ELECTRONIC HEALTH RECORD MODERNIZATION EHRM Program Kickoff Tuesday, August 14, 2018 ELECTRONIC HEALTH RECORD MODERNIZATION EHRM Program Kickoff Tuesday, August 14, 2018 ANNOUNCEMENTS AND DISCLAIMERS-NOT FINAL • OEHRM would like to notify you that production and/or use of photographs, digital images, or video or audio recordings may occur at this program for official educational training. • Questions during this sessions can be submitted via the “Cerner Events” mobile app ▪ “Schedule” icon, select session, submit question • All materials will be available approximately two weeks after the event on the EHRM Intranet site VA Electronic Health Record Modernization 4 ELECTRONIC HEALTH RECORD MODERNIZATION ELECTRONIC HEALTH RECORD MODERNIZATION OEHRM Organizational Alignment Genevieve Morris Travis Dalton OEHRM Organizational Structure Secretary of Veterans Affairs Mr. Robert Wilkie Executive in Charge, Office of Information and Technology Deputy Secretary Dr. Richard Stone Mr. Camilo Sandoval Strategic Sourcing Executive in Charge, Office of the Under Secretary for Health Chief Health Information Officer (CHIO) Ms. Genevieve Morris Deputy, OEHRM Mr. John H. Windom Program Management Officer Mr. John H. Windom Financial & Resource Project Management Communications HR Chief Medical Officer Dr. Ashwini Zenooz Clinical Workflows Provider Engagement Change Management Clinical Innovation VA Electronic Health Record Modernization Chief Technology Officer Mr. John Short Health IT Infrastructure Cybersecurity Joint IT Infrastructure Data Migration and Management 7 Governance: Intra and Inter Agency DoD Secretary VA Secretary Current VA Governance PPBE Planning Programming Strategic & Operation Governance CD 1 Budget PIMB Budget & Planning Capital Board Transformation Board Functional Portfolio Investment Change Portfolio Coordination Review Analysis Review Identified •Recommenda•Decisions: •Decisions: •Decisions go •Analysis: tions: Need, Need, priority /no go when: Need, Need, priority, priority, resources, priority, Need, •Type Info: impact to other priority •Type info: •Type: resources, work resources, process, infra- •Type resources, coordination process, process, structure, portfolio: across IT or infrainfraimpact to resources, similar resource structure, other work, structure, process, line outcome, validate impact to infrafeasibility other work in outcome, structure, other feasibility impact to •Orgs: PIMB or portfolios other work similar RM •Orgs: All task programs in organization managers •Orgs: All portfolio •Orgs: ITAM or investment governance similar; •Artifacts: • Artifacts: level •Orgs: Senior business, IT – ✓ Approved ✓ Concept EPMO, ITOPS, functional Investment Paper ITRM area Document • Artifacts: governance ✓ Business & ✓ Investment •Artifacts: Compliance Program •Artifacts: EPICs ✓ Approved Change Recommend ✓ BCA or BCA for Investation similar ment ✓ Identify Review Bus/Prod Owner OIT •Artifacts: ✓ All VIP required Documents for CD1 ✓ Identify Project Mgr. ✓ Identify Program Mgr. ✓ Identify Receiving Org. Representative. Service Board Tactical Governance VIP Lifecycle Components Component Purpose Project Execution •Decisions/ Actions: Project completed and releases made IAW scope, sched. & cost profile Project Implementation Release •Decisions/ Actions: •Decisions: meets reqmts. and Project completed compliant with all and releases meet NFRs all reqmts. PRB oversight •Orgs: EPMD & Applc. Mgmt. or similar project mgmt. & completion activities •Orgs: EPMD & TRS or similar organization •Artifacts: ✓ Project Close Out Documents ✓ Lessons learned ✓ Investment Reports •Artifacts: ✓ All CD2 required documents ✓ Capture & document Lessons Learned •Orgs: Product Owner •Artifacts: ✓ Help Desk Materials ✓ Training Materials ✓ SLA’s ✓ MOU’s ✓ VASI Updated ✓ As-Built documentation, including, TRM, Architecture, etc. 2 3 PROJECT PLANNING Develop plans for completing work that is needed to deliver the product and ensure the project is resourced (funding, staff, and contractor support). 