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Open Recommendations (184 total)

Electronic Health Records: VA Needs to Address Management Challenges with New System

GAO-23-106731
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10 Open Recommendations
10 Priority
Agency Affected Recommendation Status
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should ensure that the department's planned improvements to communication of system changes meet users' needs for the frequency of the updates provided. (Recommendation 2)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should measure and report on outcomes of the change and take actions to support users' ability to use the system to reinforce and sustain the change. (Recommendation 7)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should address users' barriers to change, by ensuring planned completion of all actions identified in the Secretary's Strategic Review. (Recommendation 5)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should reinstitute plans to conduct an independent operational assessment to evaluate the suitability and effectiveness of the new EHR system for users in the operational environment. (Recommendation 10)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should take steps to improve change readiness scores prior to future system deployments. (Recommendation 3)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should establish user satisfaction targets (i.e., goals) and ensure that the program demonstrates improvement toward meeting those targets prior to future system deployments. (Recommendation 8)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should ensure that VA documents a VA-specific change management strategy to formalize its approach to drive user adoption. (Recommendation 1)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should develop a plan, including a timeline, for establishing (1) targets for measuring the adoption of changes and (2) metrics and targets to measure the resulting outcomes of the change. (Recommendation 6)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should ensure steps taken by the EHRM program and Oracle Cerner to increase workforce skills and competencies through improved training and related change management activities have been effective. (Recommendation 4)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
Department of Veterans Affairs
Priority Rec.
This is a priority recommendation.
The Secretary of VA should make certain that future system trouble tickets are resolved within established timeliness goals. (Recommendation 9)
Open

 Actions to satisfy the intent of the recommendation have not been taken or are being planned.
VA stated that it concurred with this recommendation. We are awaiting additional information about the department's actions in response to this recommendation.
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