DoD and Veterans Affairs: Health Information Interoperability Joint Venture Conference February...
-
Upload
harvey-logan -
Category
Documents
-
view
216 -
download
0
Transcript of DoD and Veterans Affairs: Health Information Interoperability Joint Venture Conference February...
DoD and Veterans Affairs: Health Information Interoperability
Joint Venture Conference February 2006
2
Topics
• Path to Interoperability
• Federal Health Information Exchange (FHIE)
• Pre- and Post-Deployment Health Assessments
• Bidirectional Health Information Exchange (BHIE)
• Clinical Data Repository/Health Data Repository (CHDR)
• Laboratory Data Sharing Initiative (LDSI)
• Site Implementation Considerations
• BHIE/CHDR Interface
• Other Initiatives
• Summary
3
BHIE• 2-way
• Local exchange
• Text data
• Real-time
FHIE• 1-way
• Enterprise exchange
• Text data
CHDR• 2-way
• Enterprise exchange
• Computable data
• Real-time
BHIE
Bidirectional Health
Information Exchange
FHIE
Federal Health
Information Exchange
CHDR
Clinical Data
Repository/ Health Data Repository
The Path to Interoperability
Interoperable Electronic
Health Records
4
Federal Health Information Exchange
Supports monthly, 1-time transfer of electronic health information from DoD to VA at the point of a Service member’s separation
One-way, enterprise exchange of text data
5
Federal Health Information Exchange
• 3.27 million unique patients
• 45 million lab results
• 7.19 million radiology reports
• 45.2 million pharmacy records
• 41.8 million standard ambulatory data records
• Over 2 million separated Service members have presented to the VA
• ~2,700 messages transmitted daily in Dec 05 on VA patients treated by DoD under local sharing agreements
As of 31 January 2006
6
Pre-/Post-Deployment Health Assessments
Enables VA health care providers to access pre- and post-deployment health assessments
on separated Service members
7
Pre-/Post-Deployment Health Assessments
• Assessments transferred from DoD to Federal Health Information Exchange data repository
• Historical data pull of 400,000 assessments completed July 2005
• Monthly data transfer started in September 2005
• More than 515,000 assessments available on more than 266,000 individuals
• VA began retrieving the data in December 2005
• DoD plans to add post-deployment health reassessments in fiscal year 2006
8
Bidirectional Health Information Exchange
Enables real-time sharing of electronic health information between DoD and VA for shared patients
Two-way, BHIE sites and all of VA exchange of text data
9
Bidirectional Health Information Exchange
• Allergy, outpatient pharmacy, demographic, laboratory, and radiology data
• 3,124 FHIE-BHIE queries/week (Jun–Dec 2005)
• Data from DoD BHIE sites available to all VA sites
• Deployment to additional sites in fiscal year 2006
10
BHIE Sites
Mike O’Callaghan Federal Hospital
Madigan AMC
NMC San Diego Eisenhower AMC
William Beaumont AMC
David Grant Medical Center
Landstuhl RMC
Brooke AMC
Darnall ACH
NH Great Lakes
NH Camp Lejeune
NH Charleston
Womack AMCNH Camp Pendleton
Tripler AMC
BHIE operational
National Capital Area
BHIE implementation proposed for fiscal year 2006
Elmendorf AFB
Bassett ACH
11
BHIE
FHIE
KE
Y BHIE Bidirectional Health Information ExchangeDoD Department of DefenseFHIE Federal Health Information ExchangeVistA Veterans Health Information and Systems Technology Architecture
BHIEDoD
Legacy System
VistA
12
Clinical Data Repository/Health Data Repository
Will support interoperability between DoD’s Clinical Data Repository (CDR) & VA’s
Health Data Repository (HDR)
Two-way, enterprise exchange of computable data
13
Clinical Data Repository/Health Data Repository
• Bidirectional exchange of demographics, outpatient pharmacy, and allergy data anticipated in fiscal year 2006
– Support drug-drug and drug-allergy interaction checking
• Bidirectional exchange of laboratory data (chemistry and hematology) next data set
14
CHDR
AHLTA CDR
DoD CHDR
Interface
VA CHDR
Interface
VAHDR
KE
Y CDR Clinical Data RepositoryCHDR Clinical Data Repository/Health Data RepositoryHDR Health Data RepositoryVA Department of Veterans Affairs
15
Laboratory Data Sharing Initiative
Supports bidirectional capability for either DoD or VA to act as a reference lab for order entry
and results retrieval (lab chemistries)
16
Laboratory Data Sharing Initiative
• LDSI metrics from National Defense Authorization Act (NDAA) demonstration sites
– El Paso, Texas (Started January 2005)• 40 tests mapped – using 25
• 574 tests in January 2006
– San Antonio, Texas (Started August 2005)• 7 tests mapped – using 7
• 142 tests in January 2006
• Adding functionality for anatomic pathology and microbiology
– Anticipate testing in June 2006 (El Paso) and July 2006 (San Antonio)
17
LDSI Sites
NMC San Diego & San Diego VA Health Care System
William Beaumont AMC &El Paso VA Health Care System
Brooke AMC, Wilford Hall Medical Center, &South Texas VA Health Care System
NH Great Lakes & VA Medical Center, Chicago
Tripler AMC &Pacific Islands VA Health Care System
LDSI operational
LDSI discussions ongoing
Bassett ACH &Alaska VA Health Care System
Mike O’Callaghan Federal Hospital &Southern Nevada VA Health Care System
18
Site Implementation Considerations
• Business Case
• Leadership support
• MOU/MOA and sharing agreements
• Facility schedule
• IT and functional and staff availability
• Minimal training required
• None or minimal additional costs for hardware infrastructure
19
AHLTA CDR
DoD CHDR
Interface
VA CHDR
Interface
VAHDR
FHIE
BHIEDoD
Legacy System
VistA
BHIE/CHDR Interface
KE
Y BHIE Bidirectional Health Information ExchangeCDR Clinical Data RepositoryCHDR Clinical Data Repository/Health Data RepositoryDoD Department of Defense
FHIE Federal Health Information ExchangeHDR Health Data RepositoryVA Department of Veterans AffairsVistA Veterans Health Information and Systems Technology Architecture
20
Other Initiatives
• Inpatient documentation
• Image sharing
• Medical record scanning
21
SummarySummary
22
DoD and VA Are…
• Sharing large volumes of electronic health information
• Making progress on interoperable health records
• Continuing to enhance HIPAA compliant data sharing solutions