Advanced Planning
Brief to Industry
Lorraine Landfried
Deputy CIO
OIT Product Development
June 9, 2011
Agenda
• Product Development Organizational
Overview
• PMAS and ProPath Refreshers
• Major Initiatives
• EHR
• Health, Benefits, and Corporate Products
• ICD-10
• Open Source
• Upcoming Acquisitions
2
Office of Information &
Technology
Assistant Secretary,
Office of Information &
Technology
-----------------------------Principal Deputy Assistant
Secretary
VLER EPMO
Service
Delivery &
Engineering
Product
Development
Architecture,
Strategy, &
Design
Quality, Performance,
and Oversight
Customer Liaisons
IT Resource
Management
Information
Security
3
Product Development
DCIO for Product
Development
Lorraine Landfried
ADCIO for
Project Management
Keith Seaman
ADCIO for
Product Support
Wil Berrios
Chief of Staff
Mickie Krause
ADCIO for
Development Management
Dave Peters
4
Where is Product Development?
Albany
Philadelphia
Eatontown
Hines
Salt Lake City
Oakland
Silver Spring
Denver
Quantico
Washington DC
Birmingham
Tuscaloosa
Dallas
Dublin
Austin
Bay Pines
Product Development Center
REPORT DATE: 04/20/11
Project Management
ADCIO for
Project Management
Keith Seaman
Director,
Major
Initiatives
Steve Schliesman
Director,
EHR
Susan Perez
Director,
Health Products
Larry Weldon
Director,
Benefits &
Corporate Products
Dan Pate
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Project Management
ADCIO for
Development Management
Dave Peters
Director,
Planning & Analysis
Competency
Mark Warner
Director,
Application Development
Competency
Catherine Pfeil
Director,
Product Assessment
Competency
Julie Harvey
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Project Management
ADCIO for
Product Support
Wil Berrios
Director,
Health Product Support
Vanessa Davis
Director,
Benefits Product Support
Ron Hawkins
Director,
Corporate Product Support
Tammy Watson
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Product Development
• Objective: PD manages all VA enterprise application
development. Development consists of planning, developing
or acquiring, integrating, and testing applications to meet
business requirements. It provides day-to-day direction over
all solutions developed by OIT for VA business units and is a
trusted partner in how VA delivers its mission and achieves
VA’s transformational goals.
9
PD Overarching Goals
and Priorities
• Product Support
 Serve as experts on deployed application software base
 Respond to application software maintenance, and proactively identify/avoid
potential problems
 Maintain engineering and business integrity of operational products to support
VA’s mission
 Retire/consolidate products to reduce cost and/or exploit new benefits
• Develop and deploy new mission critical systems

Major Initiatives, EHR

Heath, Benefits, Corporate products

Other funded system enhancements
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Product Support
• Flat or declining budgets
• Determining strategies for consolidating and
retiring products
• Work must be “self-funded” – small
investments for large return
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Development Management
• Competency segment of organization
• Includes functions where consistency is critical:
–
–
–
–
–
Project planners
Project management
Programming
Technical analysis
Implementation management
• Planning common competency acquisitions in
coming years
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Critical Management
Information
• Project Management Accountability System
(PMAS): All projects must be PMAS compliant.
• ProPath: PMAS mandates use of ProPath
standardized processes.
• Contractor clearance: process & project
timeframes more stringent, efficient and
timely clearance of contractors critical.
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Changes in PD:
Management and Execution
• Building accountability for schedule and dollars
— Continuing to improve customer delivery performance through schedule rigor –
1 minute late is LATE.
— 72% on time to date this FY (71% for MI, 74% non-MI)
— 100% of development budget tied to outcomes
— Working to better define requirements through PMAS-mandated IPTs
— Close collaboration earlier in development cycle with business owners, TAC, and
all stakeholders
• Structuring the organization
— Competency-based
— Central PMO contract
— Flexibility and efficiency for changing priorities
— Acquisitions will be structured to match organization
— T-4
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Critical Development
Information
•
•
•
•
Agile development
Common infrastructure: necessitates strong design abilities.
Open Source: impacts yet to be fully understood.