4 Project is approved to start working to deliver the product to the Customer. 5 CONTRACT AWARD AND ON-BOARDING Obtain products and services required and enable an Agile development process that aligns with VIP guidelines Steering Committee (SC) •Orgs: Bus./ Product owner or similar •Artifacts: ✓ Concept Paper for changes required. Product Start/ Build Start 6 Senior Stakeholders Group (SSG) RELEASE 7 BUILD AND DEVELOPMENT 8 9 RELEASE PREPARATION 10 PRODUCT PHASE Repeat for new updates/versions Key milestone within the VIP lifecycle that signifies the start to the Product Phase when the solution is built and developed. DoD/VA Executive Committee (EXCOM) CD2 PROJECT PHASE Conduct an analysis of the submitted VIP request to determine if approval should be granted to initiate a project to satisfy the business need. 1 VHA Maintenance & Sustainment •Analysis/ recommendations: current reqmts. best met by product. Product no longer needed. Project needs upgrade, correction or mod. Service Board Information Security Board Architecture Board Data Board Strategic Sourcing Board INITIATION EPICS Delivered to OI&T Define & document the need, opportunity, or problem in the form of Bus. EPICs and Submit a new VIP request to the EPMO Demand Management Team for analysis and project initiation approval Planning Program Review Board Project Mgmt. Review •Artifacts: ✓ CD1 Approved Documents ✓ Project Manager Assigned ✓ Team formed and functional CD1 1 CD 2 Execution QP&R Board Program Review Board Program Mgmt. Review •Decisions/Actions •Decisions/ : Need, resources, Actions: CD1 compliance w/ oversight, issue Arch, NFRs, resolution, impact to other performance work integration monitoring with other work & plan •Orgs: PRB and EPMD or similar project mgmt. activity •Orgs: Demand Mgmt. or similar intake org. Department Level 6 VA Modernization Incremental design, develop, test, and release a product to satisfy requirements Confirms that the product is ready for release and addresses all relevant compliance requirements. Entails preparing for product release when final preparations are completed to move forward with the release. Release the project nationally in accordance with VA’s release process, however if IOC approval is needed, the product is released to select VA sites and tested to ensure it is ready for release. 11 PROJECT CLOSE OUT PHASE Entails conducting a 90day defect resolution period & monitor the released product to make necessary defect repairs and upgrades prior to transition of the product into sustainment. 12 ITOPS and EPMO are working to finalize the intake process for transitioning projects to sustainment. The process is to be finalized in Q3 of FY2017 *Non-EHRM-related legacy system governance Agency Level synchronization-only Facilitated by IPO 2 Governance Integration Board (GIB) 3 4 Technical Governance Board (TGB) Functional Governance Board (FGB) DoD Workstream Steering Committee (WSC) Collaboration Group VA/DoD Joint Work Stream Coordination Synchronization (J-WSC Sync) Joint Functional Governance Board (J-FGB) Joint Technical Governance Board (J-TGB) Functional Champions Leadership Group (FCLG) Health Information Technology (HIT) WG EHR Councils ------(EHRCs) Programmatic Level Functional Advisory Council (FAC) 5 Tri Service Workflow Advisory Group (TSWAGs) Legacy-EHRM Pivot Working Group (LEPWG) Interoperability Focused Structure and Charters Effective Until October 1, 2018 8 VA Electronic Health Record Modernization 8 OEHRM Guiding Principles Standardize clinical and business processes across VA Decision-making and design will be driven by front-line and clinical staff Design a