Attachment B - Product List_Average Ticket Count.xlsx

XLSX spreadsheet 50 KB Posted Jun 29, 2021

Attached to: DA10--Health Services DevSecOps, New Task/Delivery Order (VA-21-00044934) - New Requirement -
Solicitation number: 36C10B21Q0410
Issued by: Department of Veterans Affairs Technology Acquisition Center Austin

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File	Type	Posted
36C10B21Q0410 0001_1.docx	DOCX document	Jul 1, 2021
36C10B21Q0410 0001.docx	DOCX document	Jun 29, 2021
Attachment E - HFPL Architecture Standard Operating Framework 20210311.docx	DOCX document	Jun 29, 2021
Health Services DevSecOps Draft PWS 29June2021.docx	DOCX document	Jun 29, 2021
Attachment F - Key Performance Indicators.xlsx	XLSX spreadsheet	Jun 29, 2021
Attachment D - As-Is Intake Process for Health Product Support.docx	DOCX document	Jun 29, 2021
Attachment G - Product Line Architecture (PLA) - VA Enterprise Architecture.docx	DOCX document	Jun 29, 2021
Attachment A - First Party Lockbox High-Level Business Process Flow.docx	DOCX document	Jun 29, 2021
Attachment C- DevSecOps Tools and the Delivery Process.pptx	PPTX presentation	Jun 29, 2021
36C10B21Q0410.docx	DOCX document	Jun 26, 2021
RFI_Health Services DevSecOps.doc	DOC document	Jun 26, 2021
Health Services DevSecOps Draft PWS 25June2021.docx	DOCX document	Jun 26, 2021
36C10B21Q0410.docx	DOCX document	Jun 25, 2021

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Current Admin Products

Application	Name-space	VASI ID	Non-VistA/ VistA	Application Size - Per PEM	Product Line
Automated Medical Information Exchange AMIE	DVBA	1031	VistA	Medium	Health Care Admin
Bed Management Solutions BMS	WEBB	1052	Non-VistA	High	Health Care Admin
Compensation and Pension Record Interchange CAPRI	DVBA	1130	VistA	N/A	BAM - Comp & Pen
Compensation and Pension Record Interchange CAPRI Proxy servers		1130	Non-VistA	Medium	BAM - Comp & Pen
DRG Grouper	ICD	1185	VistA	High	Health Care Admin
Electronic Claims Management Engine ECME	BPS	1205	VistA	Low	Clinical Ancillary
Decision Support System DSSVistA side	ECX	1214	VistA	High	Health Financial
Functional Independence Measurement	RMIM	1292	VistA	Low	Health Care Admin
National Utilization Management Integration NUMI	WEBN	1453	Non-VistA	High	Health Care Admin
Voluntary Service System VSS	VSS	1483	Non-VistA	High	VES - Contact Center
Patient Advocate Tracking System PATS	QAC	1492	Non-VistA	High	Health Care Admin
Quality: Audiology And Speech Analysis And Reporting QUASAR	ACKQ	1506	VistA	Low	Clinical Ancillary
Primary Care Management Module PCMM Web	WEBP	1530	VistA	Medium	Health Care Admin
Real Time Location System	VIAA	1556	VistA	Low	Supply Chain
Enrollment VistA side	EAS	1659	VistA	Medium	VES - Eligibility & Enrollment
Veterans Personal Finance System VPFS	PRFP	1751	Non-VistA	Medium	Health Financial
Veteran Point of Service VPS Kiosk Interfaces VistA side	VPS	1752	VistA	Low	VES - Digital Experience
Accounts Receivable	PRCA	1777	VistA	High	Health Financial
Registration Medical Administration Service MAS	DG	1778	VistA	High	Health Care Admin
Automated Information Collection System AICS	IBD	1780	VistA	High	Health Care Admin
Beneficiary Travel	DGBT	1781	VistA	Medium	Health Care Admin
Equipment Turn-In	PRCN	1794	VistA	Low	Supply Chain
Event Capture	EC	1795	VistA	Medium	Health Financial
Fee Basis	FB	1796	VistA	Medium	Health Financial
Generic Code Sheet	GEC	1799	VistA	Medium	Health Financial
Incomplete Records Tracking	DGJ	1804	VistA	Low	Health Care Admin
Integrated Billing IB	IB	1806	VistA	High	Health Financial
IFCAP	PRC	1807	VistA	High	Health Financial
Mailman	XM	1817	VistA	Medium	Health Care Admin
Occurrence Screen	QAO	1826	VistA	Low	Health Care Admin
Patient Care Encounter PCE	PX	1829	VistA	Medium	Health Care Admin
Personnel and Accounting Integrated Data PAID	PRS	1830	VistA	High	Health Financial
Prosthetics	RMPR	1836	VistA	High	Clinical Ancillary
Ambulatory Care Reporting Project (included in Scheduling)	SD	1840	VistA	N/A	Telehealth & Scheduling
Electronic Waitlist - ADMIN Schedule (included in Scheduling)	SD	1840	VistA	N/A	Telehealth & Scheduling
Incomplete Encounter Management Module - Part of Ambulatory Care Reporting	ACR	1840	VistA	Low	Telehealth & Scheduling
Recall Reminder - ADMIN Scheduling	SDRR	1840	VistA	Medium	Telehealth & Scheduling
Scheduling (includes Ambulatory Care Reporting and Electronics Waitlist)	SD	1840	VistA	High	Telehealth & Scheduling
Wounded Injured Ill Warrior	WII	1847	VistA	Low	Health Care Admin
Hospital Inquiry HINQ	DVB	1860	VistA	Low	Health Care Admin
Income Verification Match	IVM	1964	VistA	Medium	Health Care Admin
Records Tracking	RT	1971	VistA	Medium	Health Care Admin
Engineering	EN	1996	VistA	Medium	Supply Chain
Health Level Seven HL7 Suite - H7 HLO VDEF	HL	2392	VistA	Medium	Health Care Admin
Kernel Authentication and Authorization for Java 2 Enterprise Edition KAAJEE	XU		Non-VistA	Low	Health Care Admin
Patient Merge	XD		VistA	Medium	Health Care Admin
Standard Data Service SDS			Non-VistA	Low
Visit Tracking - ADMIN	VSIT		VistA	Low
VistALink	XOBV		Non-VistA	Low	Health Care Admin
Web VistA Remote Access Management (WebVRAM)	WEBG		VistA and Non-VistA	Medium	Telehealth & Scheduling

