Update on Whats New in IT System Development

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Update on Whats New in IT System Development

• Enterprise Systems Management (ESM) Office

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VHA IT Structure
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VHA IT Structure cont.
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Veterans Health Administration
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VHA Mission Requirements Process
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ESM Current Organization

• Director, ESM Office
• Requirements Analysis and Engineering Management
  (RAEM)
• Business Architecture (BA)
• Program Administration and Operations
• Health Provider Systems Portfolio (HPS)
• Health Data Systems Portfolio (HDS)
• Registration, Eligibility and Enrollment
  Portfolio (REE)
• Management and Financial Systems Portfolio (MFS)
• Common Services Portfolio (CS)

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Portfolio Leadership

• Portfolios are simply a way to organize and
  divide work.
• Health Provider Systems Portfolio (HPS)
• Jeff Sartori RN, ESM
• Doug Rosendale MD, Actg. ESM
• Health Data Systems Portfolio (HDS)
• Travis Hoffmann, Actg. ESM for Data Exchange
• Tin Wong, ESM for Data Systems
• Registration, Enrollment and Eligibility
  Portfolio (REE)
• Jay Eigenbrode, ESM
• Management and Financial Systems Portfolio (MFS)
• Ed Piskura, Actg. ESM

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Each Portfolio has an Executive Board

• Health Information Systems Executive Board
  (HISEB)
• Representatives from the business community
  served by the portfolio
• Identify needed functionality (plus cost)
• Defining business requirements
• Prioritize requests
• Provide offensive and defensive advocacy for
  portfolio objectives and supported projects
• Staying informed/providing oversight
• Participate in change control management

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Portfolio Programs and Projects
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Portfolio Project Updates and New Roll Outs
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Health Provider Systems (HPS)
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Health Provider Systems (HPS)

• Systems that support clinical care for care
  givers, ancillary service departments, and
  supplying information to main systems such as
  VistA. Key projects and initiatives include
  Pharmacy, Bar Coding, Laboratory, CPRS, Surgery,
  Imaging, Nursing, etc.
• Jeff Sartori, ESM
• Doug Rosendale, Acting ESM

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HPS - EDIS
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HPS Nursing VA/DoD Transfer Summary
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HPS Clinical Flowsheet
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Rolling Out in HPS

• Vet Center Electronic Record The Vet Centers
  currently perform vital services for our veteran
  population. Their current clinical and scheduling
  information system related to the care of
  eligible Veterans and their families is primarily
  a paper based system. This project will create a
  new Electronic Record specifically designed for
  the Vet Center users and eligible veterans.
• DoD/VA Information Interoperability Plan (IIP)
  The purpose of the IIP is to guide leadership,
  policy makers, and information management and
  technology personnel in achieving the shared
  vision for DoD and VA health, personnel, and
  benefits information interoperability. The IIP
  discusses issues and opportunities for
  interoperability what it involves, why we should
  care about it, and how it can be achieved. It
  explains the benefits for stakeholders,
  identifies the main issues that lie on the road
  to achievement, and provides an initiative
  focused, problem-oriented, phased implementation
  schedule. This plan applies the Center for
  Information Technology Leadership Levels of
  Standardization and identifies more than 20
  initiatives to achieve the shared vision of
  information interoperability.
• Health Factors Functionality Enhancements VANOD
  is requesting enhancements to the functionality
  of health factors to include the following
  ability to indicate that a health factor has
  expired, is no longer applicable, or has been
  superseded by another event or state ability to
  link or associate entries over time to indicate a
  relatedness or evolution ability to
  activate/deactivate health factors once a
  condition has changed.

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Health Data Systems (HDS)
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Health Data Systems (HDS)

• Systems that collect, store, and provide data for
  patient care business purposes such as
  reimbursement analytical purposes such as
  performance improvement and research and
  exchange of information outside VHA. Key
  projects and initiatives include VA/DoD
  Information Sharing, GWOT, NHIN, Standards and
  Terminology Services, Rural Health, Home
  Telehealth, Repositories and Registries.
• Travis Hoffmann, Acting ESM
• Tin Wong, ESM for Data Systems

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HDS Standards and Terminology Services
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HDS Increased Care for OEF/OIF Veterans
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HDS Bi-Directional Health Information Exchange
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HDS Care Coordination Home Telehealth
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Rolling Out in HDS

• Bi-Directional Health Information Exchange - BHIE
  - remote data views

• Vitals Anatomic Pathology
• Questionnaires, Family History, Social History,
  Forms
• Scanned Documents, Images

Traumatic Brain Injury Registry Lab Domain added
to the Health Data Repository
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Registration, Eligibility and Enrollment (REE)
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Registration, Eligibility and Enrollment (REE)

• Systems that support the health benefit
  application process, health eligibility and
  enrollment verification, outpatient scheduling,
  compensation and pension claims processing, and
  income verification. Key projects and initiatives
  include Scheduling Replacement, Enrollment
  Redesign, Compensation and Pension Record
  Interchange (CAPRI), Identity Management, Primary
  Care Management Module (PCMM), and Veterans
  Identification Card.
• -Jay Eigenbrode, ESM

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Rolling Out in REE

• Enrollment System Redesign
• Veterans Online Application
• Military Service Data Sharing
• Modernized Registration

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Management and Financial Systems (MFS)
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Management and Financial Systems (MFS)

• Systems that support management and financial
  services such as payroll, prosthetics, logistics,
  claims and billing, Compliance and Business
  Integrity, etc. Key projects and initiatives
  include Revenue Improvements and Systems
  Enhancements (RISE), Fee Basis, Decision Support
  Systems (DSS), Strategic Asset Management (SAM),
  Personnel and Accounting Integrated Data (PAID).
• -Eddie Piskura, Acting ESM

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MFS National Provider Identifier (NPI) Phase 3
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MFS Reasonable Charges Billing Enhancement
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Rolling Out in MFS

• FLITE/SAM
• RISE
• Enhanced E-Claims (UB-04, Present on Admission
  Indicator)
• ASISTS enhancements
• Canteen Service Point of Purchase

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Common Services (CS)
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Common Services (CS)

• Systems that provide core services to the other
  portfolios. Key projects and initiatives
  include, Security Services, Messaging Interface
  Services, Identity Management, other Common
  Services.
• JJ Pan, ESM

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New Portfolio - Common Services
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CS Security Services
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CS Messaging Services
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Rolling Out in CS

• Security Services
• Identity Management
• Messaging

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For more information please visit ESM
at http//vaww1.va.gov/ESM
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Questions