Ahlta program office

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Structured data enables a computer to read patient information and code it correctly for claims payment from HHS, which would eliminate human error or fraudulent intent in upcoding, or claiming more treatment for a patient than was provided, Wah said.

HHS will also consider the architecture of how the Military Health System exchanges data to inform prototypes for its nationwide health information network and how it encouraged health IT adoption among physicians serving the military. By Bob Brewin bbrewin govexec. Two Defense Department medical agencies have attempted to stall the deployment of a popular Internet-based health records system in favor of pursuing their own systems costing hundreds of times as much, according to congressional sources and documents furnished to Government Executive.

The two systems provide doctors and other clinicians with real-time access to a soldiers' electronic health records, from the moment a clinician at a combat hospital enters health information on a wounded soldier until the soldier is released from care in the United States.

No such combination of systems existed before, which was one of the primary reasons the Army was criticized this year for the poor medical care it provided soldiers at Army hospitals.

The most prominent case involved failures at Walter Reed Army Medical Center, where lost documents left soldiers waiting for weeks to receive medical attention. Mike Fravell, to another job. Fravell developed the patient-tracking system in when he was chief information officer at the Landstuhl Regional Army Medical Center in Germany, and created a Web-based version this past year, when he was on a fellowship at VA.

MHS officials transferred Fravell this month from his VA post in to the agency's headquarters just outside Washington, which a congressional source called "bureaucratic Siberia. The transfer was in retaliation for Fravell's public criticism of the two Defense health agencies, the congressional source said. The transfer occurred despite widespread praise for Fravell's systems.

Army Chief of Staff George Casey said this month they provided the Army with "improved visibility on location, medical status and progress of soldiers' care. At stake are billions of dollars. In addition, the Web-based patient-tracking systems are more useful to doctors, according to a paper prepared by a team of combat clinicians serving in Iraq.

The system "is the only record that has visibility throughout the evacuation chain," according to the paper. But the Defense health agencies had started the process to transfer Fravell to South Korea. They abruptly stopped June 15 after Reps. Bob Filner, D-Calif. The letter highlighted the importance of Fravell's systems to the Defense and VA missions to provide "the highest quality health care to active-duty service members who have been wounded in combat.

Filner and Buyer also wrote in the letter that they understood Fravell had been ordered to South Korea and added, "Given the critical importance to our wounded service members of the work Fravell has been doing, we believe that Fravell is needed here in Washington. Army Medical Department spokeswoman Cynthia Vaughn declined to answer questions about Fravell's current assignment, saying the command does not address personnel issues.

Military Health Systems officials have not replied to a query on Fravell's status filed more than a week ago.