Hill takes a scalpel to VA's IT budget

VA CIO Robert McFarland hopes to move forward with HealtheVet

Henrik G. Gyor

Lawmakers slash funds for HealtheVet, saying VA didn't provide spending details

Congress is taking a hard line on the Veterans Affairs De-partment's IT budget.

After the failure of the Core Financial and Logistics System last year and a critical report on the agency's next large IT project, HealtheVet, the House Appropriations Committee last week cut $383 million from the administration's request for a $385.7 million increase.

Lawmakers left HealtheVet with $11 million from the overall IT budget for a feasibility and planning study. VA had planned on $311 million as the first installment of a proposed $3.5 billion, 10-year program. Now the program could be delayed by at least a year.

The House committee also cut $40 million for the Veterans Health Information Systems and Technology Architecture legacy hospital system, which HealtheVet is expected to modernize.
Lawmakers also shaved $30 million from the CoreFLS project and from VA's computing infrastructure.

'The requested increase, most of it tied to one project, has not been adequately justified in the budget or in responses to questions asked during the budget hearing earlier this year,' the committee said in its report.

The committee approved $68.1 billion in overall spending for VA programs, health care and construction in the Military Quality of Life and VA spending bill last week, $700 million more than what President Bush proposed in his 2006 budget request. Next, the full House will next vote on the legislation.

The Senate Appropriations Committee will ideally start its VA considerations based on the completed House Appropriations version, said committee spokeswoman Jenny Manley. It could be several weeks before the Senate committee begins its deliberations on HealtheVet and other VA spending, she said.

HealtheVet is a Web system designed to replace the VistA program, an electronic medical- records and clinical-care system used throughout VA's 1,000 plus medical facilities. VA plans to re-host, enhance or re-engineer VistA and other current health information applications to process on the new platform but keep the same functionality.

The impetus for the cuts, lawmakers said, were because VA officials did not provide them with sufficient details about how the agency would spend funds for HealtheVet, a committee spokes-man said.

'It is incumbent upon the agency to provide details and substantive analysis, particularly IT projects, about how it will spend the money it is requesting,' said John Scofield, spokesman for the House Appropriations Committee.

But VA CIO Robert McFarland said VA will and always has met lawmakers' requests.
'If they call and want more information on a particular project, I will give whatever they ask for, provided I have the information,' he said.

McFarland would not comment on the legislation and how it would affect development of HealtheVet.

'When the budget comes out, we will deal with the budget,' he said.

The underlying fact, however, is that VA has gone back to the drawing board to fix problems revealed in an outside consultant's assessment of the system.

The House committee action comes several weeks after a report by Carnegie Mellon University's Software Engineering Institute that criticized HealtheVet's technical design and development.

Second setback

The latest assessment also follows last year's CoreFLS debacle when VA had to pull the plug on its $372 million system because the pilot did not perform properly.

'We are hoping to move forward on HealtheVet when we have completed a solid design and development plan that has been vetted through all channels,' McFarland said. That's what SEI's independent assessment was all about, he added.

Lawmakers who oversee VA said they were waiting to see how the agency corrects the shortcomings outlined in the SEI study.

Earlier in the appropriations process, the House Veterans Affairs Committee also put HealtheVet funding on hold.

'We're comfortable with withholding those funds if it is through 2006. It needs to be allocated only with confidence,' said Brooke Adams, spokeswoman for House Veterans Affairs Committee chairman Steve Buyer (R-Ind.).

'I think we were taking a strategic pause to decipher how this is going to unfold. We just want to make sure there is some level of guarantee that it will be positive,' she said.

Lawmakers want to be sure that HealtheVet and the legacy medical system will flow seamlessly. Adams praised McFarland for hiring outside government to determine the system's shortcoming.
Withholding funding for HealtheVet also presents mixed feelings for other lawmakers, such as Sen. Larry Craig (R-Idaho), chairman of the Senate Veterans Affairs Committee. Craig said he wants to provide veterans with improved health care but is constrained by the budget.

'I want to get it right from the start so that we don't waste money. At the same time I want today's veterans to enjoy full access to the best medical systems and technology available. But we must do that within our means and within our budget,' he said.

Reader Comments

Please post your comments here. Comments are moderated, so they may not appear immediately after submitting. We will not post comments that we consider abusive or off-topic.

Please type the letters/numbers you see above