Admin Average Workload

Applications	avg tix/mth	Patch Release count since 2017	avg patch/mth
Accounts Receivable	2.88	22	0.46
Automated Safety Incident Surveillance Tracking System (ASISTS) - DECOMMISSIONED	0.19	3	0.06
Auto Info Coll Sys (AICS)	0.06	2	0.04
Automated Medical Information Exchange (AMIE)	0.04	3	0.06
Bed Management Solution (BMS)	41.81	6	0.13
Beneficiary Travel	0.58	5	0.10
Clinical Monitoring System	0	0	0.00
Compensation and Pension Record Interchange (CAPRI) & CAPRI Proxy Servers	9.73	15	0.31
Decision Support System (VistA)	0.1	8	0.17
DRG Grouper	0.27	9	0.19
Electronic Claims Management Engine (ECME) - ePharmacy	0.02	0	0.00
Engineering AEMS/MERS	0.17	1	0.02
Enrollment (VistA)	0.58	5	0.10
Equipment/Turn-In Request	0	0	0.00
Event Capture	0.42	14	0.29
Fee Basis	1.04	8	0.17
Functional Independence Measurement	0	2	0.04
Generic Code Sheets	0	1	0.02
HL7 Suite (HL7, HLO, VDEF)	0.19	4	0.08
Hospital Inquiry	0.17	1	0.02
IFCAP	2.79	18	0.38
Income Verification Match	0.25	8	0.17
Incomplete Records Tracking	0.02	0	0.00
Integrated Billing	3.08	47	0.98
Kernel Authentication and Authorization for Java 2 Enterprise Edition (KAAJEE)	0.02	4	0.08
Library	0	1	0.02
Mailman	0.06	2	0.04
National Utilization Management Integration (NUMI)	5.08	14	0.29
Occurrence Screen - DECOMMISSIONED	0.02	0	0.00
Patient Advocate Tracking System (PATS)	3.19	0	0.00
Patient Care Encounter (PCE) and Visit Tracking	0.65	5	0.10
Patient Merge	0.02	0	0.00
Patient-Centered Management Module (PCMM) Web	0	1	0.02
Personal & Integrated Accounting Data (PAID)	0.33	9	0.19
Primary Care Management Module (PCMM)	0	1	0.02
Prosthetics	0.9	19	0.40
QA Incident Reporting	0	1	0.02
Quality Audiology and Speech Pathology Audit and Review	0	0	0.00
Real Time Location System (RTLS)	0.02	1	0.02
Records Tracking	0		0.00
Registration	1.73	27	0.56
Scheduling, Scheduling (Electronic Wait List), Scheduling - Recall Reminders, Ambulatory Care, IEMM	4.17	33	0.69
Social Work - DECOMMISSIONED	0	1	0.02
Standard Data Service (SDS)	1.81	0	0.00
Veterans Personal Finance System (VPFS)	1.31	1	0.02
Veteran's Point of Service Kiosk	0	0	0.00
VistALink	0.23	6	0.13
Voluntary Service Syste (VSS)	6.72	2	0.04
WebVRAM	3.75	0	0.00
Wounded Injured III Warrior	0	0	0.00
TOTAL Tickets/Releases per month	94.4		6.46

