Business Opportunity Session VFA and Interoperability Applications Name of Presenter: Dr. Patrick Pearcy, Ph.D. (patrick.pearcy@va.gov) Director, Office of Information and Technology (OI&T), Product Development (PD), Health Care Delivery Products (HCPD), Veteran Facing Applications (VFA) 1
Overview Veteran Facing Applications (VFA) include: 2
Acquisitions and Contractual Authority Please Note: Acquisitions and contractual commitments can only be made by Government officials having expressed authority to enter into such agreements on behalf of the United States Government. The ONLY Government officials with such authority are Warranted Contracting Officials. Any discussions of contractual requirements do not constitute contractual direction or authorization of any kind. Future contractual directions, If ANY, shall ONLY come from the cognizant Department of Veterans Affairs Warranted Contracting Officer. So If you think I am providing you any direction, I am NOT. 3
Veteran Facing Applications VFA Vision: A Division that is focused on the Veteran, that delivers services and information consistently, reliably, and in the most effective and efficient manner. We provide a unified approach to meet Connected Health, VLER, and Interoperability needs. We support the OneVA Enterprise Architecture Strategic Vision, and comply with PMAS through the use of standardized and integrated VFA project processes (e.g., ProPath) and communications resulting in a more efficient delivery of products and services to the Veteran. People * Process * Business Operations* Technology Primary Product Service Codes (PSC) or NAICS codes: 541511: Custom Computer Programming Services 541512: Computer Systems Design Services 541519: Other Computer Related Services 4
FY14 OIT Acquisitions Socioeconomic Goals & Accomplishments (Dollars Obligated and Percentage by Socioeconomic Status) VA WIDE SOCIOECONOMIC GOALS 34.8% 46.5% (HCA OAO) 12% 12% (HCA OAO) 10% 10% (HCA OAO) TP SB VOSB SDVOSB 5% 5% (HCA OAO) 5% 5% (HCA OAO) 3% 3% (HCA OAO) SDB (including 8A) WOSB HUBZone OIT Funded (0167) Procurements Total $2,233,244,381.41 $1,054,170,395.57 $961,146,497.94 $794,165,470.76 $383,522,138.29 $68,410,795.52 $10,982,483.78 % of TP 47.20% 43.04% 35.56% 17.17% 3.06% 0.49% Data Source: FPDS NG as of September 30, 2014 Acronyms: TP = Total Procurement SB = Small Business VOSB = Veteran-Owned Small Business SDVOSB = Service-Disabled Veteran-Owned Small Business SDB = Small Disadvantaged Business 8A = Section 8(a) HUBZone = Historically Underutilized Business Zone WOSB = Women-Owned Small Business 5
Veteran Facing Applications Convergence of MHV, Mobile and Kiosk Convergence on SOA Design Pattern(s) MHV as an Enterprise Application Leverage VA Mobile Framework (VAMF) Understand requirements for Enterprise Shared Services (ESS) Determine gaps and overlaps 6
Veteran Facing Applications Program Areas: Mobile Applications Virtual Medicine Kiosks VLER Health ESB SOA (aka: Enterprise Messaging Infrastructure (emi) 7
Mobile Applications Program Mission Mobile Applications Program (MAP) will provide the VA with mobile applications development and a production environment to leverage mobile devices for expanding the number and quality of services provided to Veterans. The MAP effort will reduce application development time, improve code quality, reduce risk to source systems, reduce application cost, and provide objective metrics regarding code quality. Program objectives Provide value to the Veteran by developing self service technology enabled interactions provide access to information and the ability to execute transactions at the place and time convenient to the client; allowing Veterans the opportunity to access VA information and services anytime through enhanced quality, accuracy, efficiency, and timeliness of information and data exchanges conducted over the web Primary Product Service Codes (PSC) or NAICS codes: 541511: Custom Computer Programming Services 541512: Computer Systems Design Services 541519: Other Computer Related Services 8
MHED near term Apps Burn Pit Registry Nationally Released in the Spring 2014 Mobile Blue Button Suite (MBB, SOC LaunchPad) DONE: National Release; Soft rollout initiated November 2014 Caring for Women Production Field Test October 2014; National release Spring 2015 Preconception Care Production Field Test October 2014; National release Spring 2015 Mobile ebenefits Production Field Test October 2014; National release Spring 2015 Veteran Appointment Request (VAR) 1 & 2; National Release Summer 2015 9
