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VA SETS ASIDE $20 MILLION TO HANDLE LATEST DATA
BREACH -- "The attitude of the VA right now is
if we think
we've put anybody's information at risk, then
we need
to step up to the plate and try to remedy
that."

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VA sets aside $20 million to handle latest data
breach
By Daniel Pulliam
dpulliam@govexec.com
The Veterans Affairs Department has set aside more than $20 million to
respond to its latest data breach, the agency's top technology officer
said Thursday.
The department does not expect to spend the full $20 million, but
designated that much because the breach potentially puts the identities
of nearly a million physicians and VA patients at risk, said Bob Howard,
the department's chief information officer. Howard spoke at The E-Gov
Institute's Government Health IT Conference and Exhibition in
Washington.
"We have no evidence that [information is at risk]. None whatsoever, but
we don't take the chance," Howard said. "The attitude of the VA right
now is if we think we've put anybody's information at risk, then we need
to step up to the plate and try to remedy that."
The breach occurred in January, when a hard drive went missing from a
Birmingham, Ala., VA medical research facility. The drive contained
highly sensitive information on nearly all U.S. physicians and medical
data for more than a half million VA patients. Any physician who billed
Medicaid and Medicare through 2004 could be affected.
The hard drive has not been recovered. The VA estimates that about half
of the 1.3 million doctors whose information was on the hard drive, and
254,000 veterans, are potentially at risk. This group was notified by
mail at the end of May. The letters noted that VA is providing credit
monitoring services through a General Services Administration blanket
purchase agreement from the multiple award schedules program.
The credit monitoring funds will come out of the VA's fiscal 2007
cybersecurity budget, but Congress included an extra $15 million in the
recently passed emergency supplemental bill for funding the wars in Iraq
and Afghanistan (H.R. 2206), Howard said.
Because the January data breach occurred in a medical research facility,
the technology office tried to get health care-related funds
reprogrammed to cover the credit monitoring, Howard noted, but the
effort was unsuccessful.
"We were very worried about using cyber money that was needed to fix
other things so they listened to us and helped us out [through the
supplemental]," Howard said. "I'm spending my life in the protection of
information. The fact of the matter is that it is a very important
aspect to us."
Investigators are still trying to locate the hard drive and the FBI has
offered a $25,000 reward for information leading to its return.
In May 2006, the VA shocked Congress, the veterans community and the
military by announcing that a laptop computer containing personal data
on 26.5 million veterans and active-duty military personnel had been
stolen. This prompted multiple hearings and legislation intended to
better protect the government's sensitive information.
Howard said the department's health care information system, known as
VistA, has weaknesses since it was built at a time when the VA did not
worry as much about security.
Department officials are looking at ways of speeding up the
modernization of VistA, which is scheduled to take until at least 2015,
Howard said. The update is intended to make the medical records stored
on the system available worldwide via the Internet but at the same time
protect security.
"We're not satisfied with the timeline we've laid out for VistA," Howard
said. "We want to accelerate it, and it may take additional money, but
we're not sure. The biggest concern we have is money. You don't want to
just throw money at the problem unless you know what you're doing."
Currently the system is "facility centric," revolving around the
department's 1,400 locations. With patients moving out of the Defense
Department's health system and in and out of private health care
systems, VA has to be able to access the medical information through a
single portal from anywhere, Howard said.
The modernization of VistA is "enormously complex," since the system was
"built internally over time by the officials who work with the
requirements," Howard said. The modernization will be approached
incrementally, rather than with a "big bang approach," he said.
"We are not there by any sense of the imagination," he said. "That's a
tall order, but that's the vision that we're focused on and hopefully we
can figure out how to do that at some point."
Howard said the fact the department is now working with the Defense
Department to build a joint electronic health system has improved the
prospects of securing resources from Congress to hasten the VistA
upgrade.
In addition, the centralization of IT authority around the CIO's office
has improved the VA's ability to implement the upgrade, Howard said.
"We've got it all now. We've got the people. We've got the money. The IT
appropriation. But we've also got the problems," Howard said.
"Centralization has already begun to help us get things done faster,
improve standardization, improve compatibility -- all of the things that
will help us modernize our electronic health records."
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Larry Scott --