Current Clinical Products

Application	Name-space	VASI ID	Non-VistA/ VistA	Application Size - Per PEM	Product Line
Surgery	SR	1046	VistA	Low	Clinical Ancillary
BCMA Contingency BCBU	PSM	1047	VistA	Low	Clinical Ancillary
Bar Code Medication Administration BCMA	PSB	1047	VistA	Low	Clinical Ancillary
Blind Rehabilitation	ANRV	1064	Non-VistA	Medium	Clinical Ancillary
Clinical Health Data Repository		1115	Non-VistA	High**	Health Care Admin
Text Integration Utility	TIU	1159	VistA	Low	Provider Systems
Clinical Reminders	PXRM	1183	VistA	Low	Provider Systems
Controlled Substances	PSD	1190	VistA	Low	Clinical Ancillary
HealtheVet Web Services Client (HWSC)	XOBW	1324	VistA	Low	Health Care Admin
VistA Imaging - 1 VistA Rad	MAG	1328	Non-VistA	Medium	Clinical Ancillary
VistA Imaging - 13 DICOM Importer	MAG	1328	Non-VistA	High	Clinical Ancillary
VistA Imaging - 2 Clinical Display Capture	MAG	1328	Non-VistA	High	Clinical Ancillary
VistA Imaging - 3 Background Processor	MAG	1328	Non-VistA	Medium	Clinical Ancillary
VistA Imaging - 4 DICOM Gateway Legacy	MAG	1328	Non-VistA	High	Clinical Ancillary
VistA Imaging - 5 Hybrid DICOM Gateway	MAG	1328	Non-VistA	High	Clinical Ancillary
VistA Imaging - 8 Telereader	MAG	1328	Non-VistA	Medium	Clinical Ancillary
VistA Imaging - 11 Mumps code in VistA	MAG	1328	VistA	Medium	Clinical Ancillary
Hospital Based Home Care	HBH	1330	VistA	Low	Health Care Admin
Intake Output	GMRY	1356	VistA	Low	Clinical Ancillary
Medication Order Check Health Care Application MOCHA	PREM	1414	Non-VistA	Medium	Clinical Ancillary
Patient Data Exchange PDX	VAQ	1463	VistA	Low
Nursing	NUR	1465	VistA	Medium	Clinical Ancillary
Nutrition and Food Service	FH	1466	VistA	Medium
Problem List	GMPL	1494	VistA	Medium	Provider Systems
Automatic Replenishment Ward Stock	PSGW	1515	VistA	Medium	Clinical Ancillary
Mental Health	YS	1516	VistA	Medium	Provider Systems
Pharmacy Product Service PPS-N - Pharmacy Re-engineering PRE to include components	PREN	1518	Non-VistA	Medium	Clinical Ancillary
Pharmacy Enterprise Customization PECS - Pharmacy Re-engineering PRE to include components	PREC	1588	Non-VistA	Medium	Clinical Ancillary
Shift Handoff Tool	CRHD	1591	VistA	Low
Veterans Crisis Line (VCL)	SH	1619	Non-VistA	Low
Adverse Reaction Tracking	GMRA	1779	VistA	Low	Clinical Ancillary
Clinical Procedures	MD	1787	VistA	Low	Clinical Ancillary
Consolidated Mail Outpatient Pharmacy CMOP	PSX	1788	VistA	Medium	Clinical Ancillary
Consult Request Tracking	GMRC	1789	VistA	Medium	Provider Systems
Drug Accountability	PSA	1790	VistA	Low	Clinical Ancillary
Electronic Signature Services ESig	XOBE	1791	Non-VistA	Low	Health Care Admin
Emergency Department Integrated Software EDIS	EDP	1792	Non-VistA	Medium	Health Care Admin
FDA Medication Guides functionality within Outpatient Pharmacy (included in Outpatient Pharmacy)	PSO	1792	Non-VistA	N/A	Clinical Ancillary
Outpatient Pharmacy (includes FDA Med)	PSO	1792	VistA	Medium	Clinical Ancillary
Health Summary	GMTS	1800	VistA	Low	Provider Systems
Laboratory (Includes Howdy)	LR	1810	VistA	High	Clinical Ancillary
Medicine	MC	1818	VistA	Medium	Clinical Ancillary
National Drug File NDF	PSN	1821	VistA	Low	Clinical Ancillary
Group Notes	Under OR (CPRS)	1828	Non-VistA	Low	Provider Systems
Provider Role Tool (PRT) GUI	Under OR (CPRS)	1828	Non-VistA	Low	Provider Systems
Order Entry Results Reporting OE RR	OR	1828	VistA	High	Provider Systems
Anticoagulation Management Tool	ORAM	1828	VistA	High
Pharmacy Benefits Management	PSU	1832	VistA	Low	Clinical Ancillary
Pharmacy Data Management	PSS	1833	VistA	Medium	Clinical Ancillary
Radiology Nuclear Medicine	RA	1837	VistA	Medium	Clinical Ancillary
Womens Health	WV	1846	VistA	Low	Clinical Ancillary
Vitals Measurement	GMRV	1854	VistA	Low	Clinical Ancillary
Inpatient Medications	PSJ	1965	VistA	Medium	Clinical Ancillary
Nationwide Health Information Network Adapter NHIN	NHIN	2031	VistA	Low
Methicillin Resistant Staph Aureus MRSA	MMRS	2037	VistA	Low
Virtual Patient Record	VPR	2052	VistA	Low
Inbound ePrescribing (eRx) GUI	TBD	2123	Non-VistA	Medium	Clinical Ancillary
Authorization Sub Utility	USR	2362	VistA	Medium	Provider Systems
Clinical Information Support System & Occupational Health Record System (CISS-OHRS)	CISS OHRS	1904/1467	Non-VistA	High**	Health Care Admin
Pharmacy Data Update DATUP - Pharmacy Re-engineering PRE to include components	PRED		Non-VistA	Medium	Clinical Ancillary
Network Health Exchange NHE	AFJX		VistA	Medium

Clinical Average Workload

Applications	avg tix/mth	Patch Release count since 2017	avg patch/mth
Adverse Reaction Tracking	0.4	6	0.12
Anticoagulation Management Tool	0.52	6	0.12
Authorization Sub Utility	0.02	0	0
Automatic Replenishment Ward Stock	0.08	3	0.06
Bar Code Medication Administration BCMA	1.87	26	0.5
BCMA Contingency BCBU	0.33	6	0.12
Blind Rehabilitation	3.56	0	0
Care Management	0.13	2	0.04
CISS-OHRS	3.02	3	0.06
Clinical App Maintenance	4.15	0	0
Clinical Data Repository/Health Data Repository	2.46	0	0
Clinical Procedures	1.77	24	0.46
Clinical Reminders	0.17	2	0.04
Consolidated Mail Outpatient Pharmacy CMOP	0.08	2	0.04
Consult Request Tracking	1.25	6	0.12
Controlled Substances	0.38	5	0.1
DATUP	0.81	1	0.02
Drug Accountability	0.21	5	0.1
Electronic Signature Services ESig	0.02	0	0
Emergency Department Integrated Software EDIS	2.25	7	0.13
FDA Medication Guides	1.02	8	0.15
Health Summary	0.5	8	0.15
HealtheVet Web Services Client (HSWC)	0.1	1	0.02
Hospital Based Home Care	0.21	2	0.04
HPS Clinical Applications (ALL)	0.37	0	0
Inbound eRx	3.42	14	0.27
Inpatient Medications	3.6	60	1.15
Intake Output	0.04	1	0.02
Laboratory (Includes Howdy)	2.54	48	0.92
Medicine	0.04	0	0
Mental Health	0.29	4	0.08
Methicillin Resistant Staph Aureus MRSA	0.06	2	0.04
MOCHA	1.29	1	0.02
National Drug File NDF	2.21	54	1.04
Nationwide Health Information Network Adapter NHIN	0.12	0	0
Network Health Exchange NHE	0.02	0	0
No Application	0.88	0	0
Nursing	0.08	2	0.04
Nutrition and Food Service	0.4	7	0.13
Order Entry Results Reporting OE RR	7.98	54	1.04
Outpatient Pharmacy	5.46	89	1.71
Patient Data Exchange PDX	0.02	0	0
PECS	4.19	2	0.04
Pharmacy Benefits Management	0.02	0	0
Pharmacy Data Management	0.88	14	0.27
PPSN	6.08	9	0.17
Problem List	0.29	3	0.06
Radiology Nuclear Medicine	0.69	12	0.23
Shift Handoff Tool	0.46	3	0.06
Spinal Cord Dysfunction	0.08	2	0.04
Surgery	0.4	8	0.15
Text Integration Utility	1.42	16	0.31
Traumatic Brain Injury	0.12	0	0
Veterans Crisis Line	0.67	0	0
Virtual Patient Record	0.29	5	0.1
VistA Imaging - 1 VistA Rad	0.6	4	0.08
VistA imaging - 10 VIX	0.42	2	0.04
VistA Imaging - 11 Mumps code in VistA	0.37	8	0.15
VistA Imaging - 12 CVIX	0.04	0	0
VistA Imaging - 13 DICOM Importer	0.63	7	0.13
VistA Imaging - 2 Clinical Capture	0.5	3	0.06
VistA Imaging - 2 Clinical Display	2.33	20	0.38
VistA Imaging - 3 Background Processor	1.5	10	0.19
VistA Imaging - 4 DICOM Gateway Legacy	1.04	7	0.13
VistA Imaging - 5 Hybrid DICOM Gateway	2	10	0.19
VistA Imaging - 7 Query Retrieve	0.02	1	0.02
VistA Imaging - 8 Telereader	0.27	5	0.1
VistA Imaging (all 14 apps)	5.37	8	0.15
VistA Web	3.92	1	0.02
Vitals Measurement	0.38	5	0.1
Womens Health	0.02	0	0
Total	89	624	12
TOTAL Tickets/Releases per month	178.13		24.02