Mobile Development Move Coach Mobile v1 National Release December 2014 Environmental Education App National Release December 2014 Cardiac Rehab Provider Facing Development in Process Pocket Card Provider Facing Development in Process DSLogon Education App Veteran Facing Development in Process MCM v2 Development in Process 10
How Can You Help Us? Challenges: No Known challenges reaching VOSBs Past Procurements Capabilities: PMO & new Analyst contract is with a VOSB Relevant Needs: Identify the top three capabilities: 1. Mobile Applications 2. Development/testing and release 3. Enabling veterans and providers to access the VA from anywhere Small Business Utilization: For Mobile Apps PMO contract Analyst/tester/SCRUM contract
Mobile Opportunities Forecast 2015 2016 Opportunity Description Anticipated parameters (e.g., use of particular contracting vehicles) Developers PMO V&V PGD Developers who are proficient in Mobile but also MUMPS VistA Re compete current PMO contract Re compete current V&V contract Re compete current PGD contract To supplement current development team PMO is composed of management support, CM, Release and risk managers V&V team is a team of testers who verify and validate products prior to entering the release process Patient Generated Database support to create tables and fields in bot NoSQL and Oracle database Anticip ated date needed Feb 2015 July 2015 July 2015 Septem ber 2015 Range of Budget 3M 3M 3M 3M 12
Virtual Medicine MyHealtheVet (MHV) Program Mission MHV is a forward facing web portal that helps replace a visit based, hospital centric model with a Veteran centric health care model. The MHV infrastructure is designed to help Veterans navigate the Department of Veterans Affairs (VA) health care system and receive coordinated care, thus enhancing the Veteran s overall health care experience in an environment that is results driven and innovative. Program objectives MHV provides cultural change, better business processes, improved clinical workflow, and innovative initiatives that will dramatically improve quality and access to health care for our Nation s heroes and their families, as well as provide a venue for better collaboration with non enrolled Veterans. Primary Product Service Codes (PSC) or NAICS codes: 541511: Custom Computer Programming Services 541512: Computer Systems Design Services 541519: Other Computer Related Services 13
MHV Veteran Impact (as of: September 2014) My HealtheVet User Accounts 2,998,795 registered users 2,443,285 registered VA patient users (43.15% penetration) 1,712,283 Identity Proofed VA patients with Premium Accounts (30.24% penetration) My HealtheVet Usage 133 million website visits 58 million prescription refills since August 2005 1,123,197 unique VA Blue Button users since August 2010 15,724 unique CCD users in September 2014 1,090,201 VA patients Opted In to use VA Secure Messaging 250+ MHV Coordinators 39,000+ Clinician users MHV is the largest Veteran and Clinician National application 14
MHV System Interaction Kiosk VLER ehealth HDR VAAFI ebenefits MVI/IDM VistA CDW VADIR ( DEERS) March 7, 2007 VA Internal Use Only
How Can You Help Us? Challenges: No Known challenges reaching VOSBs Past Procurements Capabilities: Development and sustainment contracts Relevant Needs: System Interfaces with external agencies Migrating to a Service Orientated Architecture to permit reuse of products Maintaining and improving an 11 year old product Small Business Utilization: ByLight SMS 7Delta Agilent
Virtual Medicine Opportunities Forecast 2015 2016 Opportunity Description Anticipated parameters (e.g., use of particular contracting vehicles) CMOP refill Tracking VistA Images Healthe Living Assessment Medication Images Veteran Ability to use MHV to track their Rx Refills Ability for Veteran to view their images T4 T4 Anticipated date needed FY15 FY15 Upgrades T4 FY15 Allow Veteran to see a image of their medication T4 FY15 Range of Budget 17
