VA/DoD Healthcare Interoperability Innovations: Real Life EHR Interoperability within an Extraordinary Federal Health Care Center

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1 VA/DoD Healthcare Interoperability Innovations: Real Life EHR Interoperability within an Extraordinary Federal Health Care Center

2 Envisioning VA & DoD Partnership Nations First Federal Health Care Center The CAPT James A. Lovell Federal Health Care Center (JAL FHCC) is a first-of-itskind partnership between the VA and DoD/Department of the Navy ALL medical care is unified into a fully-integrated Federal health care facility with a single, combined VA and DoD mission The National Defense Authorization Act (NDAA) of 2010 established the JAL FHCC under an Executive Agreement. Both SECDef and SECVA signed an Executive Agreement authorizing a five year demonstration effort on April 16, 2009 Navy Strength: 1,076 (includes Active Duty) Civilian Strength: 2,045 12

3 Envisioning VA & DoD Partnership About the JAL FHCC First-of-its kind integration: Former North Chicago VA Medical Center and Naval Health Clinic Great Lakes Unique combined mission: Readying Warriors and Caring for Heroes. Larger than a single facility: West Campus: 107-acres at former North Chicago VA Medical Center campus East Campus: USS Osborne, USS Tranquillity, USS Red Rover and Fisher Branch Medical Clinics; Bldg 200H. Community-Based Outpatient Clinics: Kenosha, McHenry and Evanston Community Based Outpatient Clinics 12 3

4 Envisioning VA & DoD Partnership JAL FHCC Campus 12 4

5 Federal Healthcare: DoD and VA Joint Mission Readying Warriors and Caring for Heroes Deployed 217 Lovell FHCC Sailors throughout the world to support various Department of Defense missions 56 Sailors currently deployed USS Red Rover processed more than 44,000 U.S. Navy Recruits 86,617 Unique Patients 25,003 Veterans 59,224 DoD Beneficiaries (including Recruits) 2,390 employee/humanitarian/other non-veteran

6 Federal Healthcare Services Summary ONE Day in the Life of the FHCC 3, 206 Outpatient visits 794 Dental visits 298 Daily Census 55 Hospital 112 Domiciliary 131 Nursing Home 60 ED Visits 6 Surgeries Lab 160 Phlebotomies 3,572 Tests 1,200 Immunizations Radiology 96 X-Rays 24 CT Scans 16 MRIs 7 Mammograms 15 Ultrasounds 5,123 total pharmacy prescriptions 1,549 DoD outpatient prescriptions 1,575 Veteran outpatient prescriptions 1,998 inpatient unit doses produced and administered

7 Real Life EHR Interoperability VA/DoD Interoperable Health Records through Integrating Health IT Key Takeaway about innovative software solutions development: The JAL FHCC success leverages existing VA/DoD Health Information Sharing programs to access both VA and DoD patient healthcare information and to seamlessly integrate their clinical workflows and clinical business processes In Production health IT capabilities for the JAL FHCC include: Modernized IT architecture using services oriented architecture (SOA) Medical Single Sign-On (MSSO) for clinicians with patient context management (CM) Joint Legacy Viewer (JLV) Presentation of disparate data VA/DoD Joint Patient Registration solution Orders Portability for Radiology, Laboratory, Consults Services, and Pharmacy (pending) Financial Management (Reconciliation & Billing) Additional capabilities and products now under development: Interagency Materials Management (DMLSS Pilot) UltimateMe and UltimateMe for iphone Surgical Quality Workflow Improvements For more information and a demonstration of the solutions please visit our kiosk: VA/DoD Healthcare Interoperability Innovations: The CAPT James A. Lovell Federal Health Care Center (JAL FHCC) Experience

8 Real-time Health Data Sharing VA/DoD Joint Patient Registration Capability

9 Integrating Healthcare Workflows VA/DoD Joint Medical Single Sign-On with Context Management

10 Proving Health Data Interoperability VA/DoD Orders Portability Semantic Interoperability

11 Model for Federal Health Care Realized CAPT James A. Lovell, USN Ret.

12 VA & DoD Health Partnership FHCC Interoperability Innovations Q&A VA & DoD Health Partnership To learn more about VA s health sharing partnership with the Department of Defense visit YouTube.com/LovellFHCC Twitter.com/LovellFHCC Facebook.com/LovellFHCC

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