Other Health Products

AppCode	VASI	Application Code Name	Product Line	Description
AST	1037	Automated Safety Incident Surveillance	Health Care Administration	The Automated Safety Incident Surveillance Tracking System (ASISTS) has three major goals: 1) Better tracking of employee injuries and illnesses. ASISTS computerizes the Report of Accident (VA FORM 2162) as well as the OWCP CA-1 and CA-2 forms. These reports help improve the ability to trend and analyze accidental injuries and illnesses, thus helping to prevent future incidents from occurring; 2) Reduce exposures to bloodborne pathogens from needlesticks, sharps, or body fluids. The ASISTS instantly notifies Occupational Health and other medical personnel when the employee reports an incident involving a blood borne pathogen exposure, so that proper tests and treatment can be initiated. The data concerning exposure to bloodborne pathogens will be collected in a national database to identify national trends, training needs and best practices for the benefit of all employees at every VA medical center; 3) Reduce worker compensation costs. ASISTS facilitates a case management approach to preventing future accidents and will provide better management of workers' compensation claims. Through automation, the CA-1 and the CA-2 forms will be more accurate and be processed in a more timely fashion.
FEE	1085	FEE Basis Treatment	Health Financial	FEE Basis Treatment/Central Fee System authorizes and pays private physicians, hospitals (in-patient) and pharmacists for products and services dispersed to approved Veterans for non-VA care. This system also reimburses Veterans for medical care and travel. Also known as Central Fee.

This is the centralized receiving point for the VistA Fee Basis application. It provides money management for all payments. Central FEE maintains a complex bi-directional interface with FMS, including direct access to vendor and payment information.

Vista Fee (weekdays) Via DMI 100k + records Payment data, Veteran and Vendor adds and update information.

FMS transmits payment, treasury vendor file information messages to Central FEE

Central FEE transmits pharmacy and medical vendor records to FMS.

CVX	1087	Central VistA Imaging Exchange	Clinical Ancillary
CCR	1113	Clinical Case Registries	Medical Research, Education, and Population Health	Clinical Case Registries (CCR) provides a local VISTA system program for population management. As of April 2016, twenty-nine populations have been made available for local champions to query for various access to care, quality and safety initiatives. A national database exists for two of the populations – hepatitis C and HIV. The national data are used by the HIV, Hepatitis, and Public Health Pathogens program office for the development, assessment, and improve of national policy. The Allocation Resource Center (ARC) uses quarterly extracts of the national data for VERA modeling and other program office and VHA leadership benefit from analyses conducted in the national database for these two conditions
CHR	1115	Clinical Health Data Repository	Health Care Administration	The Department of Defense (DoD) and the Department of Veterans Affairs (VA) in partnership, designed and implemented a Clinical Data Repository/Health Data Repository (CHDR) system that generates standards-based, computable, electronic health records that can be exchanged between the two agencies healthcare systems for patients marked as Active Dual Consumers (ADC). At DoD, medical records and patient health care histories are stored in the Clinical Data Repository (CDR), a component of the Armed Forces Health Longitudinal Technology Application (AHLTA). Similarly, the VA Health Data Repository (HDR) stores data from CHDR and the transactional clinical data from all 128 VistA applications for select clinical domains. CHDR is the link between the two repositories and once the patient is marked â€œactiveâ€� data exchange can begin. Data exchange does not occur until ADC activation. CHDR facilitates the sharing of a Virtual Lifetime Electronic Record (VLER) between DoD and the VA for our nationâ€™s Veterans. This enables the VA/VHA to provide a comprehensive integrated medical record that is compliant with the Health Insurance Portability and Accountability Act (HIPAA) and other privacy regulations, and to facilitate a seamless transition from military to Veteran status. CHDR works in the background to deliver improved information sharing between the DoD and VA of medical records for Active Dual Consumers (ADC) patients. The interoperability provides clinical users at DoD and VA medical facilities with bidirectional, real-time exchange of medical records that will include, at a minimum, the exchange of outpatient pharmacy and drug allergies (limited only to drug allergies) to enable drug/drug and drug/allergy order checks. The integrated clinical data between the DoD and the VA (outpatient pharmacy and drug allergy data) can be viewed in VistAWeb or CPRS Remote Data Views (RDV).
CIRTS	1135	Compliance Inquiry Reporting and Tracking System	Health Financial	The Compliance Inquiry Reporting and Tracking System (CIRTS) is a tool used by VHA CBI Officers to track, trend, evaluate, and monitor allegations of non-compliance with VA business practices. CIRTS is a mechanism for employees to raise questions and report concerns about business and operational matters in an effort to resolve the concerns at the earliest stages and provide standardized solutions that can be utilized VA wide. The CIRTS TRIM software tracks all calls, including call-backs made to the CBI Helpline. In addition, CBI officers are expected to utilize CIRTS to log, track, and trend compliance inquiries and incidents at their medical centers. The CIRTS module maintains information regarding the type of inquiry, specific actions, status and other event identifiers. Various reports can also be generated on the types and frequency of calls.
CCP	1139	Consolidated Co-Payment Processing Center	Health Financial	The Consolidated Copayment Processing Center (CCPC) System contains Veteran patient contact and billing information in order to support the printing and mailing of patient billing statements. The CCPC Lockbox system is designed to handle first-party medical debt billing information. First-party billing is defined as a patient debt for which the patient is responsible for payment (normally co-payment) for health care treatment. This differs from third-party billing where a third party (e.g., insurance company, Health Maintenance Organization (HMO)) is primarily responsible for repaying the VA. CCPC does not handle third-party billing information. The Veterans Health Information Systems and Technology Architecture Accounts Receivable (AR) module collects information for CCPC at every Veterans Affairs Medical Center (VAMC). A daily batch process is used to collect and transmit the information to the VA Austin Information Technology Center. All collected patient and billing information is kept active on CCPC for a period of one month. A master list containing six months activity is archived for reference should historical information be needed. The users of this database include the VAMCs, Veterans Health Administration Chief Business Office, and the patients who receive billing statements.
CSP	1147	Cooperative Studies Program	Medical Research, Education, and Population Health	CSP Clinical Research Pharmacy located in Albuquerque, NM. The center supports several dozen clinical trials throughout the US and several foreign countries.
DSS	1174	Decision Support System	Health Financial	Formerly known as DSS. MCAS is a COTS database built from standard VHA data sources. MCAS uses clinical and financial data to provide activity based costing and clinical productivity analyses. It provides data driven management decision support and cost accounting for VHA, VBA, NCA, and VA.

