Transcript OIA PowerPoint Presentation

BRA Overview
What Does BRA Do? (cont.)
Federal Enterprise Architecture (FEA)
Health Business Reference Model (BRM)
Health
(110)
Line of Business
Access to Care
(217)
Sub-Function
Request ID
Request
Name
VHA
IDs
Need Description
Need Tag
Breast Cancer Clinical Case 689, 774
Registry and Tracking of
Abnormal Results
Allow RT/NRT querying of the system to track
all diagnostic test results (abnormal or normal)
and provide notification to providers of
abnormal test results.
VHBAO:NEED233
Monitor and Follow-up on
Patients Health Status and
Outcomes
7 - New Models of Care (NMOC) Women’s H ealth (W H )
Breast Cancer Clinical Case 689, 774
Registry and Tracking of
Abnormal Results
Establish a registry to ultimately improve
detection, diagnosis, and treatment of breast
cancer.
VHBAO:NEED234
Monitor and Follow-up on
Patients Health Status and
Outcomes
7 - New Models of Care (NMOC) Women’s H ealth (W H )
Breast Cancer Clinical Case 689, 774
Registry and Tracking of
Abnormal Results
Provide breast cancer patients the ability to
directly interact with the care team and to
provide key input into their preventative and
curative care.
VHBAO:NEED235
Monitor and Follow-up on
Patients Health Status and
Outcomes
7 - New Models of Care (NMOC) Women’s H ealth (W H )
20100701
20100701
20100701
Arch/BFF
VHA Business
Architecture
Category
Business Function
Framework
VA VBA
BRM
VHA Program Offices
Application System
Pharm: Benefits
Management (PBM)
Pharm: National Drug
File (NDF)
VA / VHA
Strategic Drivers
Acronym Application System Description
Pharm: Bar Code
BCMA
Medication
Administration (BCMA)
PBM
NDF
Bar Code Medication Administration (BCMA) software provides a real-time, pointof-care solution for validating the administration of Unit Dose (UD) and Intravenous
(IV) medications to inpatients in Veterans Administration Medical Centers
(VAMCs). BCMA uses a Graphical User Interface (GUI), MS Windows-based
Client/Server architecture, designed to improve the accuracy of the medication
administration process, and to increase the efficiency of the administration
documentation process. The end result is enhanced patient safety and patient care
at VAMCs.
The software extracts medication dispensing data elements from the Outpatient
Pharmacy, Inpatient Medications IV and Unit Dose, Automatic Replenishment/Ward
Stock, and Controlled Substance modules; Procurement information from Drug
Accountability, Integrated Funds Control, Accounting and Procurement (IFCAP); and
a limited amount of Laboratory data on a monthly basis. The software makes data
extraction reports available at Department of Veterans Affairs Medical Centers
(VAMCs) and allows local management to use the data to project local drug usage
and identify potential drug accountability problem areas.
VistA
Evolution
Product Set
VHA Federal
Program
Inventory
Line of Business
DoD
Or g an i z ati o n
Sp eci fi c
No
DoD
R efer en ces
Avai l ab l e
A. 2 Man ag e
Po p u lati o n
H eal th
A. 3 Man ag e
H eal th C ar e
Ad mi n i str ati o n
A2. 1
D efi n e /
Assess
Po p u lati o n
A3. 1 Pr o vid e
L o g i sti cs
Man ag em en t
A1. 4 Man ag e
B en efi ci ar y
C o n ti n u u m o f
H eal th Ser vi ces
A1. 5 Man ag e
B en efi ci ar y
En co u n ter
VHA Business Function Framework
VH A
Or g an i z ati o n
Sp eci fi c
A. 1 Pr o vi d e
Access to
C ar e
A1. 1 D eter m in e
B en efi ci ar y
C ar e El i g ib i l i ty
Statu s
A1. 3
Sch ed u l e
B en efi ci ar y
C ar e Ser vi ces
A1. 6
Su p p o r t
B en efi ci ar y
Ser vices
A1. 7 Estab l ish
Access to C ar e
Per fo r man ce
Measu r es
A2. 2
D evel o p
Po p u lati o n
H eal th
Man ag em en t
Pr acti ces
A2. 3 Su p p o r t
Pr o acti ve
H eal th
Activi ti es
A2. 4 Estab l ish
Effecti ve
C o mmu n i cati o n
an d W o r kfl o w
F aci l i tati o n
A2. 5
Eval u ate
Po p u lati o n
H eal th
Man ag em en t
A2. 6
Per fo r m
Med i cal
Su r vei l l an ce
A1. 8
Su p p o r t
C o mmu n i ty
Ou tr each
A3. 2
Man ag e
F in an ces
A3. 3
Man ag e
H u man
R eso u r ces
A3. 4 D evel o p
an d
I mp l emen t
Po l i ci es
A3. 5 Per fo r m
Med i cal
Man ag em en t
A3. 6 Ad mi n ister
Pati en t C ar e
Ad mi n i str ati ve
Ser vices
Line of
Business
Provide
Health
Care
Administration
Deliver
Health
Care
Manage Health Care
Administration
(3)
Manage Health
Care Delivery
(4)
A. 4 Pr o vi d e C l i n i cal
D eci si o n Su p p o r t
A4. 1 Man ag e
th e Tar g eted
Po p u lati o n
D atab ase
A4. 2 Pr o vid e
Access to
I n fo r matio n
R eso u r ces
A4. 3
C r eate/ Man ag e
C l i n i cal
D o cu men ts
A4. 4 Pr o vid e
