standards and interoperability for dod/va health

1

Standards and Interoperability for DoD/VA Health Information Exchange

Session 200, Thursday, March 8, 2018

Moderator: Dr. Paul Cordts, Military Health System (MHS)Speakers:Dr. Ashwini Zenooz, U.S. Department of Veterans Affairs (VA)Dr. Lauren Thompson, U.S. Department of Defense (DoD)Dr. Andrew Gettinger, Office of the National Coordinator for Health Information Technology

2

Moderator introduction

Dr. Paul Cordts, MD, SES

Director of Strategy, Planning and

Functional Integration (J-5)

Defense Health Agency (DHA)

Military Health System (MHS)

3

Speaker introduction

Dr. Ashwini Zenooz, MD, SES

Chief Medical Officer, EHR Modernization

(EHRM) Program Executive Office (PEO)

U.S. Department of Veterans Affairs (VA)

4

Speaker introduction

Dr. Lauren Thompson, SES

Director, DoD/VA Interagency Program Office

(IPO)

U.S. Department of Defense (DoD)

5

Speaker introduction

Andrew Gettinger, M.D.

Chief Clinical Officer

Office of the National Coordinator for Health

Information Technology (ONC)

6

Conflicts of interest

Dr. Paul Cordts, MD, SES, has no real or apparent conflicts of

interest to report.

Dr. Ashwini Zenooz, MD, SES, has no real or apparent conflicts

of interest to report.

Dr. Lauren Thompson, SES, has no real or apparent conflicts of

interest to report.

Dr. Andrew Gettinger, MD, has no real or apparent conflicts of

interest to report.

7

Agenda

• Why is interoperability important?

• Internal and external interoperability at DoD and VA

• What makes interoperability difficult?

• Advancing interoperability: Role of the ONC

• Q+A

8

Learning objectives

• Describe the ONC standards that support Health Information

Exchange (HIE)

• Identify the application of Health Information Technology (HIT)

standards that facilitate MHS/VA clinical data sharing

• Evaluate opportunities for enhanced MHS/VA interoperability

in the future

Questions?

“Medically Ready Force…Ready Medical Force” 9

VA Slide - Placeholder

22

Q+A

24

Questions

Dr. Lauren Thompsono Director, DoD/VA Interagency

Program Office (IPO)

o dha.ncr.peo-ipo.mbx.ipo@mail.mil

Dr. Ashwini Zenoozo Chief Medical Officer, EHR

Modernization (EHRM) Program Executive Office (PEO)

o EHRMQUESTIONS@VA.GOV

Dr. Paul Cordtso Electronic Health Record (EHR)

Functional Champion, MHS

o dha.ncr.spec-proj.mbx.ehrfunctionalchampion@mail.mil

Dr. Andrew Gettingero Chief Clinical Officer

o Andrew.Gettinger@hhs.gov

26

Appendix

27

DoD and VA: interoperability today

16M+

correlated patients

415K+

DoD and VA

clinicians

1.5M

data elements

exchanged daily

28

DoD and VA: interoperability today

HAIMS VBMS

Many other systems, including civilian hospitals

Allergies & Medications

Service Treatment Record

Health Record Display

CHDRCDR HDR

JLV DASDES

29

Joint Legacy Viewer (JLV) expansion within DoD and VA

0

50000

100000

150000

200000

250000

300000

350000

400000

450000

FY16Q1

FY16Q2

FY16Q3

FY16Q4

FY17Q1

FY17Q2

FY17Q3

FY17Q4

Total DoD JLV Users

Total VHA JLV Users

Total VBA JLV Users

In 2013, the Departments deployed the Joint Legacy Viewer (JLV) to nine pilot sites,

providing an integrated view of DoD and VA clinical information. Today, there are

more than 415,000 total JLV users from DoD, VHA, and VBA.

30

DoD and VA’s current HIE partnerships

31

The way forward for HIE