FEDERAL HEALTHCARE IT PROJECTS
We offer a range of terminology services:
- Terminology Authoring
- VHA's MED-RT Releases
- Updates to VistA reference terminologies for Allergies, Documents and Medications
- Add new terms to VistA
- Terminology matching to align terms to international standards
- Analysis of CHDR data between DoD and VA
We perform clinical data quality analysis and improvement services for the Veterans Health Information Exchange. The team examines incoming and outgoing data in the Joint DoD / VHA Health Information Exchange (JHIE). Next, they determine if data is being sent and interpreted accurately between the VHA and Cerner Millennium, DoD, and community provider partners. Then we analyze data exchange problems and perform a root cause analysis. The team engages with external and internal data exchange partners to help rectify them.
We represent the VHA at international Standards Development Organizations (SDOs) such as HL7 and SNOMED International. Our presence at the HL7 work groups influences the development of data exchange standards. We report back to the client on work group activities and current ballot issues. Stemming from this these efforts, we contribute to international healthcare message standards for many workgroups. These include Patient Care, Structured Documents, Vocabulary, and FHIR.
Also, for the VHA API Developer Portal (VADP), for AMPL GUI standardization of APIs in HL7 FHIR to support interoperability.
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.
In supporting the Office of Communications and the VA Deputy of Social Media with COVID-19 related informational videos, infographics, posts, briefings and articles, the social media campaigns keep Veterans and clinicians alike informed on important public health issues.
Since we performed emergency support communications work in support of the VA COVID-19 Rapid Response Communications team and supported over 250 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.
Dr. Richard Stone mentioned this project in his book Save Every Life You Can, saying, "Videos would be quickly seen by more than 40,000 employees. Many leaders began their morning leadership stand-up meetings by watching them as a team and discussing the issues covered in the video."
Supporting the accurate design, creation and firing of alerts, Clinical Decision Support (CDS) is a broad area of concern.
Across our projects, we provide Clinical Decision Support (CDS) so that VA’s EHR systems can provide clinicians with CDS functions and drug-drug interaction alerts. Many of these alerts are now made possible via CHDR, which shares prescription drug information with receiving pharmacy systems so that pharmacists and clinicians can more safely treat patients. Through our terminology mapping work, we have matched allergy reactants, allergy reactions, and medications to current data standards so that patient data can be made more readily available between EHR systems. By doing so, we have enabled cross-departmental CDS between DoD and VA.
We work to provide high quality standardized data for more reliable data for CDS systems. We also 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)
For the VHA API Developer Platform -(VADP) for AMPL GUI, we supported API developers in the standardization of data accessed by APIs through HL7 FHIR. VADP, formerly known as Lighthouse, is a project that extracts data from the VA Clinical Data Warehouse (CDW) and provides that data to application developers via APIs. Through terminology engagement, CDW data extracts can be matched to FHIR standards. J P Systems analyzed CDW and other data files and applied knowledge and expertise of HL7 FHIR standards. We provided matchings and guidance, describing how to align CDW data to relevant FHIR data elements.
FEDERAL HEALTHCARE IT PROJECTS
We offer a range of terminology services:
- Terminology Authoring
- VHA's MED-RT Releases
- Updates to VistA reference terminologies for Allergies, Documents and Medications
- Add new terms to VistA
- Terminology matching to align terms to international standards
- Analysis of CHDR data between DoD and VA
We perform clinical data quality analysis and improvement services for the Veterans Health Information Exchange. The team examines incoming and outgoing data in the Joint DoD / VHA Health Information Exchange (JHIE). Next, they determine if data is being sent and interpreted accurately between the VHA and Cerner Millennium, DoD, and community provider partners. Then we analyze data exchange problems and perform a root cause analysis. The team engages 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).
Also for the VHA API Developer Portal (VADP), for AMPL GUI standardization of APIs in HL7 FHIR to support interoperability.
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 established 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, Clinical Decision Support (CDS) is a broad area of concern.
Across our projects, we provide Clinical Decision Support (CDS) so that VA’s EHR systems can provide clinicians with CDS functions and drug-drug interaction alerts. Many of these alerts are now made possible via CHDR, which shares prescription drug information with receiving pharmacy systems so that pharmacists and clinicians can more safely treat patients. Through our terminology mapping work, we have matched allergy reactants, allergy reactions, and medications to current data standards so that patient data can be made more readily available between EHR systems. By doing so, we have enabled cross-departmental CDS between DoD and VA.
We work to provide high quality standardized data for more reliable data for CDS systems. We also 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)
For the VHA API Developer Platform -(VADP) for AMPL GUI, we supported API developers in the standardization of data accessed by APIs through HL7 FHIR. VADP, formerly known as Lighthouse, is a project that extracts data from the VA Clinical Data Warehouse (CDW) and provides that data to application developers via APIs. Through terminology engagement, CDW data extracts can be matched to FHIR standards. J P Systems analyzed CDW and other data files and applied knowledge and expertise of HL7 FHIR standards. We provided matchings and guidance, describing how to align CDW data to relevant FHIR data elements.