Kiosks Program Mission The mission of the Veterans Point of Service (VPS) Kiosk Program is to provide devices (e.g., stand alone, tablet, mobile) to VA Medical Facilities and CBOCs that empower Veterans, patients, and staff to efficiently and easily perform a variety of administrative, financial, and clinical tasks related to their healthcare services and management. VPS also seeks to ensure that online capabilities at VA healthcare facilities are strategically aligned with complimentary capabilities offered through other portal technologies such as My HealtheVet, ebenefits, VA for Vets Employment Center, etc. Program objectives VPS helps VA provide the best possible care for Veterans by delivering a beneficial technology platform and leveraging collaborative partnerships to serve Veterans and healthcare facilities across the VA healthcare system. Primary Product Service Codes (PSC) or NAICS codes: 541511: Custom Computer Programming Services 541512: Computer Systems Design Services 541519: Other Computer Related Services 18
Origins 19
What s a Kiosk? 20
What s Next? 21
Stats 22
Opportunities 23
Opportunities 24
How Can You Help Us? Challenges: No Known challenges reaching VOSBs Past Procurements Capabilities: PMO is with a VOSB Relevant Needs: Identify the top three capabilities: 1. Web Portal Integration 2. Development/testing and release 3. Enabling veterans and providers to access the VA from anywhere Small Business Utilization: For Kiosk PMO contract
Kiosk Opportunities Forecast 2015 2016 Opportunity Description Anticipated parameters (e.g., use of particular contracting vehicles) PMO Sustainment of Reporting Warehouse Development Re compete current PMO contract Provide sustainment support Development of further Kiosk enhancements PMO is composed of management support, CM, Release and risk managers Anticipated date needed September 2015 Range of Budget T4 July 2015 $1M T4 March 2015 $2M $150 300K 26
VLER Health Program Mission The mission of the VLER (Virtual Lifetime Electronic Record) Health Program is to improve Veteran quality of healthcare by enabling VA, other federal partners, non VA health care providers, and Veterans to securely share health information from a Veteran s health record electronically. Program objectives VLER Health helps VA provide the best possible care for Veterans by delivering standards based, interoperable, ehealth Exchange and Direct Secure Messaging systems and rapidly partnering with healthcare organizations across the nation to exchange Veteran s electronic health records. Primary Product Service Codes (PSC) or NAICS codes: 541511: Custom Computer Programming Services 541512: Computer Systems Design Services 541519: Other Computer Related Services 27
VLER ehealth FY 15 Roadmap and Vision Accelerate Veteran Engagement Consent at the Point of Care Automate authorization process Accelerate on line enrollment ebenefits Kiosks MHV website launch Flag records with restricted health information Enable external partners to collect consent Improve Patient ID and Correlation 55 new Rural Health Community Coordinators FY15 Goal: 24,000 new enrollments March 7, 2007 VA Internal Use Only
VLER ehealth Exchange FY 15 Roadmap and Vision Accelerate Clinician Adoption System stability and performance Enhanced workflow Fast Incorporate into end users workflow Pre fetch Support Transition of Care, VACAA and Referral Management (PC3) Improved data quality and richness Maximize CCD A Advance terminology standards FY15 Goal: 18K new providers March 7, 2007 VA Internal Use Only
VLER ehealth Exchange FY 15 Roadmap and Vision Accelerate Partner Integration Potential Partners 9partners testing 25 Partners waiting for 2011 specs Active discussions with 79 partners FQHC initiative (eclinical Works) Virginia initiative Fast Track partners with known vendors Advance Healtheway testing Focus on Purchased Care and VACAA FY15 Goal: Increase # of Exchange Partners by 48 March 7, 2007 VA Internal Use Only
VLER Direct Secure Messaging FY 15 Roadmap and Vision Accelerate the Direct Project Integrate with Health Information Service Providers (HISPs) Advance use cases Purchased Care/ Referral Management Transition of Care Maternity Mental Health Veterans Initiated Messaging ADT Notifications FY15 Goal: 24 HISPs March 7, 2007 VA Internal Use Only
Veterans Access to Care and Accountability Act (VACAA) Bidirectional External Record Clinical Data Sharing is Increasing with VACAA, will Expand Exponentially VA requires bidirectional exchange of data with external providers Initiation of consultation/ referral Standardized billing data Close out of referral/consult with appropriate billing data Clinicians Must Have Timely, Electronic Access to Longitudinal Clinical Information Access to Seamless, Standardized Data from external partners Send and receive non VA medical records electronically; store the data in standard terminologies and in an integrated fashion Desired State: Technological and Policy : improved ability to produce and consume clinical data in usable formats Technical & Process Interoperability: Increased volume and expansion of non VA care with additional sharing capacity and better performance Semantic Interoperability: VA Terminologies updated and standardized; integration of clinical data into comprehensive longitudinal record. Need to have standards based Clinical Decision Support (CDS) in addition to standards based data March 7, 2007 VA Internal Use Only