Veteran-centric system focusing on quality, safety, and patient outcomes Drive toward rapid decision-making to keep the program on time and on budget Flexible and open, single enterprise solution Provide timely and complete communication, training, and tools to ensure successful deployment Clinical business process reengineering, adoption, and implementation over technology Build collaborative partnerships outside VA to advance national interoperability Configure, not customize Enable full Veteran engagement in their health care Decisions shall be based on doing what is best for VA health care system as a whole VA Electronic Health Record Modernization 9 Cerner’s Support of Guiding Principles This is a Veteran-centric organizational change Technology is enabler…..It must be easy to use…. Connect the care continuum via secured single common system Right data, right place, right time Innovate together….Move from sick care to proactive wellness VA Electronic Health Record Modernization 10 Cerner Organizational Alignment and Leaders ➢ We Are Organized with our Client at the Center CGS Operations and Cerner Alignment Government Affairs ➢ We are prepared for size, scale and speed ➢ We will participate in governance ➢ We are aligned with our partners Federal Strategy and Technology VA DoD CLIENT IS AT CENTER Clinical Advisory BD, Forecast, Capture, Proposal Management Delivery and CPMO Sustainment (AMS_CwX) VA Electronic Health Record Modernization 11 Cerner’s Partnership Adding New Partners In and updating AbleVets Logo VA Electronic Health Record Modernization 12 ELECTRONIC HEALTH RECORD MODERNIZATION ELECTRONIC HEALTH RECORD MODERNIZATION The Case for Change Dr. Ashwini Zenooz Gayla LaSalle We Are Embarking On Something Historic “ [EHRM] puts in place a modern IT system that will support the best possible health care for decades to come. That’s exactly what our nation’s heroes deserve. - VA Secretary Robert Wilkie VA Electronic Health Record Modernization 15 Where We Have Been “Hardhats” Forward-thinking VA innovators and leaders who created an EHR now used worldwide George Timson Michael Distaso Tom Munnecke VA Electronic Health Record Modernization 16 Why EHRM? For Veterans For Veteran Caregivers VA Electronic Health Record Modernization For VA 17 Benefits of the Modernized EHR: Quality Care and Veteran Experience Innovation Driving innovation, security and efficiency in Cerner solutions Empower Veterans to participate in their own care any time, anywhere Taxpayer Savings Modern, common platform saving millions spent today on local applications and Safety Efficiency Standardized workflows that optimize quality, access to care and Veteran experience VA Electronic Health Record Modernization Health and wellness for Servicemembers and Veterans – throughout their military careers and beyond 18 Focus Areas Four focus areas to minimize operational impact: Training Ticket Support Governance & Communication VA Electronic Health Record Modernization Facility Staffing 19 Enabling Progress Through Stakeholders Joint Governance Boards VA Governance Boards VISN Councils National Councils Local Subject Matter Experts VA Electronic Health Record Modernization 20 Stakeholder Voices and Experience V21 Confirmed: 6 VA Electronic Health Record Modernization 21 Thank You in Advance This will be a challenge. We can’t do this without YOUR support! VA Electronic Health Record Modernization 22 ELECTRONIC HEALTH RECORD MODERNIZATION ELECTRONIC HEALTH RECORD MODERNIZATION Project Overview John H. Windom Chad Ruoff Determination and Findings On June 5, 2017, SECVA announced the decision to adopt the same EHR system being deployed by Department of Defense (DoD) The D&F cited the public interest exception to the competition, detailing the extensive benefits, including improved care for Veterans VA Electronic Health Record Modernization 25 What are We Buying?  