Health Case Study - Veterans Health Affairs Health Provider System (HPS)

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’s leadership and proven modeling methodology has led to VHA establishing BPMN as the OHI Health Systems modeling standard. The T&H Team has also provided feedback on the BPMN 2.0 release and continues to update the BA BPMN stencil and other integrated guidance and documentation for interagency collaboration. Additionally, the T&H Team has created and finalized several Process Modeling Summary Reports (PMSRs), which is a consolidation of process models and additional details of business requirements, including Activity Description Tables (ADTs), and the Business Architecture Specification Report (BASR), a collection of BA artifacts, used to communicate BA’s artifacts with internal and external stakeholders. Most notably, we leverage these artifacts in the development of joint requirements and processes with DoD, in support of Integrated Electronic Health Record (iEHR) capabilities and tiger teams. The following work efforts highlight some of the work performed under the HPS contract.

iEHR Joint Process Sub-workgroup: This effort allowed the T&H Team to support the joint sub-working group to create a framework that allows the organizational role model to expand as additional iEHR capabilities are completed. The outcomes were common standards, methodologies, tools and techniques, and deliverables that all iEHR indicatives involving DoD and VA will adhere to.

iEHR Presentation Layer: This effort enabled healthcare staff from VA and DoD to use a common management console to support departmental business processes. The benefit to the cutomer is that patients’ health care data will be displayed utilizing the VHA Computerized Patient Record System (CPRS), Veterans Health Information System and Technology Architecture (VistA), the DoD Composite Health Care System (CHCS) and Armed Forces Health Longitudinal Technology Application (AHLTA). This enabled clinicians from both organizations (and eventually outside of both of these agencies) to view patient data and images from both VA and DoD systems within a view that is seamless to both user groups.