Interoperability Supports Veteran Centered Care 33
How Can You Help Us? Challenges: No Known challenges reaching VOSBs Past Procurements Capabilities: PMOs only Relevant Needs: 1. Software Quality Assurance 2. Meaningful Use implementation 3. Private sector partnering Small Business Utilization: SBG PMO FirstView/LongView PMO Future contracts PMO, S/W development, product sustainment, and testing
VLER Health Opportunities Forecast 2015 2016 Opportunity Description Anticipated parameters (e.g., use of particular contracting vehicles) Anticipated date needed Range of Budget Development Re engineering T4 March 2015 $2.5M contract Sustainment Sustainment of T4 July 2015 $1.3M systems Development Enhancements T4 March 2015 $3.5M PMO PMO Support T4 June 2015 $650K Development Enhancements T4 Sept 2015 $700K 35
ESB SOA Program Mission SOA supports the Enterprise Shared Services (ESS) strategy. It provides a uniform means to offer, discover, interact with and use capabilities to produce desired effects consistent with measurable preconditions and expectations. It supports a unified environment that promotes integration of enterprise capabilities and information. Program objectives Advance organizational interoperability and agility through the reuse, interoperability, and governance of services across internal and external organizational and program boundaries. Promote the standardization, reuse, interoperability, and composition of the best available capabilities developed under the auspices of any system to meet business and mission requirements. Primary Product Service Codes (PSC) or NAICS codes: 541511: Custom Computer Programming Services 541512: Computer Systems Design Services 541519: Other Computer Related Services 36
Enterprise Shared Services (ESS)
Enterprise Messaging Infrastructure (emi) From: Point to point data connectivity Expensive to maintain Difficult to change Islands of data and capability Poor visibility of issues To : Integrated approach using a common Bus Connect legacy applications to modern services using standards based methodology in a secure, reusable manner. Includes native capabilities to transform, translate, aggregate, and distribute messages across the enterprise. Implemented using Open Standards Brings centralized monitoring, management, and security control to the organization. Unlock the potential of analytics, mobile...
Enterprise Shared Services Detail (emi) Architecture (Notional)
emi Services Detail: Upcoming Services in the Registration Queue RAI/MDS Enterprise Prescription Refill JALFHCC VSA IAM VPS (Kiosk) Wristband NCA IMedConsent VIMM MVI (deployed) PDWS (deployed) VIE (approximately 1,200 message flows): o BHIE/DSI o LDSI o ROES o VTS o CPE o CHDR o Health Data Repository (HDR) II / Clinical Data Services (CDS) o ecms o STS o FPDS o ESR o PAIT o DYNAMED o OPAI o NPI 40
How Can You Help Us? Challenges: None. The Veteran Facing Applications (VFA) division currently works with small VOSBs Relevant Needs: Project Management support Development/Integration support Software maintenance support Past Procurements Capabilities: Team SBG Technology Solutions for ESB SOA Program Management Office (PMO) support Small Business Utilization: SBG Technology Solutions Avow Consulting Partners, Inc
ESB Opportunities Forecast 2015 2016 Opportunity Description Anticipated parameters (e.g., use of particular contracting vehicles) Anticipated date needed Range of Budget PMO PMO Support T4 March 2015 $2M Development Integration Activities T4 September 2015 $5M 42
Additional Information Contact the following VFA Program Managers for more information: Mobile Applications: Ms. Lynn Blendell (Lynn.blendell@va.gov) Virtual Medicine: Mr. Richard Beaudoin (richard.beaudoin@va.gov) Kiosks: Ms. Kathy Macdonald (kathy.macdonald@va.gov) VLER Health: Mr. Curtus Browning (curtus.browning@va.gov) ESB SOA: Mr. Aiden Barr (aiden.barr@va.gov) Questions? 43