？.pdf

CRS InsightsWhen Will DOD Modernize its Electronic Health Records Systems?Don J. Jansen, Specialist in Defense Health Care Policy (djansencrs.loc.gov, 7-4769)November 13, 2014 (IN10179)In January 2013, the Departments of Defense (DOD) and Veterans Affairs (VA) announced that theywould no longer pursue a joint single integrated electronic health record or iEHR. Instead, in a movedescribed as a U-Turn, DOD announced it would pursue an off-the-shelf acquisition (i.e., solicit bidsfor a system already available in the commercial marketplace) and VA announced it would pursue anopen-source strategy (i.e., use a development model that promotes a universal access via a freelicense to a products design or blueprint, and universal redistribution of that design or blueprint,including subsequent improvements to it by anyone).They are pursuing these strategies with the statedgoals of (1) providing seamless, integrated sharing of standardized health data among DOD, VA, andprivate sector health care providers, and (2) modernizing the electronic health record (EHR) softwareand systems supporting DOD and VA clinicians.DOD arrived at its decision after performing an analysis of alternatives for mode