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Community Information Technology Engagement (CITE): Program OverviewHealthcare Information and Management Systems Society 2014 Conference
Dr. Mark Dente, Chief Medical Informati on Offi cer of CITEHealth Informati csOffi ce of Informati cs and Analyti csVeterans Health Administrati on (VHA)
February 2014
VETERANS HEALTH ADMINISTRATION
VA as a Provider of Health Care
2
151VA Medical Centers, with at least one in
each state, Puerto Rico and Washington, DC
1,400+Care facilities including outpatient clinics, nursing homes, rehabilitation centers, etc.
90,000Medical professionals trained at VA
facilities each year
40.1%of the $140.3B Fiscal Year 2013 budget
went to VA Medical Programs
VETERANS HEALTH ADMINISTRATION 3
VistA Evolution Technical Objectives and Design Principles
VA establishes the following technical objectives to guide the VistA* Evolution Program’s technical activities to meet the goal of establishing seamless interoperability and clinical objectives:
• Objective 1: Acquire and maintain Electronic Health Record and ancillary Health Information Technology (HIT) systems.
• Objective 2: Re-engineer health care business processes and establish practical approaches to improve business processes and revise procedures, policies and structures that have evolved with legacy HIT systems.
• Objective 3: Demonstrate value and guide VistA Evolution management.
*Veterans Health Information Systems and Technology Architecture
1/17/2014 DRAFT NOT FOR DISTRIBUTION
VETERANS HEALTH ADMINISTRATION
CITE Mission
The mission of the CITE Team is help achieve the VistA Evolution Program Office vision by dynamically organizing and communicating technologies and requirements between the “Community” and VA
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VETERANS HEALTH ADMINISTRATION
The community includes:• Industry innovators• Open Source Electronic Health
Record Alliance (OSEHRA)• American Medical Informatics
Association • Health systems• Researchers• Universities• Open Source community• Health standards groups• Department of Defense
Definition of Community
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VETERANS HEALTH ADMINISTRATION
VistA Evolution Program Office Support
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• Support program success• Governance• VistA-4 Architecture contributions• Intake process support
VistA Evolution Program Office
Support
• Research, design, and prototyping with community• Market research/community sourcing• Resource Trust• Dialogue with community• Represented in Standard Development Organizations (SDO)
Community Involvement
The CITE team will act as Subject Matter Experts, contributing to other VistA Evolution work streams
VETERANS HEALTH ADMINISTRATION
Bringing the Stakeholders Together
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VA Office of Information
Technology (OIT)
VHA
CITE Team
Community
The CITE Team is positioned to bring stakeholders together to work toward a common vision.
VETERANS HEALTH ADMINISTRATION
VistA Evolution Program Support
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• Defined an engagement protocol for approaching the community based on guidance from the Office of General Counsel. Ensures compliance with the Federal Acquisition Regulation, Corporation Control Act, and Federal Advisory Committee Act .
Governance
• Developed the Resource Trust concept, a collaborative workgroup where industry informatics thought leaders provide best practice domain insight and share industry lessons learned with VistA Evolution Program Office leaders. Ensures community innovation efforts are evaluated as part of the VistA Evolution Program.
Value of Information Resource/Brain Trust
• Supported language for Open Application Programming Interface and Open Architecture
Request for Information Request
for Proposal Open Standards
The CITE team will serve as Subject Matter Experts, contributing to other VistA Evolution work streams
VETERANS HEALTH ADMINISTRATION
Community Involvement
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• Create internal and external messaging to promote awareness• Participate in speaking engagements• Promote VistA Evolution value and engagement to industry
Communications
• SDO Community Outreach• Participate in consortiums around standards• HL7 Fast Healthcare Interoperability Resources, Boston Sharp
Group, Open Health Tools, and others
Standards Development
• Promote the use of OSEHRA to its full capacity• Increase clinician focusOSEHRA
VETERANS HEALTH ADMINISTRATION
Community Involvement
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• Find the shortest pathway through VHA – OIT – Product Development for each product, solution or service, thus optimizing C3>C1
• Use Case under development - Fileman 22.2Solution Intake
• Create a reference guide for the community for utilizing Cooperative Research and Development Agreements. Will encourage community to engage in VA’s pilot and Proofs-of-Concept (POC) process.
• Run POC Pilots (e.g., review community developed meds reconciliation)
Community Developed Solutions
• Host an Industry Day for members of the outside community to learn about the VistA Evolution Program. Will inspire the community to bring solutions and services to VA.
• Webinars and social media
External Communication