State of the Art EHR (Medical & Dental)  Innovation  Data Migration  Testing  Program Integrator Services  API Interfaces  Systems Engineering  Telemedicine  Configuration Management  Data Hosting  Software Maintenance  Change Management  Training Academy  Cybersecurity  On-site Training  IT Infrastructure Assessment  Analytics  Help Desk Support  Community Networks  Continuity of Operations  Revenue Cycle  Medical Device Integration  Patient Portal And much more! VA Electronic Health Record Modernization 26 Office of Electronic Record Management Phases of Execution Phase 0: Acquisition (Contract Award) Phase 1: Through Initial Operating Capability Phase 2: Start Full Deployment Phase 3: Sustainment It takes a TEAM! VA Electronic Health Record Modernization 27 Key Terms/Positions Key Players Project Management Office (PMO) Chief Medical Office (CMO) Chief Technology Office (CTO) Contractor (Cerner) Contracting Officer (KO/CO) Contracting Officer Representative (COR) Definitions Provides execution and management oversight to achieve VA’s vision and outcomes. Oversees the scope, schedule, risk, performance, and quality of the EHRM. Provides OEHRM financial, acquisitions, and lifecycle cost estimate management oversight. Manages the EHRM testing and implementation. Oversees and manages OEHRM and VA/DoD governance processes. Key Takeaway: Quarterback who integrates all functions Oversees strategy and planning efforts for change management, user testing and training, functional governance, care transformation, and business process re-engineering. Approves functional requirements. Leads communications for end-users and deployment. Responsible for the end-user experience. Key Takeaway: Responsible for all things clinical Provides technical leadership, management, and oversight of information technology (IT). Approves technical requirements and supports interoperability with DoD. Performs information security, architecture, data migration and management, configuration management, infrastructure engineering, transition and data engineering, and development. Key Takeaway: Responsible for all things IT Provides services and materials to the VA to implement the new Electronic Health Record (EHR) and integrate into the VA environment as directed in the performance work statements (PWS). Specifically provides subject mater expertise in deployment of EHRs. Responsible for the technical implementation and functional work flows of the solution. Key Takeaway: EHR implementer and integrator Ensures performance of all necessary actions for effective contracting, ensuring compliance with the terms of the contract, and safeguarding VA’s interests in its contractual relationships. Responsible for binding the VA to a contract. Key Takeaway: Enforcer and ultimate contract authority Designated by the Contracting Officer to perform technical administration of task order(s) and assure proper Government surveillance of the contractor’s performance defined in the quality assurance surveillance plan. Ensures contractor performance conforms to the requirements set forth in the PWS. Responsible for the review and approval of contract deliverables and invoices. Key Takeaway: Supports CO and ensures contractor meets commitments VA Electronic Health Record Modernization 28 Content Characteristics/Tools On May 17, 2018 VA awarded a single award Indefinite-Delivery Indefinite-Quantity (IDIQ) contract to Cerner Corporation (Cerner Government Services [CGS]). • Contract Type: Firm-Fixed-Price (FFP) • Ceiling (including options): $10 Billion • Ordering Period: 5-year base period, and 5-year option What are the task orders? The individual elements of work (products or services) VA orders on the contract to deploy VA’s EHR solution as designated in the schedule. What is the IDIQ contract? The