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By Debbie Gregory.

The VA’s $16 billion health information technology project has hit a major snag, thanks to a West Palm Beach, Florida internist who runs in Donald Trump’s Mar-a-Lago social circle.

Former VA Secretary David Shulkin, MD, announced the VA’s intent to transition its legacy EHR, VistA, to Cerner last year.

Internist Bruce Moskowitz has been an outspoken critic of Cerner’s software, causing him to object to using the company for the massive transformation of the VA’s digital records system.

The involvement of Moskowitz and his crony, Marvel Entertainment chairman and Trump confidant Ike Perlmutter, highlights the participation of Trump’s social circle in government decisions.

Dr. Moskowitz has been weighing in on the 10-year project, much to the distain of many clinicians involved in the effort.

Despite the delays, on April 25th, a VA spokesperson said that finalizing the Cerner-VA contract was a priority for Acting Secretary Robert Wilkie.

“Under Acting Secretary Wilkie’s leadership, senior VA officials are now on the same page, speaking with one voice to veterans, employees and outside stakeholders, such as Congress and veterans service organizations, and are focused on a number of key priorities in the short term,” said Curt Cashour, VA press secretary.

Although VA Secretary David Shulkin was fired by President Trump in late March, his goal was for the VA to create a single common EHR system with the Department of Defense using a shared Cerner Millennium EHR platform.

Despite its leadership vacancies, such as acting CIO Scott Blackburn resigning and VA secretary nominee Rear Admiral Ronny Jackson withdrawing, the VA insists that finalizing a decision on the agency’s electronic health record modernization is a near-term priority.