,,ii #aahth ,,congress #ast ,session ,s4 #ajcg ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,march #bi1 #bjbc,mr4 ,moran 7for himself1 ,mr4 ,boozman1 ,mr4 ,cassidy1 ,mr4 ,rounds1 ,mr4 ,tillis1 ,mrs4 ,blackburn1 ,mr4 ,cramer1 ,mr4 ,tuberville1 ,mr4 ,risch1 ,mr4 ,crapo1 ,mr4 ,daines1 ,mr4 ,braun1 and ,mr4 ,sullivan7 introduced the following bill2 which was read twice and referred to the ,committee on ,veterans' ,affairs ,a ,,bill ,to prohibit the ,secretary of ,veterans ,affairs from carrying out certain activities under the ,electronic ,health ,record ,modernization ,program until certification of system stability improvements4 #a4 ,short title ,this ,act may be cited as the ,department of ,veterans ,affairs ,,ehrm ,standardization and ,accountability ,act4 #b4 ,prohibition on certain activities by ,secretary of ,veterans ,affairs under ,electronic ,health ,record ,modernization ,program until certification of system stability improvements 7a7 ,certification of improvement 7#a7 ,prohibition ,the ,secretary of ,veterans ,affairs may not commence a program activity at a facility of the ,veterans ,health ,administration where no program activity has commenced as of the date of the enactment of this ,act until the date on which the ,secretary submits to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a written certification that the electronic health record system has met the improvement objective described in paragraph 7#b74 7#b7 ,improvement objective ,the improvement objective described in this paragraph is-- 7,a7 the achievement of a minimum uptime and system-wide stability standard for the electronic health record system1 as defined by the ,secretary in consultation with the ,under ,secretary for ,health1 the ,assistant ,secretary for ,information and ,technology1 and the ,chief ,information ,officer of the ,department of ,veterans ,affairs2 and 7,b7 the submittal by the ,secretary to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives of a report detailing the completion status of corrections to the customization and configuration of workflow designs related to the electronic health record system4 7b7 ,certification of readiness 7#a7 ,in general ,the ,secretary may not implement the electronic health record system at a facility of the ,veterans ,health ,administration where such system has not been implemented as of the date of the enactment of this ,act until the date on which the ,under ,secretary for ,health1 in consultation with the director of such facility1 submits to the ,secretary1 and the ,secretary transmits to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives1 written certification that the staff and infrastructure of such facility are adequately prepared to receive such system4 7#b7 ,sunset ,this subsection shall terminate on the date on which the ,secretary has made the certification under paragraph 7#a7 at not less than one facility of the ,veterans ,health ,administration for each of the complexity levels of #a1 #b1 and #c4 7c7 ,exclusion ,this section does not apply to any facility that is jointly operated by the ,department of ,veterans ,affairs and the ,department of ,defense4 7d7 ,report 7#a7 ,initial report ,not later than #cj days after the date of the enactment of this ,act1 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a report that contains the following3 7,a7 ,a comprehensive review of the systems and networks of the ,department of ,defense within the ,federal electronic health record environment1 including the ,defense ,enrollment ,eligibility ,reporting ,system1 and the potential impacts of such systems and networks on the electronic health record system4 7,b7 ,with respect to certifications of the readiness of a facility to receive the electronic health record system under subsection 7b7-- 7i7 the single1 standard pre-deployment site readiness task list through which the ,secretary will determine such readiness2 7ii7 a determination by the ,secretary of-- 7,i7 how the ,secretary will align staff of the facility to the electronic health record system functionality2 and 7,,ii7 the minimum percentage requirement of staff at the facility who will complete training on such functionality or who will have their primary role to be working with such system to achieve such readiness4 7,c7 ,the national standard for workflows1 system interfaces1 medical devices1 clinical content1 order sets1 and user roles as delineated by the clinical complexity index of the ,department of ,veterans ,affairs for-- 7i7 facilities at complexity levels of #b or #c2 and 7ii7 facilities at complexity levels of #a4 7#b7 ,quarterly report ,not less frequently than quarterly following the initial report required under paragraph 7#a71 the ,secretary shall submit to the ,committee on ,veterans' ,affairs of the ,senate and the ,committee on ,veterans' ,affairs of the ,house of ,representatives a detailed report on-- 7,a7 any site level deviations from the national standard specified under paragraph 7#a77;,c7 and costs associated with such deviations2 and 7,b7 any changes to standard readiness task list specified under paragraph 7#a77;,b77i74 7e7 ,definitions ,in this section3 7#a7 ,electronic health record system ,the term electronic health record system means the electronic health record system implemented pursuant to the ,electronic ,health ,record ,modernization ,program4 7#b7 ,program activity ,the term program activity means an activity under the ,electronic ,health ,record ,modernization ,program at a facility of the ,veterans ,health ,administration1 including any site assessment 7including ,state reviews71 local or national workshop1 training1 testing1 or any other activity conducted before the activation of the electronic health record system4