base terms and conditions for the scope of services and products to deploy VA’s EHR solution. What does this IDIQ provide to Veterans Affairs? • A single Lifetime Electronic Health Record for Service members and Veterans • Flexibility • 135 Cerner capabilities • A single, common solution with the Department of Defense • Access to commercial best practices • Replacement of 130 disparate systems reducing complexity and maintenance Task Order Title TO 1 – Project Management TO 2 – IOC Site Assessments TO 3 – Data Hosting TO 4 – Data Migration and Enterprise Interface Development TO #TBD – Technical Baseline Preparation TO #TBD – Functional Baseline Preparation TO #TBD – IOC Transition for Mann-Grandstaff VAMC TO #TBD – IOC Transition for American Lake and Seattle Awarded VA Electronic Health Record Modernization Key To Be Awarded 29 EHR ?You get what you inspect, not what you expect.? VA Electronic Health Record Modernization 30 Key Takeaways This is a team sport and our success starts with you. We all need to be on the same bus. The hard work starts now! VA Electronic Health Record Modernization 31 Your Homework Contract Documents Determination & Findings Program Scope Minimize scope creep https://www.ehrm.va.gov/resources https://www.ehrm.va.gov/resources https://vaww.vashare.oit.va.gov/sites/ehrm/Program Control/ScopeMgmt/ScopeMgmtDocs/Forms/AllItem s.aspx#InplviewHash6dac9066-50fa-4efe-8d16654556393a46= Prepare for and embrace the changes to come VA Electronic Health Record Modernization 32 OEHRM VA/Cerner 100-day Outlook 8/31: Infrastructure Site Assessment 10/1: VistA Freeze 8/21: Mann Grandstaff Site Assessment Review (Gate 1) 8/24-8/30: American Legion National Conference 8/21: Final Current State Leadership Debrief-Mann Grandstaff/CPAC 8/31: C o m pl ete C o re Millennium Do m ain Build 8/31: VX130 C ac h e Authority to C o n n ec t (ATO) Aug 20-24 8/21: FGB 8/13-8/17: Award Kickoff Conference (KC) 8/17: (26) TO 1 – 60 Day Deliverables Due 8/20: Kickoff Cascade Messaging 8/21-8/22: National Leadership Council 8/23: Final Current State Leadership Debrief- Seattle and American Lake 9/5: GIB 9/21: OEHRM Program Baseline Review (PBR) 9/10: FHIC Symposium 9/5: TGB 8/22: TGB Aug 13-17 9/5: MVI Production Ready in Azure Aug 27-31 8/27-8/30: American College of Healthcare Executive Cluster (DC) Sept 3-7 Sept 10-14 9/4: FGB 8/28-8/30: Paralyzed Veterans of America Summit & Expo 8/27-8/31: Gate 1 Sign-Off Mann Grandstaff, Seattle, American Lake, CPAC 9/19: GIB 10/3: GIB 10/17: GIB 9/19: TGB 10/3: TGB 10/17: TGB Sept 17-21 9/18: FGB 9/12: OCC Roadshow 9/18-9/19: National Leadership Council 9/12: D o D /V A EHR C o o rdin ation M o d erniz ation M eeti n g ( IPO) 10/15: VA MedCOI Ready at IOC Sites 10/1: Site Kickoff - MannGrandstaff, Seattle, American Lake, CPAC Sept 24-28 Oct 1-5 10/4: FGB 9/25-9/27: 10/5: Model Validation VISN 21 Ev en t ( KC) Roadshow 9/28: EHRM Solutions & Workflow Preview 10/2-10/6: National Series HealthIT Week (HIMSS) Oct 8-13 Key OE H RM e v ent OE H RM / Ce rner eve nt Ce r ne r e vent CMO e v e n t CTO e v e nt OE H RM G ov erna nce e ven t OE H RM / Ce rner eve nt - k ey Oct 22-26 10/23: VISN 17 Roadshow 10/8-10/12: Leadership Lead Through Visibility (All IOC Sites) 10/30: VISN 7 Roadshow 10/24: VISN 16 Roadshow 10/10: Do D/VA EHR C o o rdin ation M o d erniz ation M eeti n g ( IPO) Steering Committee 11/14: TGB Oct/Nov 29-2 10/30: FGB 11/12: MannGrandstaff Local Site Workshops 1-8 11/7: GIB 10/31: TGB 10/16: FGB 10/810/11: Cerner Health Conference 11/5: National Workshop 1 10/30-11/2: CHIME Oct 15-19 Governance Boards 8/23: Seattle and American Lake Site Assessment Review (Gate 1) 10/31-11/2: National Veterans Small Business Event Nov 5-9 Nov 12-16 11/1: VA ATO A p p ro val 11/1: VISN 9 Roadsho w 11/13: FGB 11/6: VISN 8 Roadsho w 11/14: Do D/VA EHR C o o rdin