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GovCIO Media & Research Podcasts

GovCIO Media & Research Podcasts

Inside the Federal EHR Modernization Effort | HealthCast

Sep 22, 2026 · 7 min · 6 segments

The federal government is modernizing electronic health records to give clinicians more seamless access to patient data across agencies and improve the delivery of care. Lance Scott, CTO for the…

The federal government is modernizing electronic health records to give clinicians more seamless access to patient data across agencies and improve the delivery of care. Lance Scott, CTO for the Federal Electronic Health Record Modernization Office (FEHRM), discussed how the office is coordinating technology efforts across agencies to improve interoperability and standardize health information sharing. Scott explored the state of EHR modernization across the government, including ongoing efforts with the Departments of Veterans Affairs and War. He also discusses how FEHRM is working with additional federal organizations to expand the shared EHR ecosystem and improve the exchange...

The federal government is modernizing electronic health records to give clinicians more seamless access to patient data across agencies and improve the delivery of care. Lance Scott, CTO for the…

Spotify Website

Speakers: Lance ScottGuestHenry KenyonHost

Top entities: Oracle Cloud×4 United States Department of Veterans Affairs×11 Electronic health record×2 United States Department of War×5 Oracle×3

Show signals: SuitabilitySafeBiasNot politicalAudience≈2k followers

The State of Federal EHRs0:18 – 1:53

H

Henry KenyonHost

0:18

I would like to, since we've been discussing the sort of state of federal electronic health records, could you set the picture for us? What is the current state of EHR systems across the federal government?

L

Lance ScottGuest

0:32

Absolutely.

L

Lance ScottGuest

0:33

And thank you for having me here today.

L

Lance ScottGuest

0:35

I would like to start with The future of the federal electronic health record is really bright.

L

Lance ScottGuest

0:41

We've got we've got so many things on the horizon right now.

L

Lance ScottGuest

0:45

VA has picked up its deployments.

L

Lance ScottGuest

0:47

They started in the spring to add 13 new sites this year.

L

Lance ScottGuest

0:50

They are currently, as we speak today in their their their third go live with Indiana market.

L

Lance ScottGuest

0:56

And they're just they're they're hitting it out of the park.

L

Lance ScottGuest

0:59

They're they're beating all basically standards that we use to track how well a go-live is going.

L

Lance ScottGuest

1:10

It's just refreshing to see how well it's really going.

L

Lance ScottGuest

1:13

Also, we've seen movement on bringing on new partners.

L

Lance ScottGuest

1:17

We will field the Armed Forces Retirement Home within the year.

L

Lance ScottGuest

1:22

And we've got about 14 other partners that are in some state of negotiation with us to bring on the federal HR.

L

Lance ScottGuest

1:28

So it's really, really blossoming more than we ever expected.

L

Lance ScottGuest

1:32

We've got many, many technical things that are going on and functionality enhancements.

L

Lance ScottGuest

1:38

We just got a brand new VA director, Dr. Les Folklius.

L

Lance ScottGuest

1:42

We're very excited to have her on the team.

L

Lance ScottGuest

1:45

We've worked with her a lot in the past, but she's on the VA side, not on the firm side.

L

Lance ScottGuest

1:51

So we're very happy to have her here.

Oracle CloudEntity
95%4 mentions
United States Department of Veterans AffairsGovernment OrganizationGovernment department
85%11 mentions
Electronic health recordEntity
75%2 mentions
United States Department of WarGovernment OrganizationGovernment department
65%5 mentions
OracleCompanySoftware company
55%3 mentions
Artificial intelligenceEntityProfessional field
45%1 mention
Ferrari S.p.A.CompanyCar manufacturer
35%2 mentions
Armed Forces Retirement HomeTourist AttractionRetirement community in Washington, D.C., United States
25%2 mentions
BethesdaPlaceCensus-designated place in Maryland
10%1 mention
MarylandAdministrative AreaUS state
10%1 mention

Cloud ComputingTechnology
Federal Government OperationsGovernment
Healthcare Cloud InfrastructureTechnology > Cloud Computing
Federal EHR SystemsHealthcare > Health Information Technology > Electronic Health Records
Government-wide EHR DeploymentHealthcare > Health Information Technology > Electronic Health Records > Federal EHR Systems
Federal EHR PartnershipsGovernment > Federal Government Operations
VA and DoD EHR ExpansionGovernment > Federal Government Operations > Federal EHR Partnerships
Oracle Cloud InfrastructureTechnology > Cloud Computing > Healthcare Cloud Infrastructure
Federal EHR Cloud MigrationTechnology > Cloud Computing > Healthcare Cloud Infrastructure > Oracle Cloud Infrastructure
Clinical Care TechnologyHealthcare
Artificial Intelligence in HealthcareHealthcare > Clinical Care Technology
Clinical Documentation and Decision SupportHealthcare > Clinical Care Technology > Artificial Intelligence in Healthcare
Interoperability StandardsHealthcare > Health Information Exchange
TEFCA Qualified Health Information NetworksHealthcare > Health Information Exchange > Interoperability Standards
Health Information ExchangeHealthcare
Health Information TechnologyHealthcare
Technology
Government
Healthcare
Electronic Health RecordsHealthcare > Health Information Technology

The State of Federal EHRs0:18 – 1:53

H

Henry KenyonHost

0:18

I would like to, since we've been discussing the sort of state of federal electronic health records, could you set the picture for us? What is the current state of EHR systems across the federal government?

L

Lance ScottGuest

0:32

Absolutely.

L

Lance ScottGuest

0:33

And thank you for having me here today.

L

Lance ScottGuest

0:35

I would like to start with The future of the federal electronic health record is really bright.

L

Lance ScottGuest

0:41

We've got we've got so many things on the horizon right now.

L

Lance ScottGuest

0:45

VA has picked up its deployments.

L

Lance ScottGuest

0:47

They started in the spring to add 13 new sites this year.

L

Lance ScottGuest

0:50

They are currently, as we speak today in their their their third go live with Indiana market.

L

Lance ScottGuest

0:56

And they're just they're they're hitting it out of the park.

L

Lance ScottGuest

0:59

They're they're beating all basically standards that we use to track how well a go-live is going.

L

Lance ScottGuest

1:10

It's just refreshing to see how well it's really going.

L

Lance ScottGuest

1:13

Also, we've seen movement on bringing on new partners.

L

Lance ScottGuest

1:17

We will field the Armed Forces Retirement Home within the year.

L

Lance ScottGuest

1:22

And we've got about 14 other partners that are in some state of negotiation with us to bring on the federal HR.

L

Lance ScottGuest

1:28

So it's really, really blossoming more than we ever expected.

L

Lance ScottGuest

1:32

We've got many, many technical things that are going on and functionality enhancements.

L

Lance ScottGuest

1:38

We just got a brand new VA director, Dr. Les Folklius.

L

Lance ScottGuest

1:42

We're very excited to have her on the team.

L

Lance ScottGuest

1:45

We've worked with her a lot in the past, but she's on the VA side, not on the firm side.

L

Lance ScottGuest

1:51

So we're very happy to have her here.

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