Health Case Study - Veterans Health Affairs Crosscutting and Interagency Health Systems (CIHS)

T&H provides business process architecture services to the Veterans Health Administration (VHA) Office of Health Information (OHI) Health Systems (HS) Business Architecture Service (BA) by utilizing model-led requirements to validate business requirements. Our team documents business requirements graphically using the Business Process Modeling Notation (BPMN) standard, which is easy to use, communicate and a common language between the business and the technical communities. The model-led methodology centers on the visual depiction of current and desired health processes and business functions, and helps stakeholders to come to a consensus and validate business requirements.

The T&H Team has provided BPMN consultation services and training to the Veterans Benefits Administration (VBA), National Cemetery Administration (NCA) and other BA contractors, in support of Eliminate Veterans Homelessness (EVH) Handheld Device work effort, and has leveraged business process modeling guidance and best practices for the modeling activities performed by other Requirements Analysis and Engineering Management (RAEM) contractors during requirements elaboration. We also attend industry conferences, seminars, and training sessions provided by the Healthcare Information and Management Systems Society (HiMSS) and the DoD Deputy Chief Management Officer (DCMO) to better improve our understanding of the healthcare industry.

Additionally, the T&H Team is leading several work efforts by developing business requirements and documentation to enhance existing systems and create new IT solutions to improve the health care services to the Veterans. These work efforts include Common Systems, Joint Interoperability Ventures, Information Exchange, and Health Data Systems and other VA mission critical priorities such as Virtual Lifetime Electronic Record (VLER) Enterprise Program Management Office (EPMO), EVH, Nationwide Health Information Network (NwHIN) and International Classification of Diseases-10th edition-Clinical Modification (ICD-10-CM). The following work efforts highlight some of the work performed under the CIHS contract.

VLER EPMO: This effort is currently developing a Turbo VAP solution that will allow Veterans to seamlessly authorize the exchange of information with health and benefits providers. The client benefit is a solution that will provide a Turbo-tax like work flow for the numerous forms Veterans must complete in order to authorize the release of their information. The Turbo VAP will combine as many forms as are required, with initial priority on the exchange of information with DoD and Social Security Administration (SSA).

NwHIN Direct: This effort is an integral component of a broader national strategy to have an interconnected health system through a NwHIN. The NwHIN is a set of standards, services and policies that enable secure health information exchange over the internet. This will enable simple, direct, scalable transport of information over the internet to be used for secure and meaningful exchange between known participants in support of meaningful use. The benefit to the client is improving the transport of health information, making it faster, more secure, less expensive and interoperable between parties.

EVH Registry of Homeless Veterans: This effort involves developing a comprehensive registry and repository of information about homeless Veterans who receive services provided by VA administered programs, external federal agencies, and other private and public entities. This effort delivers value to VA by providing access to a database of information about homeless Veterans which enhances VA’s capacity to monitor program effectiveness and the long term outcomes of Veterans who have utilized VA funded services and other services.