Accepts extracts from multiple systems including VISTA, FMS, and PAID. Uses FMS cost information combined with workload information to provide costed products and in VHA produce cost of Patient Encounters. Data is updated monthly and provides cost accounting for entire agency.

The DSS enables VHA hospitals to review financial and clinical corporate data for management and quality improvement purposes. DSS maintains an interface from FMS.

Uses FMS cost information combined with workload information to provide costed products and in VHA produce cost of Patient Encounters. Data is updated monthly.

FMS sends building depreciation, Fixed Asset extract, DSS Linkage Data file, Unfunded Expenditures Linkage Data File messages to DSS.

DSR	1179	Decision Support Systems Reporting System Managerial Cost Accounting Reporting	Health Financial	Formerly known as Decision Support System - Reporting. This system is the reporting module of VA's Managerial Cost Accounting (MCA) system.
ECME	1205	VistA - IB: Electronic Claims Management Engine	Health Financial	The Electronic Claims Management Engine (ECME) package provides the ability to create and distribute electronic Outpatient Pharmacy claims to insurance companies on behalf of VHA Pharmacy prescription beneficiaries in a real-time environment. The application does not impact first party co-payments and minimizes the impact on legacy pharmacy workflow. This system meets the Health Insurance Portability and Accountability Act (HIPAA) of 1996 mandate, specific to the Electronic Transactions and Code Sets rule. The rule mandates VHA must submit claims electronically to insurance companies via the National Council for Prescription Drug Programs (NCPDP) v5.1 standard transmission format.
VistA - DSS	1214	VistA - Decision Support System	Health Financial	The VistA Decision Support System (DSS) Extracts software provides a means of exporting data from selected VistA software modules and transmitting it to a Decision Support System (DSS) resident at the Austin Information Technology Center (AITC). This transfer is accomplished through a set of extract routines, intermediate files, audit reports, transmission, and purge routines.
EPI	1221	Emerging Pathogen Initiative	Clinical Ancillary	Assists in tracking infectious diseases. It establishes a SAS data set which is used by the Office of Infectious Diseases (OID).
LBX	1280	Lockbox (First Party)	Health Financial	Lockbox(LBX) is a first party debt collection system for the centralized collection of payments at a bank and Pay.Gov and reconciles the necessary steps to apply the funds to a patient’s account at the VA Medical Centers (VAMC’s).
FIM	1292	Functional Independent Measurement	Health Care Administration	The Functional Status and Outcome Database (FSOD) captures and tracks information about patient rehabilitative care throughout the VA. FSOD supports the entry of information from acute and sub-acute inpatient rehabilitation programs, as well as a broad range of outpatient rehabilitation programs. Outcome-based information including length of stay and cost is also tracked. Participating Veterans Affairs Medical Center staff enter information into FSOD on-line through a software program called VA FIMware (Functional Independence Measurement (FIM)). Users throughout the VA can access stored FSOD data through VA FIMware. Quarterly, FSOD data is transferred electronically to the Uniform Data System for Medical Rehabilitation (UDSmr) server in Buffalo, New York. The UDSmr database contains a U.S. national roll-up of rehabilitative programs. Users include all VA personnel involved in rehabilitative care and the UDSmr.
FSOD	1293	Functional Status and Outcome Database (FSOD)	Health Care Administration
JRD	1375	Journal of Rehabilitation Research and Development	Medical Research, Education, and Population Health
MDP	1412	Medical SAS Files	Medical Research, Education, and Population Health	Provides a variety of SAS-formatted files containing medical data for use by VA Staff.
MOC	1414	Medication Order Check Healthcare Application	Clinical Ancillary	Medication Order Check Healthcare Application (MOCHA) provides order checking functionality to address a number of critical patient safety issues. When a VA provider orders a drug, MOCHA performs order checks on that drug and alerts the provider if that drug has any of the following anomalies: causes an interaction with other drugs the patient is taking; is in the same Therapeutic Class as other drugs the patient is taking; or is prescribed in a dose that is incompatible with patient factors such as age, weight and Body Surface Area.
iMed	1417	iMedConsent	Health Financial	The iMed Consent application (iMED), formerly knows as iMEDConsent, is used to document signature informed consent for clinical treatments and procedures as required by law, regulation and VHA Handbooks. The software is also used to capture signatures on electronic versions of other forms, such as advance directives and release of information. The software enhances the education, discussion and documentation associated with the informed consent process for physicians, ambulatory surgery centers and hospitals. It is integral to healthcare organizations' efforts to standardize communication across the enterprise, manage risk, comply with regulatory requirements and better document informed consent encounters. iMED is targeted for replacement by Signature Informed Consent (SIC) VASI ID 2343 in 2020.
NHCPD	1441	National Health Care Practitioner Database	Medical Research, Education, and Population Health	This database is part of the National Medical Information System (NMIS). The National Health Care Practitioner Database (NHCPD) supports Veterans Health Administration Privacy Act requirements by segregating personal information about health care practitioners such as name and social security number from patient information recorded in the National Patient Care Database for Ambulatory Care Reporting and Primary Care Management Module.
NPC	1447	National Patient Care Database (NMIS 1444 is parent)	Medical Research, Education, and Population Health	The National Patient Care Database (NPCD), located at the Austin Information Technology Center, is part of the National Medical Information Systems (NMIS). The NPCD collects integrated patient care data from all Veterans Health Information Systems and Technology Architecture (VistA) IT systems. Data recorded in the VistA Patient Care Encounter (PCE) package, which captures clinical data resulting from ambulatory care patient encounters is transmitted to the NPCD using the Ambulatory Care Reporting (ACR) Module of the VistA Patient Information Management System (PIMS) package. The Ambulatory Care Reporting Module provides necessary information on patient treatment, what services were rendered to patients, who provided the services, and whether services reported were synchronized with the VA medical center database. Provides integrated patient care data across VHA facilities and care setting. Provides comprehensive data for research studies. Provides information for workload analysis. Provides data for patient care analysis.