Technical Reference Model (TRM)
–
–
–
–
–
–
–
Databases: Oracle, SQL Server
Languages: Java, MUMPS, Delphi
Development Tools: IBM Rational brand line, Microsoft Project
Operating Systems: Windows, RH Linux, Solaris
Application Server: Oracle WebLogic
Web Server: IIS, Tuxedo, MOSS
New initiatives: mobile apps, Android, Apple iOS2
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PMAS: A Refresher
• Requires all IT programs be appropriately resourced and use incremental
product build techniques to focus on delivery of new functionality to
customers at least every six months
• Stringent monitoring; projects may be stopped.
• At sign of trouble, projects may be paused and reevaluated.
• Contracts now being structured and written according to PMAS requirements.
• PMAS is mandatory for all OIT development work. The PMAS Guide is
available in the Bidder’s Library.
• All development work will be reported in the PMAS database (MS Project
2010).
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ProPath: A Refresher
• ProPath is a front-end tool to a Process Asset Library containing information
regarding standard VA IT processes.
• It is a one-stop shop, providing critical links to the formal approved
processes, artifacts, and templates to assist project teams in facilitating their
PMAS-compliant work.
• Visual flow representation makes it easy to retrieve information and
comprehend process.
• It is SDLC agnostic. It reflects processes mandated for use with Agile, Linear,
and any other methodology.
• Just as with the PMAS Guide, using ProPath is mandatory and is directly
implied by the information in the PMAS Guide. ProPath is available in the
Bidder’s Library.
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Major Initiatives
Director: Steve Schliesman
VA’s Major Initiatives
Eliminate Veteran Homelessness (EVH)
Preparedness
Veteran Benefit Management System
(VBMS)
Systems to Drive Performance (STDP)
Automate Post-9/11 GI Bill
Integrated Operating Model (IOM)
Virtual Lifetime Electronic Record (VLER)
Human Capital Investment Plan (HCIP)
Improve Veteran Mental Health (IVMH)
Research and Development
Veteran Relationship Management (VRM)
Strategic Capital Investment Planning
New Models of Care (NMOC)
Health Care Efficiency
Enhance the Veteran Experience and Access Transforming Healthcare Delivery through
to Health Care (EVEAH)
Informatics
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Electronic
Health Record (EHR)
•
•
•
Formal agreement and sponsorship on March 17, 2011. EHR will be national model for capturing,
storing, and sharing electronic health information.
–
Functional and technical experts developing overall concept of operations to determine best approach.
–
Team structure transformed to best support proposed governance model.
–
June 23, 2011: estimated completion of governance model, cost analysis, technical assessment,
architectural review, and knowledge sharing process recommendation.
–
July: estimated completion of common Graphical User Interface (GUI).
Challenges
–
Disparate architecture: DoDAF & FEA/ProPath
–
Need for platform independence: anything that should be joint will be joint
Recent VA/DoD sharing initiatives
–
Health information for almost 4M Veterans and Servicemembers available to clinicians
–
Self-access through “Blue Button” technology
–
Joint Federal Health Care Center
–
VLER: Phased approach to data sharing to broader audience (private clinicians, benefits adjudicators,
family members, care coordinators, and other caregivers) with five pilot sites where health information is
shared between VA, DoD, and private sector
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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
(Common GUI)
Applications and Services
DoD Unique (16)
VA Unique (6)
Common (Joint) Applications & Services (30)
Battlefield Care
Pediatrics
Pharmacy
Personal
Health Record
Military
Readiness
Obstetrics
Disability
Evaluation
Inpatient
Orders Mgmt
Emergency
Dept Care
Document
Mgmt
Enroute Care
Veterinary
Dental Care
Consult &
Referral Mgmt
Immunization
Operating
Room Mgmt
Laboratory
Blood Mgmt
Nursing Home
Long Term
Care
Rehabilitative
Care
Transient
Outreach
Pharmacy
Mail Order
Occupational
Health (VA)
Common Interface Standards
Common Services Broker
(includes Enterprise Service Bus (ESB) and Infrastructure Services)
Common Interface Standards
Common Data Centers
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
Health Products
Director: Larry Weldon
Health Products
Health Provider Products
Health Administration Products
Imaging
Patient Management
Clinical Products
International Classification of Diseases (ICD)-10
Conversion
Computerized Patient Record System
Financial Products