C o mmu n i cati o n s
Su p p o r t
A4. 5 Pr o vid e
H eal th
I n fo r matio n an d
D eci si o n
Su p p o r t
Man ag em en t
A4. 6 Pr o vid e I n ter Ag en cy
I n ter o p er ab il i ty
A3. 8 Su p p o r t
Man ag ed C ar e
C o n tr acts
A4. 8 Pr o vid e
I mmu n iz ati o n
an d
Med i cati o n
Al er ts
A. 5
Man ag e
H eal th C ar e
D el i ver y
A5. 1
Assess
B en efi ci ar y
H eal th Statu s
A5. 2
Plan H eal th
Ser vices
A5. 3
Man ag e
H eal th car e
Ser vices
A5. 4 Man ag e
C l i n i cal
I n fo r matio n
an d
D o cu men tati o n
A5. 5
En su r e Qu ali ty
o f H eal th
Ser vices
A. 6 Pr o vi d e
H eal th C ar e
R esear ch
A. 7 Pr o vi d e
H eal th C ar e
Ed u catio n
A6. 1 H ealth
Ser vices
R esear ch an d
D evel o p men t
(H SR &D )
A7. 1 Man ag e
Al l i ed H eal th
Ed u catio n
A6. 2 C o o r d i n ate
R eh ab i l i tatio n
R esear ch an d
D evel o p men t
Pr o g r ammi n g
Conduct
Health
Care
Research
Provide
Health
Care
Education
Provide Health
Care Research
(5)
Provide Health
Care Education
(6)
Manage Business
Enabling Services
(7)
A6. 3 C o o r d i n ate
an d D evelo p
Med i cal R esear ch
Ser vice Pr o g r ams
A7. 2 Man ag e
Gr ad u ate
Med i cal
Ed u catio n
A7. 3 Pr o vid e
Ad eq u ate
Su p p ly o f
H eal th
Per so n n el
A6. 4 Ad mi n ister
C o o p er ative
Stu d i es Pr o g r am
(C SP)
A5. 6 Per fo r m
Op er ati o n s
Man ag em en t
an d
C o mmu n i cati o n
A4. 9 Pr o vid e
Au to mated
Su p p o r t fo r
C ar e an d
Tr eatmen t
Plan s
A4. 10 U ti l iz e
Accep tab l e H eal th
C ar e Messag i n g
Stan d ar d s
A4. 11 Pr o vi d e
Tech n o l o g y
Assessm en t
Health Care
Segment
Manage
Public
Health
Manage
Public Health
(2)
A. 0 Pr o vi d e
H eal th car e
A4. 7 Pr o vid e fo r
C o mmu n i cati o n s
wi th C i vi l i an
Pr o vi d er s
A3. 10 I d en tity
Man ag em en t
Provide
Access to
Health
Care
Health Care
Research &
Practitioner
Education (249)
Provide Health
Care
(0)
A3. 7 Mo n i to r
B u si n ess
Man ag em en t
Activi ti es
A3. 9
Per fo r m Med i cal
Situ ati o n
Awar en ess
Segment
Health Care
Delivery Services
(248)
VA Capability Model
A1. 2 Per fo r m
Assessm en t an d
Plan fo r C ar e
VHA Applications
Health Care
Administration
(247)
FEA Business
Reference Model
Provide Access
to Health Care
(1)
Function
C o mmo n
H eal th C ar e
B u si n ess
Activi ty
The National Drug File (NDF) package provides standardization of the local drug
files in all VA medical facilities. Standardization includes the adoption of new drug
nomenclature and drug classification, as well as linking the local drug file entries to
data in the National Drug files. For drugs approved by the Food and Drug
Administration (FDA), NDF provides VA medical facilities with the ability to access
information concerning dosage form, strength and unit, package size and type,
manufacturer’s trade name, and National Drug Code (NDC) information. The NDF
software also lays the foundation for sharing prescription information among
medical facilities.
Population Health
Mgmt. & Consumer
Safety (246)
Manage
Business
Enabling
Services
Integrated Electronic
Health Record (iEHR)
Capabilities
DoD/VA Health
integrated Business
Reference Model
OPM Occupational
Groups
Request ID
Request
Name
VHA
IDs
Need Description
Need Tag
Breast Cancer Clinical Case 689, 774
Registry and Tracking of
Abnormal Results
Allow RT/NRT querying of the system to track
all diagnostic test results (abnormal or normal)
and provide notification to providers of
abnormal test results.
VHBAO:NEED233
Monitor and Follow-up on
Patients Health Status and
Outcomes
7 - New Models of Care (NMOC) Women’s H ealth (W H )
Breast Cancer Clinical Case 689, 774
Registry and Tracking of
Abnormal Results
Establish a registry to ultimately improve
detection, diagnosis, and treatment of breast
cancer.
VHBAO:NEED234
Monitor and Follow-up on
Patients Health Status and
Outcomes
7 - New Models of Care (NMOC) Women’s H ealth (W H )
Breast Cancer Clinical Case 689, 774
Registry and Tracking of
Abnormal Results
Provide breast cancer patients the ability to
directly interact with the care team and to
provide key input into their preventative and
curative care.
VHBAO:NEED235
Monitor and Follow-up on
Patients Health Status and
Outcomes
7 - New Models of Care (NMOC) Women’s H ealth (W H )
20100701
20100701
20100701
Arch/BFF
Category
VSSC Performance
Measures (Clinical, etc.)
VHA Business Requirements
& System Requirements (HL7)
VHA IT Projects
VETERANS HEALTH ADMINISTRATION
VHA Business
Process Models
VHA Information
Models (under Target Health Data Standards
(under development)
development)
0