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1 (2022)

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U.S. GOVERNMENT
INFORMATION
      GPO















                  VA'S ELECTRONIC HEALTH RECORD MOD-
                    ERNIZATION: AN UPDATE ON ROLLOUT,
                    COST, AND SCHEDULE


                               WEDNESDAY, SEPTEMBER 21, 2022

                                                         U.S. SENATE,
                       SUBCOMMITTEE  OF THE COMMITTEE  ON APPROPRIATIONS,
                                                             Washington, DC.
                    The subcommittee met  at 10:01 a.m. in room SD-124, Dirksen
                  Senate Office Building, Hon. Martin Heinrich (chairmain) pre-
                  siding.
                    Present: Senators Heinrich, Tester, Boozman, and Hagerty.
                             DEPARTMENT OF VETERANS AFFAIRS
                  STATEMENT   OF HON. DONALD  M. REMY,  DEPUTY  SECRETARY, DE-
                       PARTMENT  OF VETERANS AFFAIRS
                          OPENING STATEMENT OF SENATOR MARTIN HEINRICH
                    Senator HEINRICH. Good morning. This hearing of the Military
                  Construction, Veterans Affairs, and Related Agencies Appropria-
                  tions Subcommittee is now called to order.
                    Today, we  will discuss VA's efforts around Electronic Health
                  Record Modernization, or EHRM. This is a large but important ini-
                  tiative that was promised to result in a single health record for an
                  individual, from service entry through a veteran's life, with seam-
                  less health data sharing.
                    Unfortunately, implementation efforts to date have been plagued
                  by delays, provider complaints, patient safety concerns, and ques-
                  tions about the accuracy of reporting to Congress, particularly re-
                  lated to cost.
                    Our goal today is to address these issues over two panels. With
                  that, I would like to welcome Donald Remy, Deputy Secretary of
                  Veterans Affairs, and the accountable official for VA's Electronic
                  Health Record Modernization Initiative. He is accompanied by Dr.
                  Terry Adirim, the Program Executive Director of the EHRM Inte-
                  gration Office; Dr. Elnahal, VA's Under Secretary for Health; and
                  Mr. Jon Rychalski-all right, three for four is not too bad-Assist-
                  ant Secretary for Management and Chief Financial Officer.
                    I want to start just by reiterating the committee's support for
                  VA's EHRM   objective. This is an extremely important effort to
                  solve a decade-long problem, decades-long problem, and is essential
                  that VA get it right for the health and safety of veterans. In addi-
                  tion, this is a major investment, and VA has a responsibility to tax-
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