New VA head could go big on telehealth

McDonald confirmed as $17B overhaul bill points way toward remote care
By Government Health IT Staff
10:32 AM

Former Procter & Gamble CEO Robert McDonald was unanimously confirmed by the U.S. Senate as new Veterans Affairs secretary secretary on Tuesday, just as a new VA overhaul bill gives a substantial push for new health IT initiatives.

[See also: VA and HHS extend care for veterans with HIE and telehealth]

The scandal-plagued agency, which has seen some veterans die while waiting for care thanks to backlogs at medical facilities and manipulated waiting lists, could soon embrace a wider deployment of telemedicine to help deliver care on a wider scale.

McDonald, 61, will replace Acting VA Secretary Sloan Gibson, who assumed the position in May following the resignation of Eric Shinseki in the midst of allegations of protracted veterans' waits for healthcare and of VA employees falsifying records to hide delays.

[See also: VA asks its employees for health IT ideas]

The proposed $17 billion legislation on Capitol Hill gives weight to two significant information technology initiatives long sought-after by many VA observers.

The overhaul bill authorizes the department to accelerate the deployment of mobile clinics through the use of telemedicine, which can allow veterans to avoid traveling long distances and reduce wait time to access medical attention.

Telemedicine is already being used by the VA in limited areas, but the bill would significantly increase its rollout. The VA's website outlines the agency's efforts to develop telemedicine.

"VA is now recognized as one of the world leaders in this new area of health care," agency officials said. "Clinical Video Telehealth (CVT) uses … telehealth technologies to make diagnoses, manage care, perform check-ups, and actually provide care."

VA lists telesurgery, telerehabilitation, tele-mental health, and telecardiology as some of the special services offered.

The proposed overhaul legislation would also compel the VA to refurbish its scheduling software system.

Under the bill, a special task force would study the problems associated with the current system and conduct a survey of other solutions and products and make recommendations for a new system.

If the proposed compromise legislation passes, the VA would have to act on the recommendations within one year.

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