NUM	1453	National Utilization Management Integration	Health Care Administration	The National Utilization Management Integration (NUMI) application is a web-based solution that automates utilization review assessment and outcomes. The Utilization Management (UM) Process is a tool used to help ensure that patients are receiving the right care, at the right time, and in the right place. UM is both a quality and efficiency tool, as it is used to move patients efficiently through the VA system to maximize use of resources. UM reviewers assess patient admissions and hospital stay days using standardized objective evidence-based clinical criteria to determine whether patients meet criteria for acute hospital care.
NVH	1460	Non-VA Hospital Administration Statistics System	Health Financial	The VHA pays for care provided to VA beneficiaries in non-VA hospitals through its contract hospitalization program as mandated by Congress in the late 1980s. NVH provides cost and DRG info to VAMCs for private care hospitalizations.
VLS	1483	Voluntary Service System	Health Care Administration	Voluntary Service System (VSS) is a national-level application which replaced the site-based Voluntary Timekeeping System (VTK). VTK was used for many years at the Veterans Affairs Medical Centers to track and manage the hours of service contributed by volunteers and volunteer organizations. Consistency of data between sites was a problem and the process of compiling national VTK reports was slow and costly. Many steps were involved because national data was only consolidated once a month and it was usually out of sync. Improved data collection and reporting is now available since users interact directly with a centralized national database. Rehosted VSS uses .NET technology that replaced data transmissions between sites and the Austin Information Technology Center to produce the consolidated national reports. Direct access to data provides instantaneous updates and up-to-the-minute reporting for all users. Central Office administrators and Voluntary staff now have broader more reliable data for managing Volunteer Services.
PATS	1492	Patient Advocate Tracking System	Health Financial	The Patient Advocate Tracking System (PATS) is used by Patient Advocates to ensure that all veterans and their families, who are served in VHA facilities and clinics, have their complaints addressed in a convenient and timely manner. The Patient Advocacy Program operates under the broader philosophy of Service Recovery, whereby patient complaints are identified, resolved, classified, and utilized to improve overall service to veterans. PATS is used to track information related to each Report of Contact (ROC) as well as the progress and resolution of each ROC. PATS also produces reports that provide a quarterly assessment of complaint trends based on data from the Patient Advocate Tracking package, and provide linkages with satisfaction and other pertinent VHA data.
PTF	1498	Patient Treatment File	Health Care Administration	Core component of VHA s health information architecture, providing source data on patient treatment and utilization. Primarily used by VA Medical Centers to report inpatient workload, demographics, diagnoses, and treatment information.
PPS	1518	Pharmacy Products System - National	Clinical Ancillary	The Pharmacy Product System (Pharm-PPS), formerly known as PPS, a Web-based application, allows authorized members of VA Pharmacy Benefits Management (PBM) Services to manage the VA National Formulary which directs the products, medications and supplies which may be purchased and used by the VA hospital system.
VBE	1525	VistA Blood Establishment Computer Software	Clinical Ancillary	The VistA Blood Establishment Computer Software (VBECS) is a Blood Bank application system. The purpose of VBECS is to automate the daily processing of blood inventory and patient transfusions in a hospital transfusion service. VBECS facilitates ongoing compliance with Food and Drug Administration (FDA) standards for medical devices and enhances the Veterans Health AdministrationÃ¢â‚¬â„¢s (VHAÃ¢â‚¬â„¢s) ability to produce high-quality blood products and services to veterans. The system follows blood bank standards, standards of national accrediting agencies, FDA regulations, and VA policies.
PCM	1530	Patient Centered Management	Health Care Administration	**Made System ACTIVE; system has evolved from VistA M to a GUI to Web and overseen by Steve Goosey and Jolie Renee] The Patient Centered Management Module (PCMM Web) was developed to assist VA facilities in implementing Primary Care. PCMM supports both Primary Care and non-Primary Care teams. The software allows the user to set up and define a team, assign positions to the team, assign staff to the positions, assign patients to the team, and assign patients to a Primary Care Provider (PCP) or Associate Provider (AP). In a Primary Care setting, patients are assigned a PCP, Associate Provider (AP) and/or a Transition Patient Advocate (TPA) who is responsible for delivering essential health care, coordinating all health care services, and serving as the point of access for specialty care. The PCP is supported by a team of professionals which may include nurses, pharmacists, social workers, etc. Associate Providers are non-physician clinicians (such as Physicians Assistants, Nurse Practitioners or Residents) who may provide care under the supervision of a presiding PCP. The PCMM software is considered to be an important component to measure patient demand and the PCPs capacity to meet that demand and to reduce wait times.
ROI	1564	Release of Information Manager	Health Financial	Release of Information Plus (ROI Plus) is a Health Insurance Portability and Accountability Act (HIPAA) compliant software that automates the entire process of managing electronic medical record Release of Information (ROI) requests in the vistA system and is a proven tool for improving speed, accuracy, and compliance reporting. A Billing module is included that allows health Information Management Service (HIMS) departments to collect monies for the copies provided. This can aid in bringing revenue into the department.
RCR	1569	Research Compliance Review Solution\Compliance Assessment Tracking System	Medical Research, Education, and Population Health	Case management system that collects data used to oversee medical research providing detailed and summarized compliance metrics. Database to collect and store data on VHA research program regulatory compliance/non-compliance. Data is entered as a case, specific to a particular research program, and follows each identified issue through to resolution of said issue(s). Routine reports are generated for VA/VHA leadership and Congress. Stored data is mined as part of the ORO risk model which identifies issues which may put research programs at greater risk of regulatory non-compliance. PII/PHI is not collected.
PEC	1588	Pharmacy Enterprise Customization System	Clinical Ancillary	Pharmacy Enterprise Customization System (PECS) provides VA Pharmacists the ability to receive and store descriptive and clinical drug information provided by First Databank (FDB), a COTS product. Sometimes, the information provided by FDB is not optimal for VA Providers or the Veteran community they serve. The primary purpose of PECS is to give Pharmacy Benefits Management the ability to customize drug information provided by FDB so order checks and resulting alerts are based on drug information tailored specifically for the VA. All PECS customizations are performed at the National level to ensure consistent order checks between facilities.
