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Big Things on the Horizon for Health Systems Interoperability and the Warfighter /Veteran Mrs. Debra Filippi, DoD/VA IP PowerPoint Presentation
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Big Things on the Horizon for Health Systems Interoperability and the Warfighter /Veteran Mrs. Debra Filippi, DoD/VA IPO Dr. Paul Tibbits , VA Dr. George “Peach” Taylor, DoD April 15, 2011. Agenda . James A Lovell Federal Health Care Center (JAL FHCC)

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slide1

Big Things on the Horizon for Health Systems Interoperability and the Warfighter/Veteran

Mrs. Debra Filippi, DoD/VA IPO

Dr. Paul Tibbits, VA

Dr. George “Peach” Taylor, DoD

April 15, 2011

agenda
Agenda
  • James A Lovell Federal Health Care Center (JAL FHCC)
  • Virtual Lifetime Electronic Record (VLER)
  • Interdepartmental Electronic Health Record (iEHR) Key Agreements
jal fhcc
JAL FHCC
  • JAL FHCC Capabilities Delivered:
  • Single Patient Registration
  • Medical Single Sign-On with Context Management
  • JAL FHCC Future Capabilities:
  • Orders Portability (OP for Laboratory and Radiology)
  • OP Pharmacy
  • OP Consults
vler concept
VLER Concept
  • “…both Departments will work together to define and build a system that will ultimately contain administrative and medical information from the day an individual enters military service throughout their military career, and after they leave the military”
            • -President Obama, April 9, 2009
iehr modernization objectives
iEHRModernization Objectives
  • EHR modernization efforts provide the opportunity to implement standards-based, Health IT solutions that will modernize existing Department EHR capabilities…and (provide) reduced sustainment costs.*
      • Effectiveness objectives:
          • Provide a patient-centric health care experience
          • Improve the quality of delivered services
          • Improve interoperability and data sharing between the departments
      • Efficiency objective:
        • Reduce overall cost of Health IT investments in acquisition, development and sustainment

To achieve these objectives, the Departments’ modernization plans should be compatible and synchronized

* “Joint Executive Council and Health Executive Council Report to Congress on Defense and Department of Veterans Affairs Medical Information Technology”

architecture
Architecture

Common DoD-VA Requirements: HL7 EHR-S Functional Model with DoD and VA vetted Extensions (SV-4)

Common DoD-VA Integrated Health Business Reference Model (OV-5)

Common DoD-VA “To Be” Process Flow Model (OV-6C)

Presentation

Layer Team

Presentation

(Common GUI)

Applications and Services

Systems

Capabilities

Team

VA Unique (6)

DoD Unique (16)

Common (Joint) Applications & Services (30)

Pharmacy

PersonalHealth Record

Laboratory

Blood Mgmt

Battlefield Care

Pediatrics

Nursing Home

Long Term

Care

Mission

Requirements

& Performance Outcomes

Team

Business

Process

Team

DisabilityEvaluation

InpatientOrders Mgmt

EmergencyDept Care

DocumentMgmt

MilitaryReadiness

Obstetrics

Rehabilitative

Care

TransientOutreach

Dental Care

Consult &Referral Mgmt

Immunization

OperatingRoom Mgmt

Enroute Care

Veterinary

PharmacyMail Order

OccupationalHealth (VA)

Common Interface Standards

Enterprise

Architecture

Team

Common Services Broker(includes Enterprise Service Bus (ESB) and Infrastructure Services)

Common Interface Standards

Common Data Centers

Data Inter-

operability

Team

Common Information Interoperability Framework (CIIF)

Common Information Model, Common Terminology Model,

Information Exchange Specifications, Translation Service

Common Data Standards: SNOMED CT and Extensions, LOINC and RxNorm

Common DoD-VA Measures of Effectiveness, Measures of Performance and key Performance Parameters

Pre-decisional v2 iehr

DoD Only

VA Only

Joint DoD/VA

iehr key agreements
iEHR Key Agreements
  • DoD and VA will continue to synchronize EHR planning activities for a joint approach to EHR modernization
  • The Departments have already identified many synergies and common business processes, including:
    • Common data standards and data center consolidation
    • Common clinical applications
    • Common user interface
iehr key agreements cont d
iEHR Key Agreements Cont’d
  • The VA has released an RFP to evaluate open source management options, and DoD is working with the VA to identify opportunities to contribute and participate in the open source collaboration
  • As the open source communities mature, DoD and VA will continue to analyze open source components that fit the architectural construct for use in the future EHR