Update on What�s New in IT System Development by 87qxFj6

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									Update on What’s New in IT System
          Development

Enterprise Systems Management (ESM) Office
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
• Common Services Portfolio (CS)
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   – JJ Pan, ESM                                             7
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




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