ation M o d erniz ation M eeti n g ( IPO) 10/25: VISN 15 Roadshow Voting Board Members Upcoming Meetings R. Wilkie, R. Stone, C. Sandoval, P. Lawrence, R. Reeves, J. Rychalski, L. Davis, J. Byrne, G. Morris, J. Windom Quarterly: Governance Integration Board (GIB) G. Morris, J. Windom, A. Zenooz, J. Short, F. Mingo, C. Frederick, VHA PDUSH, OIT PDAS 1st & 3rd Wednesday: 8/22, 9/5 Functional Governance Board (FGB) A. Zenooz, L. Kroupa, H. Shanawani, S. Singh, L. McConnell, C. Every other Tuesday: 8/21, 9/4 Hume, K. Matthews, S. Bhatnagar, T. Boyd, M. Merchant Technical Governance Board (TGB) J. Short, T. Luedtke, K. Michael, J. Bates, C. Johle, D. McLain, M. Webb, M. Hodge, OIT CIO Legacy EHRM Pivot Working Group A. Zenooz, J. Short, K. Palmer, OIT Rep, VA CFO Rep, ADAS/B (LEPWG) Rep VA Electronic Health Record Modernization November/December– TBD Every other Wednesday: 8/22, 9/5 Monthly - September TBD 33 Deliverables – Submissions and Upcoming 57 Total Deliverable Submissions as of Aug. 10 Upcoming Deliverable Submissions • • • Highlights • • • • • • • • • • • • • Technical Kickoff Resource Management Plan Risk Management Plan Quality Management Plan Configuration Management Plan Implementation Management Plan Stakeholder Communications Plan Change Management Plan Section 508 Test and Delivery Plan Training Strategy Deployment Management Strategy Value Realization Strategy Site Assessment Report – VISN 20 14 for TO 0001 8 for TO 0002 7 Recurring Deliverables Highlights • • • • • • • • • • • Applied Informatics Institute Strategy Cyber Security Plan Data Management Plan Migration Plan Interoperability Plan EHRM & VA System Integration Plan Identity & Access Management Plan Inventory Management Plan 3 Site Assessment Reports 2 Final Current-State Debriefs 3 Project Gateway Sign-Offs VA Electronic Health Record Modernization 81 Total Data Call Submissions as of Aug. 8 20 Data Call Submissions Upcoming 34 Kickoff to Go-Live Timeline 2018 Q3 2019 Q4 2020 2021 2022 2023 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 VISN 20: Northwest VISN 9 VISN 15 VISN 22: Desert Pacific VISN 20: IOC • IOC is given the longest VISN implementation timeline • This is the “pilot” or “alpha” site from which we can draw lessons learned VISN 6 VISN 21: Sierra Pacific VISN 7: Southeast VISN 17: Heart of Texas VISN 16: South Central VISN 8: Sunshine VISN 12: Great Lakes *Subject to change VA Electronic Health Record Modernization 35 Kickoff to Go-Live Timeline 2022 2023 2024 2025 2026 2027 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 VISN 9: Mid South VISN 15: Heartland VISN 6: Mid-Atlantic VISN 5: Capitol VISN 7 VISN 4 VISN 2: NY/NJ VISN 17 VISN 16 VISN 1: New England VISN 10 VISN 8 VISN 19: Rocky Mountain VISN 12 *Subject to change VISN 23: Midwest VA Electronic Health Record Modernization 36 EM IOC High-level Timeline Current State Reviews [Mann ra ndstatf} End?user Training Start [Ma nn (3 randstaff} Jul 2MB Feb zozo Current State Leadership Debrief [Mann Gra ndsta?} (So?live Readiness Assessments [Mann Grandstaff] Aug 2018 Mar 2020 EHRM Award Kickoff Event Integration Validation 2 {Mann Grandstal?F} Jan 2020 AUE 2013 Integration Validation [Mann Grandstaff] Site Kick?off {Mann Grandstaff} Oct 2019 Clct2018 (So?live 1[lVlann Grandstaff} Mar 2020 IDC Site Brie?ngs Jul 2018 Value and Department Leader Launch (Mann Grandstaff} 1 Dec 2018 2018 2020 Oct 2018 April 2o20 JUI 2018 Site Kick?otfiSeattle and A erican Lake} (So-live 2 {Seattle and American Lake} Current State Reviews [Seattle and American Lake} 2020 Integration Validation 2 [Seattle and American Lake] Jan 2019 Mar zozo Aug 2018 Value and Department Leader Launch [Seattle and American Lake) finial Readiness Assessments [Seattle and American a Current State Leadership Debrief {Seattle and American Lake} I Mar 2020 End?user Training Start {Seattle and American Lake} Dec 2020 Integration Validation [Seattle and American La ke] Oct 2018 - Apr 2020 ICC Deployments Jun 2018 - Sep 2019I National Enterprise Events VA Electronic Health Record Modernization 37 Serving Those Who Have Served Us VA Electronic Health Record Modernization 38 US. Department of Veterans Affairs A single Veteran health record. A lifetime of Seamless Care. Lunch Break ELECTRONIC HEALTH RECORD MODERNIZATION Day in the Life: Solution Demonstration Meghan Poland Nathan Kramer ELECTRONIC HEALTH RECORD MODERNIZATION Scope Overview Dr. Ash Zenooz Dr. Jigar Patel Migrating from VistA to Cerner Millennium® V i st A • Streamline • Standardize • Add More Solutions VA Electronic Health Record Modernization Cerner 45 Platforms, Solutions and Services Millennium Electronic health record CareAware HealtheIntent® Device connectivity Population health management VA Electronic Health Record Modernization 46 Platforms, Solutions and Services Access Managem ent Eligibility Management Master Person Index Registration Scheduling Acute Care Delivery Case Managem ent Extended Care Acute Case Management Care Tracker Post Acute Referrals Long Term Care Cerner Math Readmission Predictor: CHF Readmission Predictor: CAP Readmission Predictor: COPD Rehabilitation Gastroenterology Endoscopy Imaging PowerChart Gastroenterology Health Inform ation Managem ent Computerized Physician Order Entry Suicide Risk Prevention Infection Control Tetralogy of Fallot Index Documentation Integrity Tumor Lysis Syndrome Predictor Health Information Management Medication Administration Record Nursing Care Physician Documentation (with Voice Recognition) Am bulatory Ambulatory Referral Management Discern nCode ® (Computer Assisted Coding) PowerChart Ambulatory™ Practice Management: Pt Accounting Practice Management: Reg & Sched Behavioral Health Clinical & Docum ent Im aging Content360™ Document Imaging Image Archive Com m unity & Consum er Health Cerner Direct HealtheLife Patient Clipboard Health Information Exchange HealtheLife (Patient Portal) Ignite FHIR Services Telehealth (Video Visit) Immunization Registries Critical Care APACHE ® Bedside Critical Care Dashboard Behavioral Health: Ambulatory Infusion Management: Critical Care Manager Driver Library License Interoperability CommonWell INet® Critical Care iBus Device Connectivity Interfaces HealtheLife℠ Engagement (Wellness) Behavioral Health: Acute Care CareAw are & Device Connectivity Patient Mobile Signature Interfaces Dental Dentrix Em ergency Medicine Open Engine & OPENLink™ Know ledge Solutions & Clinical Decision Support Advance / LightsOn Biosurveillance Catheter Related Infections Cerner Medical Terminology eCoach Evidence Based Medicine MPages® ED Coding Patient Education ED Physician Documentation Rapid Response PowerChart Cardiovascular™ ED Triage & Tracking Sepsis Management PowerChart ECG™ FirstNet®: ED Management Decision Support Engine Cardiology VA Electronic Health Record Modernization 47 Platforms, Solutions and Services Laboratory Point of Care & Mobility Support Services Anatomic Pathology (Millennium) Barcode Medication Administration Application Management Services Anatomic Pathology RFID Tracking Bedside Transfusion Management Remote Hosting PathNet®: General Laboratory PathNet: Helix PathNet: HLA PathNet: Microbiology PathNet: Transfusion Oncology PowerChart Oncology™ CareAware Connect™ 724 Access® Downtime Viewer POC Device Integration P2Sentinel™ PowerChart Touch™ Single Sign-On Population Health & Analytics HealtheAnalytics℠ HealtheAnalytics: Revenue Cycle HealtheCare℠ HealtheDatalab Patient Accounting Patient Accounting Perioperative Anesthesia AORN Syntegrity Content SurgiNet ®: Perioperative Nursing Management SurgiNet: Surgery Case Tracking HealtheEDW℠ HealtheRecord℠ HealtheRegistries℠ Quality & Perform ance Im provement