Other Projects
Emergency Disease Response
Initially, at the very onset of the pandemic, J P Systems supported the definition of COVID-19 workflows. The VHA clinicians needed to rapidly standardize care processes across the VA enterprise with varying degrees of requirements for complexity. The VA’s Clinical Informatics and Data Management Office, CIDMO, in collaboration with the Emergency Management Coordination Cell (EMCC) and VHA health practitioners, have developed ten baseline COVID-19 clinical workflows. Consequently, these workflows established a baseline for COVID-19 patient care from patient outreach through discharge and follow-up. The clinical workflows include:
- High-Level End-to-End Patient Process
- Virtual Care Pre-Arrival
- In-Person Pre-Arrival
- Emergency Department
- Inpatient
- Intensive Care Unit (ICU)
- Outpatient
- Community Care
- Long Term Care
- Virtual Care Follow-Up
The clinical workflows identify requirements for health data standards and informatics tools including Clinical Decision Support tools and any gaps in current tools.
JPSYS also updated their Electronic Health Record (EHR) system’s terminologies to include diagnosis codes for this new disease.
PMO IOC
For the Clinical and Data Management Office (CIDMO) Program Management Office (PMO), we provided professional and technical services to support Initial Operating Capacity (IOC) efforts in special projects with multiple VA Legacy Systems environments. This required program/project management, experienced health informatics analysts, experienced clinical informaticists to perform functionality tests of VA products and software such as CPRS version releases as well as configuration work to support Clinical Process Modules.
For each product tested, a well-written report was delivered attesting to the products safety and functionality for national implementation. This included clinical reminders, order sets, Clinical Decision Support templates and health factors.
VA Standards and Interoperability: Nursing Terminology Standards Project
J P Systems mapped 1,500 terms for OCNIO’s Standardized Nursing Documentation Project, supporting the Federal Health Terminology Model launch. Our team guided VA teams on data standards and promoted interoperability through standard terminologies for Nursing Flowsheets and pressure ulcer risk assessments. We mapped VHA skin and wound care nursing terms to Clinical Care Classification (CCC) System for assessments, interventions, and outcomes. We mapped CCC skin integrity terms to SNOMED CT, including nursing diagnoses, interventions, actions, and outcomes for better data exchange.
Content Variance Analysis
In 2019, the Department of Veterans Affairs (VA) was questioning certain data variations in relation to EHR Modernization requirements from legacy VistA to Oracle Health (Cerner Millennium) and HealtheIntent. This project examined non-standard domains in legacy systems and other data sources to check for consistency of structure, content and format in preparation for the import of the data into Oracle Health. (TO26)
We supported the Office of Communications and the VA Deputy of Social Media with COVID-19 videos, infographics, posts, and briefings. These social media campaigns kept both Veterans and clinicians informed on urgent and evolving public health concerns. We provided emergency communication support to the VA COVID-19 Rapid Response Communications Team during the height of the pandemic.
Our team helped produce over 250 videos for 362,000 VHA employees, promoting national campaigns such as mask-wearing. We also prepared responses to over 100 congressional inquiries and coordinated many executive appearances, including a TEDx Veterans Affairs speech. Products from our team appear daily on VA websites, with partner agencies, and in public communications across the organization. We drafted the forward for the COVID-19 Response Report, which the VHA EIC accepted without any requested changes.
Dr. Richard Stone highlighted our work in Save Every Life You Can, describing the videos’ powerful impact on leadership discussions. He wrote, "Videos would be quickly seen by more than 40,000 employees… and discussed in morning leadership stand-up meetings."
High Reliability Organization (HRO) Consultations
High Reliability Organization (HRO) Consulting.
JPSys assessed implementation effectiveness and provided project management and consultation support across 18 pilot VAMCs and advised VHA leaders on strategy for HRO implementation. Additionally, we support system-wide cultural transformation, delivered leadership training to 194 VISN and VAMC leaders and generated system wide leadership practices to empower and support front line teams. Trainings focused on leadership engagement, implementing a 'just culture' and development of frontline teams, to include field clinicians and informaticists working on standardization of VHA health factors and clinical reminders.
Additionally, we completed leadership training during the COVID-19 response, enabling the VHA to move forward with their implementation plan that was developed prior to the pandemic. JPSys advised on the Site-Specific Assessments and Planning portion of the HRO implementation, which is currently being piloted in three VISNs with the intention of being distributed across the enterprise. We developed outreach strategies and advised on the HRO communication strategy and campaigns that were tailored to the implementation during the transition to a virtual environment during the onslaught of COVID-19.