Legacy Clinical Systems
5010/D.0
Pharmacy Reengineering
VHA Enrollment
Laboratory Reengineering
Health Data Products
Revenue Improvements and System Enhancements
(RISE)
Repository Products
Clinical Information Support System (CISS)
Standards and Terminology Service Products
James A. Lovell Federal Health Care Center (FHCC)*
Registry Products
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ICD-10
•
International standard diagnostic classification for many health management
purposes
•
Government mandate for compliance by October 1, 2013
•
Participation from VHA, Health Information Management (HIM), and several OIT
teams
•
Affects nearly all areas of the health organization, including clinical functions, claims
and financial functions and Health Information Management
•
Many core applications will require upgrade to accommodate new ICD-10 codes
•
New codes have greater degree of specificity than current ICD-9-CM codes and will
increase in number
–
Approximately 13,000 ICD-9 codes
–
Approximately 68,000 ICD-10-CM codes
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Benefits & Corporate Products
Director: Dan Pate
Benefits Products
Benefits Products
Corporate Products
Corporate Products
Fast Track (Agent Orange)
Corporate Systems
Vocational Rehabilitation and Employment
(VR&E)
Web Services
Financial Products
Strategic Asset Management
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Open Source
•
•
Transition to an Open Source Model
Proposed governance structure embodied in a Custodial Foundation
•
VA and DoD likely the first members
•
VA initially funds the foundation
•
VA contributes the initial code as open source base
•
Desired outcomes:
– Greater innovation and breadth of function
– Improved interoperability among VistA modules and between VistA and
related systems
– Stronger system and application security
– Rapid customization (such as unique localization requirements)
– Improvements in quality and reliability
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Upcoming Acquisitions
• $350M more to come in FY11 for MIs
• $100M+ to come on other PD work
• $600M in FY12 on MIs and EHR
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Upcoming Acquisitions
Requirement
Cost
Initiative
Secretary’s Initiative Directorate – Automate GI Bill
Benefits Initiative
$1-5M
3. Automate GI Bill Benefits
FY11-96 VRM SOA Software Purchase VRM-105
$1-5M
6. Build Veteran Relationship Management
NMOC Leadership Office (LO) Support
$1-5M
7. Design New Models of Care
Health Risk Assessment
$1-5M
7. Design New Models of Care
Clinical Video Teleconferencing (CVT) Scheduling
System Development
$1-5M
7. Design New Models of Care
NMOC Project Support
$1-5M
7. Design New models of Care
Vendor Databridge Interface to Clinical Information
Systems
$1-5M
8. Expand Health Care Access
Patient Advocacy Database (PAD)
$1-5M
8. Expand Health Care Access
Surgery Quality and Workflow Manager
$15M+
8. Expand Health Care Access
Project ARCH Automated Eligibility Determination
(ARCH)
$1-5M
8. Expand Health Care Access
To Be Awarded 4th Qtr FY11 through 1st Qtr FY12
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Upcoming Acquisitions
Requirement
Cost
Initiative
Veteran Transportation Services (VTS)
$1-5M
8. Expand Veteran Healthcare Access
Project Management Accountability System (PMAS)
Project Support
$1-5M
11. Establish Strong IOM
SES Talent Management System w/Dashboard
$1-5M
12. Transform Human Capital Management
HR Academy/KM Web Portal
$1-5M
12. Human Capital Improvement Plan
HCP Pilot Interface
$1-5M
15. Health Care Efficiency
PD MI 15 HCE Non-VA Care, Program Integrity Tools
$5-15M
15. Health Care Efficiency
PD MI 15 HCE Beneficiary Travel Enhancements
$1-5M
15. Health Care Efficiency
Independent Verification and Validation (IV&V) and
Project Support for Captain James A Lovell FHCC
$1-5M
BusinessWare Engineering Services Support
$5-15M
Benefits Legacy Applications Support Service
$1-5M
SPD - Scope Action Plan (ISO-9001) - PRISM
$1-5M
To Be Awarded 4th Qtr FY11 through 1st Qtr FY12
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Upcoming Acquisitions
Requirement
Cost
Software Configuration Change Management
Follow-On Contract
$5-15M
Tools Support Services Consolidation Contract
$5-15M
LSRP Implementation Team
$1-5M
PD Health Products PM Division: Laboratory ReEngineering - LSRP Software Engineering
$1-5M
Vista Maintenance
$5-15M
Enterprise Applications Maintenance
$1-5M
IRIS
$1-5M
Development Research Analysis
$1-5M
Agent Orange Fast Track
$1-5M
CAPRI Maintenance and Tactical Enhancements
$1-5M
FY11-62 VetSuccess Redesign and Rehost
$1-5M
Initiative
To Be Awarded 4th Qtr FY11 through 1st Qtr FY12
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