Quality Outcomes Regulatory Reporting Radiology ACR Select SurgiNet: Surgery Management Integrated Digital Dictation Tissue and Implant Management RadNet®: Mammography Management Pharm acy ePrescribe Multum Drug Database PharmNet®: Inpatient Pharmacy System Access Handheld Specimen Collection RadNet: Radiology Information System Research Health Facts® Skybox™ Mobility Transaction Services Address Validation Automated Messaging Claims Management Contract Management Electronic Prior Authorization Eligibility Verification Letters Patient Statements Transplant OTTR Complete Cellular OTTR Complete Organ Wom en's Health PowerChart Maternity™: Acute PowerChart Maternity: Ambulatory Workforce & Operations PowerTrials® Capacity Management Supply Chain Demand Management PharmNet: Outpatient Pharmacy Clinical Supply Chain Patient Driven Acuity Prescription Drug Monitoring Program Point of Use Workforce Management VA Electronic Health Record Modernization 48 ELECTRONIC HEALTH RECORD MODERNIZATION ELECTRONIC HEALTH RECORD MODERNIZATION Interoperability and Innovation Genevieve Morris David Waltman Interoperability is getting useful information to the right place at the right time to enable Seamless Care for Veterans VA Electronic Health Record Modernization 51 EM A Common, Integrated Platform Healthelntent Secure Integrated Clinical System DOD Medical Center With Device Integration Platform Healthelntent Behavioral Health Community Hospital Clinic Long Term Care Facility Health Information Exchange . Healthelntent VA Electronic Health Record Modernization 52 What can we do today? Record A Record B Veteran’s Health Information from multiple locations of care is available to new care providers. Record D Record C Veteran Patient New Care Provider VA Electronic Health Record Modernization 53 What do we need to do next? Record A 1. 2. Record B Record C 3. 4. 5. Health info from multiple points of care Info from Veteran’s devices Richer health data beyond CCD Narrative notes Veteran preferences and goals Veteran Patient Record D New Care Provider VA Electronic Health Record Modernization 54 Integration of Information and Services Richer, more personalized information Record A Record B + Record D + • Narx check • Genomics • Population health • Future data innovation Record C Better Care Decisions VA Electronic Health Record Modernization 55 Shared Interactive Care Plans Interactive Care Plan Veteran VA Care Team Community Providers VA Electronic Health Record Modernization 56 Interoperability for Seamless Care Immunization Registries Diagnostic and Medication Data Prescription Drug Monitoring VA/DoD EHR API-based Application Access Other Data Services Health Information Networks and Regional Health Information Exchanges (HIEs) Secure Messaging Community Providers Veteran Provider 1 VA Electronic Health Record Modernization Provider 3 Provider 2 57 ELECTRONIC HEALTH RECORD MODERNIZATION Up Next: Solutions Gallery • Explore various Cerner solutions and interact with event attendees! • Tonight 5:00 to 7:00 p.m. • Time is also built into your Wednesday agenda to explore the Solutions Gallery • Evening Transportation ▪ If you are not attending the reception, shuttles begin departing at 5 p.m. ▪ Final shuttles begin departing at 7:00 p.m. VA Electronic Health Record Modernization 59 Day 2: Wednesday, August 15 • Transportation ▪ 6:30 a.m. Shuttles depart from Kansas City Marriot Downtown and Crowne Plaza • 7:00 a.m. arrival for breakfast • 8:30 a.m. Sessions begin • 12:30 a.m. Lunch • 5:30 a.m. Dismiss VA Electronic Health Record Modernization 60 Day 3: Thursday – Build your Agenda • 6:30 a.m. First shuttle departs hotel • 7:00 a.m. Breakfast • 8:30 a.m. Sessions start • Go to the “Cerner Events” app to build your full agenda. VA Electronic Health Record Modernization 61 ELECTRONIC HEALTH RECORD MODERNIZATION