Does anyone know what are they talking about?  VA has a comprehensive, free software medical records system that has important commercial developers.  Is this "scheduling system" not part of that medical records system?  

Something really stinks about the Secretary's statement.  It's like a COTS nightmare from 30 years ago, where good public domain software will be replaced with junky vendor software.  

/***** VA Secretary Eric Shinseki said “This contest marks a major change in direction by VA, away from software that is so customized that only VA can use it, toward open standards and commercial systems that build on proven practices. The competition will help us serve veterans by encouraging ideas to provide more personalized care.” *******/
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