APRIL 1, 2009

VA Patient Scheduling Program On Verge Of Collapse

NextGov (4/1, Brewin) reports, "An eight-year-old, $167 million project to develop a core computer application to schedule patient appointments at hospitals run by the Veterans Affairs Department has all but collapsed, and senior executives are worried about the repercussions it could cause on the Hill and in the White House, according to an internal memo obtained" by NextGov. The "Replacement Scheduling Application Development Program...'still has not developed a single scheduling capability it can provide to the field, nor is there any expectation of delivery in the near future,' wrote Dr. Michael Kussman, undersecretary for health at the Veterans Health Administration, in a March 20 memo to Stephen Warren, acting assistant secretary for information and technology." The "patient scheduling project has 'floundered under VHA's leadership since 1998,' Rep. Steve Buyer, R-Ind., the ranking member of the House Veterans Affairs Committee, said in a statement. He added the current failure exemplifies the need for VA to develop a professional cadre of contracting officers and program managers."
Other VA IT Projects Also Said To Be Experiencing Problems. In his "What's Brewin'" blog for NextGov (3/31), Bob Brewin wrote, "I have a hunch that" a new patient appointment scheduling application "is just one of potentially many VA IT projects in real trouble. That hunch is based on the last page" of Kussman's memo to Warren. Kussman "wrote: 'The number of programs we see and hear'" about "being...delayed makes it evident that we need to be proactive by conducting immediately an end-to-end status check of all our development programs." After saying one "project that seems to need immediate attention according to Kussman is a critter called the Pharmacy Re-Engineering 0.5 Order Check Enhancement Project," Brewin noted that in his memo, Kussman also told Warren the VA needs "a clear communication plan for how we tell the story both inside and outside" the agency. Brewin added, "That probably includes informing VA Secretary Eric Shinseki of problems with the scheduling application, which Kussman said, 'We need'" to "'do at once.' But I'm told that as of Tuesday morning no notification had been made, 11 days after the memo was written."
Impact: VA Information Technology

Murray Wants Better Access, Care For Women Vets

KING-TV Seattle, WA (3/31, 6:36 p.m. PT) broadcast that US Sen. Patty Murray (D-WA) "is sponsoring legislation that would help women combat veterans." On Tuesday, Murray "held a press conference...in Washington, DC, with Iraq veterans. The women were part of a group known as Lioness soldiers, attached to all-male combat teams to help with Iraqi women and children during raids. They often suffer post-traumatic stress disorder and find getting care" at the Department of Veterans Affairs "is anything but easy." Shannon Morgan, described as a member of "Team Lioness," was shown saying that in addition to more women therapists, "We need equality because when men come home from war, they don't to have prove...that they were in combat, and we're being forced to do that." KING noted that Murray's "legislation would help provide better access and better care with VA services."
In "The Liberal Life of a Navy Wife," a Hampton Roads Virginian-Pilot (3/31) blog by a Navy veteran identified as Vivian, who is married to another Navy veteran, noted that among "other things, the legislation will" require the VA secretary "to conduct a comprehensive assessment of the barriers women are facing in accessing care at the VA."
Policy Excluding Women From Combat May Be Re-Evaluated. In a related story, the WTTG-TV Washington, DC (3/31, Henrehan) reported, "Congress may soon re-examine the Pentagon's current policy of excluding females from assignment to companies engaged in 'direct ground combat.'" On Tuesday, dozens "of Congressional staff members attended the viewing of a PBS-Independent Lens documentary called Lioness," which "recounts the stories of female American Army and Marine personnel assigned to the Lioness program in Iraq in 2003 and 2004." The "female soldiers and Marines wound up in the middle of 'active fire fights,'" according to Army Staff Sgt. Ranie Ruthig. WTTG added, "Since women are sometimes already effectively operating as combat troops," US Rep. Stephanie Herseth Sandlin (D-SD) "believes the military's exclusion policy, 'should be revisited [and] re-evaluated.'"
Impact: Local Congressional Staffs, Women Veterans