VA Virtual Lifetime Electronic Record - The Sequoia Project
VA Virtual Lifetime Electronic Record(VLER Health)LeAnn Roling, VLER Health Management AnalystVanessa Jordan, (Contractor), VLER Health Partner Outreach and OnboardingVeterans Health AdministrationOffice of Informatics & Information Governance1
VHIE* - Tools for Health Information ExchangeVeterans Health Administration (VHA) uses multiple means of health information exchange which emphasizethe importance of information flow – information moving from provider to patient, patient to provider,and between providers.* Veterans Health Information Exchange (VHIE)2
Why VLER* Health ?Speeding Veterans’ Access to Care Personal Health Information (PHI) is shared quickly and securelythrough electronic meansImproving Veterans’ Continuity of Care Right Information to the Right Person at the Right TimeImproving Veterans’ Quality of Care Reduced duplicate tests, improved information for decisionmaking, care management, population health/ analytics* Virtual Lifetime Electronic Health Record (VLER)3
VLER Health ExchangeCommunity Care Partners NationwideTotal Unique VeteranPatients Available forExchange with VA934,494*CommunityCare PharmaciesNursingHomesOtherAncillary SitesProduction PartnersTesting PartnersFY17 PrioritizedPartners8,4871506524VA Medical Centers*The Veteran patients available for exchange with VA is based on unique patients matched withCommunity Care Providers and is reported monthly.Note: 1) Uni-directional Exchange Partners: MedVirginia , CentraCare , Centura and Wellstar query VA4
VLER Health ExchangeCommunity Care Partner MilestonesMilestonePartner Standard orMilestones Fast TrackPARTNER: eHealth Exchange (via The Sequoia Project) On-boarding Process Completed1S, FPARTNER and VA: VA VHIE eHealth Exchange Business Questionnaire Completed and Reviewed2S, FPARTNER and VA: VA Partner Testing begins between Partner and VHIE Health Partner Integration Team3SPARTNER and VA: VHIE Health Partner Integration Testing Completed4SVA: Community Health Partner Business Survey and Testing Results (if required) Reviewed by VHIEHealth Leadership for Approval5S, F5aS, FPARTNER and VA: VA and Partner Move Software Capability to Production6S, FPARTNER and VA: Partner and VHIE Health Team Perform Production Software Validation7aS, FPARTNER and VA: Partner and VHIE Health Team Perform Production Data Validation7bS, FPARTNER and VA: Partner and VA Move into Operations and Maintenance and Continually MonitorPerformance8S, FPARTNER and VA: VHIE Health Program Office and Partner Meet with Local VA Medical CenterLeadership to Present VHIE eHealth Exchange New Partner9S, FPARTNER and VA: Partner and VA to Implement Training Education and Support Programs as required10S, FPARTNER: If Not Approved: Address the Issues, Re-Test, Review the Results with VHIE HealthLeadership, and Return to Milestone 35
VLER Health ExchangeCommunity Care Partner Milestones (Onboarding)PartnerMilestonesStandard or FastTrackPARTNER: eHealth Exchange (via The Sequoia Project) On-boarding Process Completed1S, FPARTNER and VA: VA VHIE eHealth Exchange Business Questionnaire Completed and Reviewed2S, FPARTNER and VA: VA Partner Testing begins between Partner and VHIE Health PartnerIntegration Team3SPARTNER and VA: VHIE Health Partner Integration Testing Completed4SVA: Community Health Partner Business Survey and Testing Results (if required) Reviewed byVHIE Health Leadership for Approval5S, F5aS, FPARTNER and VA: VA and Partner Move Software Capability to Production6S, FPARTNER and VA: Partner and VHIE Health Team Perform Production Software Validation7aS, FPARTNER and VA: Partner and VHIE Health Team Perform Production Data Validation7bS, FMilestonePARTNER: If Not Approved: Address the Issues, Re-Test, Review the Results with VHIEHealth Leadership, and Return to Milestone 36
VLER Health ExchangeCommunity Care Partner Milestones (Sustainment)PartnerMilestonesStandard orFast TrackPARTNER and VA: Partner and VHIE Health Team Perform Production Data Validation7bS, FPARTNER and VA: Partner and VA Move into Operations and Maintenance and ContinuallyMonitor Performance8S, FPARTNER and VA: VHIE Health Program Office and Partner Meet with Local VA Medical CenterLeadership to Present VHIE eHealth Exchange New Partner9S, FPARTNER and VA: Partner and VA to Implement Training Education and Support Programs asrequired10S, FMilestone7
Contact UsVLER Health Exchange Partner Engagement Team mail groupvaexchangeinformation@va.govVLER Health Direct Team mail groupVADirectInfo@va.govVisit Us Online at:www.va.gov/vler8
Q&A Discussion9
Social Security Administrationand Health IT
Agenda SSA Disability Determination Background Value Proposition Steps to Interoperate with SSA11
SSA Definition of Disability "Disability" under Social Security is based on yourinability to work. Social Security pays only for total disability. Nobenefits are payable for partial disability or for shortterm disability. We consider you disabled under Social Security rules if: You cannot do work that you did before; We decide that you cannot adjust to other work because of yourmedical condition(s); and Your disability has lasted or is expected to last for at least oneyear or to result in death.12