VPFS	1751	Veterans Personal Finance System	Health Financial	VPFS is the reengineered version of VistA Personal Funds of Patients (PFOP) system, also known as Integrated Patient Funds (IPF), the mini-banking system that manages the accounts of patients in the VA hospital system. It is centralized, web-based replacement for the VistA Integrated Patient Funds package. VPFS maintains an interface to FMS.
AICS	1780	VistA - Automated Information Collection System	Health Financial	The Automated Information Collection System (AICS) software supports outpatient clinical efforts through the creation and printing of encounter forms that display relevant clinical information, and provides for the entry of clinical encounter data for local and national needs. These encounter forms are used to display relevant patient data for use during the appointment (e.g., demographics, allergies, clinical reminders, and problems) and to collect data about the appointment (e.g., procedures, providers, and diagnoses), thus providing an organized method of data collection through scanning or data entry.
EMD	1792	Emergency Department Integration Software	Health Care Administration	The Emergency Department Integration System (EDIS) is a VHA-wide application used to track and manage the delivery of care to patients in the Emergency Care System (ECS). This critical IT solution directly supports the Major Initiative of Enhance the Veteran Experience and Access to Healthcare (EVEAH). EDIS v1.0 is currently being deployed in each VHA hospital and is scheduled for deployment completion by 7/31/20. The application improves emergency department care by introducing the systematic collection, display and reporting on patient status information. It is able to integrate with Appointment Management and Patient Care Encounter within VistA. EDIS v2.0 is currently being planned and will provide enhancements, better functionality and improved reports.
ECS	1795	Event Capture System	Health Financial	Event Capture (VistA-EC), formerly known as EC, is that portion of the Decision Support System (DSS) which has been designed to capture the workload for those areas which do not currently have a software system that can be extracted. Such areas as Chaplain, Canteen, and non-associated clinics can use Event Capture (VistA-EC) to track their workload.
VistA-FB	1796	VistA - Fee Basis	Health Financial	The Non-VA Care Medical and Pharmacy System (VistA-FB), formerly known as FB, automates the Veterans Health Administration (VHA) Fee for Service program. It authorizes and pays private physicians, hospitals, and pharmacists for products and services provided to Veterans approved for the program. Veterans are reimbursed through VistA-FB for medically-related expenses including travel. Information is entered into the VistA-FB system through Veterans Health Information Systems and Technology Architecture (VistA) online menus. VistA-FB is run at the Austin Information Technology Center and interfaces with the Financial Management System (FMS), the Beneficiary Identification and Records Locator System (BIRLS), and the VHA Work Measurement database (VWM), to produce payments, accounting updates, and reports. VistA-FB facilitates money management, master record updating, and input error resolution. Daily reports indicating all payments processed and erroneous input transactions are transmitted to approximately 170 Veterans Affairs Medical Centers (VAMCs). Letters are sent to Veterans on a monthly basis detailing payments made on their behalf to Non-VA Care Service providers. Monthly, quarterly, semi-annual and annual reports are sent to the Veterans Affairs Central Office (VACO) and VAMCs. The Non-VA Care Fee Basis Medical System is commonly referred to as Central FEE.
VistA-GCS	1799	VistA - Generic Code Sheet	Health Financial	This is a VistA application that provides support for building and sending code sheets to FMS for processing. It is used by all VistA applications that need to send data to FMS. It maintains an interface to FMS. Part of Vista financials - last update 1995.
IFCAP	1807	VistA - Integrated Funds Distribution, Control Point Activity, Accounting and	Health Financial	IFCAP is a VistA application that automates several financial and logistics activities. IFCAP is used to manage budgets, order goods and services, maintain records of available funds, determine request status, compare vendors and items, record receipt of items into the warehouse, and pay vendors. IFCAP maintains an interface from FMS and an indirect interface to FMS through GECS. IFCAP's primary functions include: Funds Control, Requisition and Awards, Supports GIP for inventory replenishment, Support PIP for inventory replenishment, Property Management via the Automated Engineering Management System/Medical Equipment Reporting System (AEMS/MERS) sub-system, Supports BeneTravel, VistA AR, and VistA Surgery.
EAS	1890	Agent Orange, Persian Gulf War, Depleted Uranium and Ionizing Radiation Registries	Medical Research, Education, and Population Health	The Registry is maintained to enable the VA to keep Veterans informed on research findings or new compensation policies through periodic newsletters. It provides a mechanism to catalogue prominent symptoms, reproductive health, reported exposures and diagnoses, and to communicate with Veterans. The voluntary, self-selected nature of the registry makes it valuable for health surveillance; however, it is not designed or intended to be a research tool and therefore, the results cannot be generalized to represent all Veterans illnesses resulting from service in a theatre of conflict. Please see individual Monograph entries for specific details on: Ionizing Radiation Registry (IRR), Agent Orange Registry (AOR), and the Gulf War Registry (GWR).
CCM	1907	Coding Compliance Module	Health Financial	CCM is part of the EPS suite of applications comprised of coding, auditing, and scrubbing systems for inpatient, outpatient, and professional medical services. EPS has been proven to be an essential tool for the Department of Veterans Affairs' Medical Centers (VAMC), by improving productivity and accuracy, and thereby reducing medical claim rejections by the payer and increasing reimbursements.
DM2	1909	Debt Management System	Health Financial	This system manages file transmissions from the VA Medical Centers of VHA first party referral debts to the VBA Debt Management Center for debt collection activities.
MAV	1930	MAVERIC	Medical Research, Education, and Population Health	Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC). Learning healthcare system. Study-based application. The MAVERIC web application, namely Datalabs EDC is a commercially off the shelf product (COTS). The system supports the ability to conduct observational, population-based research. The application is used to manage clinical trial and epidemiological study data. Datalabs is a state-of-the-art electronic system that allows for real-time data management and clarification with less paperwork.

