We offer a range of terminology services:
We perform clinical data quality analysis and improvement services for the Veterans Health Information Exchange. We examine incoming and outgoing data in the Joint DoD / VHA Health Information Exchange (JHIE) to determine if data is being sent and interpreted accurately between the VHA and Cerner Millennium, DoD, community provider partners. We analyze data exchange problems and perform a root cause analysis. The we engage with external and internal data exchange partners to help rectify them.
We represent the VHA at international Standards Development Organizations (SDOs) and Standards Related Organizations (SROs) such as HL7 and SNOMED Int'l to influence development of data exchange standards and report on work group activities. We support many workgroups including Patient Care, Structured Documents, Vocabulary, CIMI and FHIR(TM).
At the very onset of the pandemic, J P Systems supported the definition of COVID-19 workflows for the VHA clinicians as a rapid response effort to standardize care processes across the VA enterprise and its facilities with varying degrees of requirements for complexity. VA’s Clinical Informatics and Data Management Office, CIDMO, in collaboration with the Emergency Management Coordination Cell (EMCC) and Veterans Health Administration (VHA) health practitioners, have developed ten baseline COVID-19 clinical workflows. These workflows were created to establish a baseline for COVID-19 patient care from patient outreach through discharge and follow-up. The clinical workflows include: a 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, and 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.
Supporting the Office of Communications and the VA Deputy of Social Media with COVID-19 related informational videos, infographics, posts, briefings and articles. These social media campaigns keeps veterans and clinicians alike informed on important public health issues.
We performed emergency support communications work in support of the VA COVID-19 Rapid Response Communications team and supported over 100 videos sent to all 362,000 VHA employees for national campaigns encouraging Veterans and employees to wear masks, prepared responses to over a hundred congressional requests for information and many executive appearances including a TEDx Veterans Affairs speech. Products developed by this team are used daily on the VA website, in coordination with partner agencies, and to communicate publicly. Drafted the forward for the COVID-19 Response Report, which was accepted without changes by the VHA EIC.
Supporting the accurate design, creation and firing of alerts, CDS is a broad area of concern. We analyzed White Paper submissions and provided terminology and clinical feedback for CDS including Gastroenterology Hepatitis C, Cardiology Cardiac Catheterization, Mental Health Homelessness, and Tobacco Assessment and Cessation.
In 2019, the Department of Veterans Affairs (VA) was questioning certain data variations in relation to EHR Modernization requirements from legacy VistA to 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 Cerner Millennium. (TO26)
Design of terminology models and detailed clinical models which map to international data standards