,,ii #aagth ,,congress #ast ,session ,s4 #ccda ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,december #h1 #bjba,mr4 ,moran 7for himself1 ,mr4 ,tester1 ,mr4 ,boozman1 ,mr4 ,cassidy1 ,mr4 ,rounds1 ,mr4 ,tillis1 ,mr4 ,sullivan1 ,mrs4 ,blackburn1 ,mr4 ,cramer1 ,mr4 ,braun1 ,ms4 ,sinema1 ,ms4 ,hassan1 ,mr4 ,brown1 ,mr4 ,blumenthal1 ,mrs4 ,murray1 ,ms4 ,hirono1 and ,mr4 ,manchin7 introduced the following bill2 which was read twice and referred to the ,committee on ,veterans' ,affairs ,a ,,bill ,to direct the ,secretary of ,veterans ,affairs to submit to ,congress periodic reports on the costs1 performance metrics1 and outcomes of the ,department of ,veterans ,affairs ,electronic ,health ,record ,modernization program4 #a4 ,short title ,this ,act may be cited as the ,,va ,electronic ,health ,record ,transparency ,act of #bjba4 #b4 ,reports on costs1 performance metrics1 and outcomes of ,department of ,veterans ,affairs ,electronic ,health ,record ,modernization program 7a7 ,in general ,section #ejc of the ,veterans ,benefits and ,transition ,act of #bjah 7,public ,law #aae-djg2 #ch ,u4,s4,c4 #egja note prec47 is amended-- 7#a7 by redesignating subsection 7e7 as subsection 7f72 7#b7 by inserting after subsection 7d7 the following new subsection 7e73 7e7 ,quarterly reports 7#a7 ,reports on costs of program 7,a7 ,in general ,not later than #ij days after the date of the enactment of the ,,va ,electronic ,health ,record ,transparency ,act of #bjba1 and not later than the date that is #cj days after the last day of each fiscal quarter thereafter until the termination date specified in paragraph 7#c71 the ,secretary shall submit to the appropriate congressional committees a report on the costs of the ,electronic ,health ,record ,modernization ,program4 7,b7 ,elements ,each report under subparagraph 7,a7 shall include1 for the period covered by the report and for the total period beginning on the date of the enactment of the ,,va ,electronic ,health ,record ,transparency ,act of #bjba and ending on the date of the submittal of the report1 a description of all actual expenses of1 and driven by1 the ,electronic ,health ,record ,modernization ,program1 including any such expenses paid using-- 7i7 any funds appropriated for the ,department of ,veterans ,affairs1 for any source or account1 expended by any organizational element of the ,department or by the ,federal ,electronic ,health ,record ,modernization ,office for the ,electronic ,health ,record ,modernization ,program2 7ii7 any funds1 from any source or account1 expended by any organizational element of the ,department for physical or technology infrastructure modifications1 enhancements1 improvements1 or expansions at a facility of the ,department necessitated by1 or related or pertaining to1 the ,electronic ,health ,record ,modernization ,program2 and 7iii7 any funds1 from any source or account1 expended by any organizational element of the ,department or by the ,federal ,electronic ,health ,record ,modernization ,office for consultants1 support contractors1 or experts related or pertaining to the ,electronic ,health ,record ,modernization ,program4 7#b7 ,reports on performance metrics and outcomes 7,a7 ,in general ,not later than #ij days after the date of the enactment of the ,,va ,electronic ,health ,record ,transparency ,act of #bjba1 and not later than the date that is #cj days after the last day of each fiscal quarter thereafter until the termination date specified in paragraph 7#c71 the ,secretary shall submit to the appropriate congressional committees a report on the performance metrics and outcomes of the ,electronic ,health ,record ,modernization ,program4 7,b7 ,elements ,each report under subparagraph 7,a7 shall include1 for the period covered by the report-- 7i7 a list of the quality1 performance1 safety1 or value metrics1 key performance indicators1 and other diagnostic or evaluation criteria in use to assess the ,electronic ,health ,record ,modernization ,program and the electronic health record system1 in general and at individual facilities1 with respect to veterans1 employees of the ,department1 and operations of the ,department2 7ii7 an explanation of any change to any of such metrics1 indicators1 and criteria compared to the metrics1 indicators1 and criteria included in any previous report submitted under subparagraph 7,a72 7iii7 the data supporting or demonstrating each such metric1 indicator1 and criteria compared to the data supporting or demonstrating such metric1 indicator1 or criteria as included in the previous report submitted under subparagraph 7,a72 and 7iv7 a list of patient safety reports1 incidents1 alerts1 or disclosures at each facility of the ,department where the electronic health record system has been implemented4 7#c7 ,termination date ,the requirements to submit reports under paragraphs 7#a7 and 7#b7 shall terminate on the date that is #ij days after the date on which the ,secretary submits to the appropriate congressional committees a certification that the ,electronic ,health ,record ,modernization ,program has been fully implemented4 2 and 7#c7 in subsection 7f71 as redesignated by paragraph 7#a71 by adding at the end the following new paragraphs3 7#c7 ,the term electronic health record system means the electronic health record system implemented pursuant to the ,electronic ,health ,record ,modernization ,program4 7#d7 ,the term facility of the ,department includes a joint facility of the ,department of ,veterans ,affairs and the ,department of ,defense4 7#e7 ,the term ,federal ,electronic ,health ,record ,modernization ,office means the office established under section #afce7;b7 of the ,wounded ,warrior ,act 7title ,,xvi of ,public ,law #aaj-aha2 #aj ,u4,s4,c4 #ajga note74 4