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VADoD Health Information Sharing


Brooke AMC. LRMC. Mike O'Callaghan Federal Hospital. David Grant FMC. Bassett ACH. Elmendorf AFB ... Womack AMC. NH Pensacola. Darnall ACH ... – PowerPoint PPT presentation

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Title: VADoD Health Information Sharing

VA/DoD Health Information Sharing
Mr. Cliff Freeman VA/DoD Health IT Sharing
Program 2006
  • VA/DoD Joint Electronic Health Records
    Interoperability Plan Overview
  • The Path to Interoperability, FHIE to BHIE to
  • Other Ongoing Integration Efforts

VA/DoD Joint Electronic Health Records
Interoperability Plan Overarching Strategy
VA/DoD Electronic Health Record
VA/DoD Electronic Health Record
  • Joint Electronic Health Records Interoperability
    (JEHRI) Plan Overview
  • Developed collaboratively by VA DoD
  • Approved by the VA/DoD Joint Executive Council
    (JEC) and signed by the VA Under Secretary for
    Health (USH) and DoD Assistant Secretary of
    Defense, Health Affairs (ASD(HA))
  • Approved by OMB
  • Provides the roadmap to achieve VA/DoD
  • Two Phases
  • Phase I One way electronic data exchange
  • Phase II Bidirectional and computable data

VA/DoD Electronic Health Record
  • JEHRI Goals
  • Improve sharing of information
  • Adopt common standards for architecture,
    security, communications, data, technology and
  • Seek joint procurements and/or building of
    applications where appropriate
  • Seek opportunities for sharing existing systems
    and technology
  • Explore convergence of VA and DoD health
    information technology applications where
    feasible and within mission requirements
  • Develop interoperable health records and data

The Path to VA/DoD Interoperability
DoD/VA Interagency Initiatives
One-way, enterprise exchange of text data
Bidirectional real-time exchange of text data
Bidirectional real-time enterprise exchange of
computable data
Federal Health Information Exchange
(FHIE)Information Sharing in Operation
Federal Health Information Exchange (FHIE)
  • Successfully completes Phase I of JEHRI
    operational at all VA medical centers since 2002
  • One-way data transmission from DoD CHCS I to VA
    VistA CPRS
  • Allows access to DoD data at the point of care by
    VA clinician
  • Successfully deployed and implemented across all
    VA Medical Centers
  • Averages over 1100 uses of FHIE/BHIE data each
    week (as of March 2006)
  • Permits VHA clinicians and VBA disability claims
    processors to view historical DoD data
    Demographics, Laboratory data, Radiology reports,
    Outpatient Government and Retail Pharmacy data,
    Allergy data, Admission, Disposition and Transfer
    (ADT) data, Consult Reports, and coding from the
    Standard Ambulatory Data Record

Federal Health Information ExchangeInteroperabili
ty Accomplishment
  • VA accesses health information through CPRS
    Remote Data View at the point of care
  • FHIE is fully operational at every VA medical
  • DoD has transmitted data to the FHIE repository
    on approximately 3.3M unique patients
  • VA has provided care or treatment to over 2M of
    the unique patients using FHIE data

Pre Post Deployment Health Assessment Data
  • Re-used FHIE architecture to support the ability
    of VA clinicians to use CPRS to view pre- and
    post-deployment health assessment (PPDHA) data on
    separated Service members
  • Operational in VA since December 2005
  • DoD has transmitted over 1.2M PPDHA on more than
    512,000 individuals who are separated Service
    members and Reserve and National Guard Members
    who have been deployed and are now demobilized
  • DoD continues to send monthly updates provided to
    VA containing data on separating Service members
    and demobilized Reserve and National Guard
  • Analysis underway for delivery of DoD Post
    Deployment Health Reassessment data in the same

CHCS-VistABidirectional Health Information
Exchange (BHIE)Bridging the Gap
Bidirectional Health Information Exchange (BHIE)
  • BHIE brings real-time, bidirectional exchange of
    medical information reusing FHIE infrastructure
    between CHCS and VistA CPRS
  • BHIE supports the care of shared patients at
    joint sites
  • Incremental Clinical Functionality was delivered
    in Cycle I (October 2004). Bidirectional
    transmittal and display of
  • Outpatient pharmacy
  • Allergy data
  • Patient Identification Correlation
  • Additional Clinical Functionality was delivered
    in Cycle II. Bidirectional transmittal and
    display of
  • Laboratory result data
  • Radiology text data
  • Operational at all VA sites and select DoD sites

BHIE DoD Sites Current and Future
Bassett ACH
Madigan AMC
NH Great Lakes
David Grant FMC
NH Camp Lejeune
Womack AMC
Mike OCallaghan Federal Hospital
Elmendorf AFB
NH Camp Pendleton
Eisenhower AMC
NH Charleston
NMC San Diego
William Beaumont AMC
NH Pensacola
Tripler AMC
Darnall ACH
Brooke AMC
BHIE operational
BHIE implementations planned during FY2006
8 DoD host sites 8 DoD Medical Centers, 5 DoD
Hospitals 50 DoD Clinics as of March 2006
The Clinical Data Repository/Health Data
Repository (CHDR) The Interoperable Health
The Clinical Data Repository/Health Data
Repository (CHDR)
  • Represents the development of interoperability
    between the Clinical Data Repository (CDR) and
    Health Data Repository (HDR)
  • Leverage DoD CHCS II/AHLTA experiences and
    lessons learned
  • Provide the cornerstone for interoperability
    between electronic health records for DoD and VA
  • Next generation systems AHLTA and HealtheVet
  • Bidirectional real time exchange of computable
    pharmacy, allergy, demographic and laboratory
  • Drug Drug interaction checking
  • Drug Drug Allergy interaction checking
  • Pharmacy Prototype demonstrated exchange of
    computable pharmacy, allergy and demographic data
    late in FY 04
  • CHDR successfully demonstrated to VHA and
    Military Health System Chief Information Officers
    in January 2006
  • Anticipated release into production environment
    is summer 2006 between William Beaumont Army
    Medical Center and VA El Paso Health Care System,
    El Paso, TX
  • Uses standardized data and terminology code sets
    to achieve computable data exchange

Other Ongoing VA/DoD Integration Efforts
  • Laboratory Data Sharing and Interoperability
    (LDSI) Supports the electronic ordering and
    results retrieval of chemistry laboratory tests
    between DoD and VA facilities
  • Enterprise Architecture Joint VA/DoD Shared
    Health Architecture Plan/Charter completed a
    Shared Health Architecture, version 1.0 in
    December 2004
  • Scheduling Interoperability Chartered work group
    exploring the feasibility of creating
    interoperable scheduling applications
  • e-Health collaboration VA/DoD shared objectives
    for cooperation between TRICARE Online and My