Community Information Technology Engagement (CITE):
Program Overview
Healthcare Information and Management Systems Society 2014 Conference
Dr. Mark Dente, Chief Medical Information Officer of CITE
Health Informatics
Office of Informatics and Analytics
Veterans Health Administration (VHA)
February 2014
VA as a Provider of Health Care
151
1,400+
VA Medical Centers, with at least one in
each state, Puerto Rico and
Washington, DC
Care facilities including outpatient clinics,
nursing homes, rehabilitation centers, etc.
90,000
40.1%
Medical professionals trained at VA
facilities each year
of the $140.3B Fiscal Year 2013 budget
went to VA Medical Programs
VETERANS HEALTH ADMINISTRATION
2
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
VETERANS HEALTH ADMINISTRATION
1/17/2014 DRAFT NOT FOR DISTRIBUTION
3
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
VETERANS HEALTH ADMINISTRATION
4
Definition of Community
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
VETERANS HEALTH ADMINISTRATION
5
VistA Evolution Program Office Support
The CITE team will act as Subject Matter Experts, contributing to other VistA Evolution
work streams
• Support program success
• Governance
• VistA-4 Architecture contributions
• Intake process support
VistA Evolution
Program Office
Support
Community
Involvement
•
•
•
•
•
Research, design, and prototyping with community
Market research/community sourcing
Resource Trust
Dialogue with community
Represented in Standard Development Organizations (SDO)
VETERANS HEALTH ADMINISTRATION
6
Bringing the Stakeholders Together
The CITE Team is
positioned to bring
stakeholders
together to work
toward a common
vision.
VA Office of
Information
Technology (OIT)
CITE Team
VHA
VETERANS HEALTH ADMINISTRATION
Community
7
VistA Evolution Program Support
The CITE team will serve as Subject Matter Experts, contributing to other VistA Evolution
work streams
Governance
• 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 .
Value of Information
Resource/Brain Trust
• 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.
Request for
Information Request
for Proposal Open
Standards
• Supported language for Open Application Programming Interface and Open
Architecture
VETERANS HEALTH ADMINISTRATION
8
Community Involvement
Communications
• Create internal and external messaging to promote awareness
• Participate in speaking engagements
• Promote VistA Evolution value and engagement to industry
Standards
Development
• SDO Community Outreach
• Participate in consortiums around standards
• HL7 Fast Healthcare Interoperability Resources, Boston Sharp
Group, Open Health Tools, and others
OSEHRA
• Promote the use of OSEHRA to its full capacity
• Increase clinician focus
VETERANS HEALTH ADMINISTRATION
9
Community Involvement
Solution Intake
• Find the shortest pathway through VHA – OIT – Product Development
for each product, solution or service, thus optimizing C3>C1
• Use Case under development - Fileman 22.2
Community
Developed
Solutions
• 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)
External
Communication
• 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
VETERANS HEALTH ADMINISTRATION
10
Questions?
Contact Information
Dr. Mark Dente (Mark.Dente@va.gov)
VETERANS HEALTH ADMINISTRATION
11