Other Projects
Emergency Disease Response
Initially, at the very onset of the pandemic, J P Systems supported the definition of COVID-19 workflows. The VHA clinicians needed to rapidly standardize care processes across the VA enterprise with varying degrees of requirements for complexity. The VA’s Clinical Informatics and Data Management Office, CIDMO, in collaboration with the Emergency Management Coordination Cell (EMCC) and VHA health practitioners, have developed ten baseline COVID-19 clinical workflows. Consequently, these workflows established a baseline for COVID-19 patient care from patient outreach through discharge and follow-up. The clinical workflows include:
- High-Level End-to-End Patient Process
- Virtual Care Pre-Arrival
- In-Person Pre-Arrival
- Emergency Department
- Inpatient
- Intensive Care Unit (ICU)
- Outpatient
- Community Care
- Long Term Care
- Virtual Care Follow-Up
The clinical workflows identify requirements for health data standards and informatics tools including Clinical Decision Support tools and any gaps in current tools.
JPSYS also updated their Electronic Health Record (EHR) system’s terminologies to include diagnosis codes for this new disease.
PMO IOC
For the Clinical and Data Management Office (CIDMO) Program Management Office (PMO), we provided professional and technical services to support Initial Operating Capacity (IOC) efforts in special projects with multiple VA Legacy Systems environments. This required program/project management, experienced health informatics analysts, experienced clinical informaticists to perform functionality tests of VA products and software such as CPRS version releases as well as configuration work to support Clinical Process Modules.
For each product tested, a well-written report was delivered attesting to the products safety and functionality for national implementation. This included clinical reminders, order sets, Clinical Decision Support templates and health factors.
VA Standards and Interoperability: Nursing Terminology Standards Project
J P Systems mapped 1,500 terms for OCNIO’s Standardized Nursing Documentation Project, supporting the Federal Health Terminology Model launch. Our team guided VA teams on data standards and promoted interoperability through standard terminologies for Nursing Flowsheets and pressure ulcer risk assessments. We mapped VHA skin and wound care nursing terms to Clinical Care Classification (CCC) System for assessments, interventions, and outcomes. We mapped CCC skin integrity terms to SNOMED CT, including nursing diagnoses, interventions, actions, and outcomes for better data exchange.
Content Variance Analysis
In 2019, the Department of Veterans Affairs (VA) was questioning certain data variations in relation to EHR Modernization requirements from legacy VistA to Oracle Health (Cerner Millennium) and HealtheIntent. This project examined non-standard domains in legacy systems and other data sources to check for consistency of structure, content and format in preparation for the import of the data into Oracle Health. (TO26)
We supported the Office of Communications and the VA Deputy of Social Media with COVID-19 videos, infographics, posts, and briefings. These social media campaigns kept both Veterans and clinicians informed on urgent and evolving public health concerns. We provided emergency communication support to the VA COVID-19 Rapid Response Communications Team during the height of the pandemic.
Our team helped produce over 250 videos for 362,000 VHA employees, promoting national campaigns such as mask-wearing. We also prepared responses to over 100 congressional inquiries and coordinated many executive appearances, including a TEDx Veterans Affairs speech. Products from our team appear daily on VA websites, with partner agencies, and in public communications across the organization. We drafted the forward for the COVID-19 Response Report, which the VHA EIC accepted without any requested changes.
Dr. Richard Stone highlighted our work in Save Every Life You Can, describing the videos’ powerful impact on leadership discussions. He wrote, "Videos would be quickly seen by more than 40,000 employees… and discussed in morning leadership stand-up meetings."
High Reliability Organization (HRO) Consultations
High Reliability Organization (HRO) Consulting.
JPSys assessed implementation effectiveness and provided project management and consultation support across 18 pilot VAMCs and advised VHA leaders on strategy for HRO implementation. Additionally, we support system-wide cultural transformation, delivered leadership training to 194 VISN and VAMC leaders and generated system wide leadership practices to empower and support front line teams. Trainings focused on leadership engagement, implementing a 'just culture' and development of frontline teams, to include field clinicians and informaticists working on standardization of VHA health factors and clinical reminders.
Additionally, we completed leadership training during the COVID-19 response, enabling the VHA to move forward with their implementation plan that was developed prior to the pandemic. JPSys advised on the Site-Specific Assessments and Planning portion of the HRO implementation, which is currently being piloted in three VISNs with the intention of being distributed across the enterprise. We developed outreach strategies and advised on the HRO communication strategy and campaigns that were tailored to the implementation during the transition to a virtual environment during the onslaught of COVID-19.