Coast Guard goes back to paper after electronic system fails

Discussion in 'Academy/Military News' started by LineInTheSand, Apr 27, 2016.

  1. LineInTheSand

    LineInTheSand USCGA 2006

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  2. AJC

    AJC Member

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    Low bid.
     
  3. NTWLF ONE

    NTWLF ONE Member

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    Nice....I retired last June and the VA has been unable to locate my medical records. The HM2 I left them with after my retirement physical assured me they would be closed out and forwarded. Multiple phone calls and voice messages and still waiting to get a return call back from the Navy Branch Health Clinic to see if they might be still in a file cabinet someplace. At least I made copies.....
     
  4. kinnem

    kinnem Moderator

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    You would have thought they would have run the new system in parallel for 30-60 days before abandoning the old system (or something like that). Pretty poor IT job.
     
  5. murfthesurf

    murfthesurf DS - USNA 2020

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    That's an easy one to figure out what went on.

    Politico left out a few important details in the story :

    Google " EPIC Systems Donor 2011 "
     
  6. NavyHoops

    NavyHoops Moderator

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    EPIC is a very common system found in the healthcare world. There are really 3-4 major EHR systems. I found a lot of issues on both sides with the article, which mostly raises more concerns than answers. Running in parallel isn't really an option, as clinicians do not want to do double entry of patient data. Although an implementation that size to the USCG seems large, in the scheme for someone like EPIC it's actually rather small. I was actually shocked at the low numbers presented in the article. $34 mil for an EHR is not a lot, so wouldn't be surprised if the original bid had very few requirements and as the USCG progressed in the contract the requirements and scope increased greatly with tons of change orders. Heck to not have a clear understanding if old data is being imported to the new system is horrible. That could be a huge issue, costly, time consuming all in itself, so to have that as a question not clearly outlined in an RFP and contract is ridiculous. To have a pharmacy system not be compatible out of the box or not be integrated is just horrible vendor selection and/or management on so many levels. So many issues on both sides, but mostly more questions than answers in the article.
     
  7. kinnem

    kinnem Moderator

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    I'm sure your right on the parallel stuff. But certainly a system/acceptance test covering the common and critical scenarios is something that should have been done. I know, I'm preaching to the choir. This is an IT disaster. It's not hard to figure out the scenarios to test. I'm just so dumbfounded by this. Sorry for my "rant".
     
  8. NavyHoops

    NavyHoops Moderator

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    Oh my rant was longer! You are preaching to the choir on this one (as I stare at a large test plan to integrate 3 systems together). The whole thing is baffling. None of the issues they hit were that hard to solve or new in any way.
     
    Last edited: Apr 28, 2016
    kinnem likes this.
  9. No1Fanof2

    No1Fanof2 Member

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    This stuff happens and is so frustrating for the ones being prepped and trained to use the new system. Our department realized on a test run the bugs were not worked out. All of us field people knew it was an "IT" disaster. BUT So much money and training put into the system there was no room to fail. It was going to happen and the bugs would be worked out. Across the country the area went live section at a time. Is it perfect now? absolutely not, but it was not going to fail. We had an outside company collect data for us guess what all the data was corrupted and our agency had to recollect data one step above snail mail. Just got to breathe in and out and write down all the problems once it goes live. I have learned screen shot every error message be nice to the IT department because they have 1000 more of the same calls.
     
  10. LineInTheSand

    LineInTheSand USCGA 2006

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    The deck plate rumor is this was done to end the HS rating (an HS in the Coast Guard is the equivalent to a Navy HM).
     

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