Review of VA Appointment Scheduling System Modernization
January 1, 2021
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The Frame
The VA is attempting to replace a 20-year-old scheduling system to improve how veterans book medical appointments, a project that has historically faced management challenges and significant financial investment.
Potentially affected actors named in the source documents. Mention is not a position.
Veterans
Veterans rely on the scheduling system to book and manage their medical appointments at VA facilities.
VA Schedulers
VA staff must navigate the current legacy scheduling system and will be required to adapt to any new commercial software implemented.
Last recorded activity January 1, 2021.
Next step not available in the current record.
Summary
Key Facts
- The VA has been attempting to update its patient appointment scheduling system for nearly 20 years.
- The current legacy system, VistA, uses archaic programming language and complex workflows that require schedulers to memorize hundreds of rules.
- The VistA Scheduling Enhancement (VSE) project failed to address core data quality issues and was described as a 'fresh coat of paint' rather than a true modernization.
- An August 2019 Office of Inspector General report identified leadership turnover and inadequate requirements development as primary causes for VSE project failures.
- In 2015, the VA entered into a $624 million contract to implement a commercial off-the-shelf (COTS) scheduling system.
- The committee expressed concern that the VA lacked clear requirements for the scheduling system before signing previous development contracts.
Frequently Asked Questions
Why is the VA changing its scheduling system?
What was the VistA Scheduling Enhancement (VSE) project?
Why It Matters
The VA is attempting to replace a 20-year-old scheduling system to improve how veterans book medical appointments, a project that has historically faced management challenges and significant financial investment.
News Coverage
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Shift to Commercial Solutions
The VA is moving away from custom-built legacy systems toward commercial off-the-shelf (COTS) software to modernize operations.
Connected Entities
Sources
www.govinfo.gov
Analysis Score
0–100- Significance75How much this matters to a regular citizen
- Controversy40Intensity of disagreement among stakeholders
- Entertainment20Compellingness for a non-policy-wonk reader
- Buzz15Current news / social attention level
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