SSA Disability Programs Social Security Disability Insurance (SSDI) paysbenefits to you and certain members of your family ifyou are "insured," meaning that you worked longenough and paid Social Security taxes Supplemental Security Income (SSI) pays benefitsbased on financial need An approval of a disability claim leads to: Monthly cash benefits Healthcare coverage (Medicare, Medicaid)13
Disability Background Annual Disability Statistics 3.5 million initial disability applications per year1 million additional medical disability decisionsOver 15 million requests for medical information each year500,000 sources: doctors, hospitals 500 million in payment for medical information SSA is not a HIPAA covered entity Require a patient’s authorization to obtain medicalrecords14
SSA Disability Determination BackgroundHow can you applyfor disability?Field Office800 ServiceWeb SiteWhat is collected during case intake?DemographicsAllegationList of Treating SourcesMedicationsList of Labs/ProcedureVocational BackgroundEducational BackgroundWork ExperiencePatient AuthorizationHow does SSA interact withhealthcare organizations & providers?MailFaxERE Web SiteERE Web ServicesSecure File TransferHealth ITFile Disability ClaimClaimantRequest EvidenceSSA/DDSClaim DeterminationProvidersMedical Evidence15
SSA Disability Determination BackgroundManual Process (Mail, Fax, Scan)Weeks to tingforMedicalRecordsReceipt &ReviewofMedicalRecordsDecisionElectronic Process (eHealth Exchange)Secondsto itingforMedicalRecordsReceipt &ReviewofMedicalRecordsDecision16
SSA Value Proposition Potential benefits for your patients Faster disability claim determinations Quicker access to monthly cash benefits Earlier access to medical insurance coverage Potential Benefits for Health Care Providers Payment for medical information Automated processing of the request for medicalinformation and payment Potential to recover uncompensated care – faster disabilitydeterminations provide patients with faster access toMedicare or Medicaid benefits17
SSA Value Proposition Potential Benefits for Health Information Exchanges Payment for medical information Automated processing of the request for medicalinformation and payment Flow-down of benefits to Healthcare Providers andPatients18
High-Level Activity Plan Qualification– Collect information about your capabilities Testing– Verify your capabilities Administration– Collect inoperability information for productionContent Checklist& Facility ListeHealthExchangeOn oduction19
Qualification Step Content Assessment Checklist––––What clinical content is available?How is it formatted?How far back is information available?Is sensitive information available? Facility List20
Content TestingTesting Tasks– Sample Testing– Verification Testing Interoperability Testing– Exchange OIDS, Certificates, URLS– Connectivity Test– End-to-End Interoperability Testing Pre-Production– SSA Production Preparation– Pre-Production Connectivity Test Production– Go Live21
Administrative Step Pre-Production– Fiscal Information– Work with Partner and DDS to select production date22
Thank Youssa.hit.information@ssa.govwww.ssa.gov/hit23
5 VLER Health Exchange Community Care Partner Milestones Milestone Partner Milestones Standard or Fast Track PARTNER: eHealth Exchange (via The Sequoia Project) On-boarding Process Completed 1 S, F PARTNER and VA: VA VHIE eHealth Exchange Business Questionnaire Completed and Reviewed 2 S, F PARTNER and VA: VA Partner Testing begins between Partner and VHIE Health Partner
Virtual Lifetime Electronic Record (VLER), veteran, transition, education. Abstract . The Virtual Lifetime Electronic Record (VLER) of military and veteranexchange health information is a topic that needs to be understoodin order to meet the needs of anew generation of veterans returning from Afghanistan and IraqThe .
In today's informatics world, there are two main terms that are used: Electronic Health Record and Electronic Medical Record. According to the National Alliance for Health Information Technology Electronic Health Record (EHR) is an electronic record of health-related information on an individual that conforms to nationally
Electronic Record- A contract or other record created, generated, sent, communicated, received, or stored by electronic means. Electronic Signature- Any electronic sound, symbol, or process attached to, or logically associated with, a contract or other record and executed or adopted by a person with the intent to sign the record.
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AQIS SPICES User Manual 3 Icons for the Buttons Sr. No. Icon for Button Meaning 1 Save Record 2 New Record 3 Delete Record 4 Search Record 5 Expand 6 List of record 7 Navigation to next record in list 8 Navigation to previous record in list 9 Navigation to next set of records in list 10 Navigation to first set of records in list 11 Navigate to last record
August 2020 8 of 23 5. Student Course Registration EIS Default Name: xxxxreg.asc Where xxxx is the school/division number. Record Type Description H Course Registration Header Record 1 record per file I Identifier Record 1 record per student D Course Detail Record (follows identifier record) 1 record per course