The system contains a component called 'electronic data capture system', an application that allows nurses at VA hospitals across the country and external study partners to send information about patients, enrolled in clinical trials, to MAVERIC through the internet. This web based technology offers a unique, easy to use, secure and advantageous approach to the management of clinical trial information.

The MAVERIC application is developed using Web forms that are hosted via the Datalabs EDC application which are developed, generated and deployed using a proprietary tool/application (COTS), namely Datalabs Designer. The Datalabs Designer application is a MS IIS front end and MS SQL backend server database scenario. Users access the system via a web front end. The Designer web front end resides on its own server and is separate from the Datalabs EDC production and development web servers. Site administrators Designer to create and deploy the content hosted in the EDC web application.

The system is utilized by the Massachusetts Veterans Epidemiology Research and Information Center (MAVERIC) which was established in 1997 as one of three epidemiological research centers (ERICs) within the VA by the Cooperative Studies Program (CSP). MAVERIC's mission is to improve the health of veterans and enhance health care delivery in the Veterans Health Administration (VHA) by promoting the conduct of VA-based population research relevant to the needs of veterans; facilitating the transfer of vital epidemiological information to VHA providers and administrators; and educating the next generation of population researchers. In addition, MAVERIC has supported and participated in several national and local educational activities to develop clinical and scientific researchers practicing in their field. In 1998, MAVERIC was successful in securing laboratory space to establish a Core Laboratory. The mission of the laboratory is to provide blood specimen collection, processing, and storage capability for ongoing MAVERIC projects. The MAVERIC core laboratory continues to support local as well as national cohort studies and serves as the CSP Genetic Tissue Core Laboratory. MAVERIC was established as a CSP Coordinating Center for multi-site clinical trials in 2002 and is one of five coordinating centers in the VA. The VA Cooperative Studies Program (CSP) conducts clinical trials under the purview of the Office of Research and Development.

VMS	2054	Veterans Re-Entry Matching System (Veterans Re-Entry Search Service VRSS)	Medical Research, Education, and Population Health	Veteran Re-Entry Search Service (VRSS) identifies Veterans who are incarcerated in federal, state, city and county correctional facilities. The VRSS includes a secure web portal to be used by federal, state, and local correctional institutional staff to upload their inmate registry listings at regularly scheduled intervals. VRSS will then interface with the VA/DoD Identity Registry (VADIR) to identify Veterans within the uploaded list. This reconciliation of records from Correctional systems and the Veterans Affairs/Department of Defense Identity Repository (VADIR) determining Veterans who have been incarcerated; in conjunction with Veterans Justice Outreach (VJO) and Healthcare for Re-entry Veterans (HCRV) organizations a tool to assist Veterans who have benefits.
ENCODER	2087	Encoder Product Suite	Health Financial	The Encoder Product Suite (ENCODER) includes Microsoft (MS) Windows graphical user interface (GUI) modules that include coding, compliance, billing, and auditing functionality. This technology includes coding modules that aligns hospital and physician coding, reimbursement, and compliance tools to ensure data and coding consistency between physician and facility encounters. This technology provides the following functionality: Auditing and monitoring capabilities with VA-specific Veterans Equitable Resource Allocation (VERA) tools Coding knowledge with real-time error indicators Identifies high-risk coding practices Reduces claim denial with Centers for Medicare and Medicaid Services (CMS) 1500 and Uniform Billing (UB)-04 claim scrubbing Screening capability for claims and encounters Reporting capabilities with an ad hoc report builder
RCN	2097	RCSNet Application	Health Care Administration	Readjustment Counseling Service Network (RCSnet) is a special purpose program within Veterans Health Administration which has a mandated separate system of records that tracks and documents professional readjustment counseling, community education and outreach to special populations. RCN is the web interface which provides online management for administrating this separate system in a dedicated Readjustment Counseling Service facility.
EOC	2105	Environment of Care Assessment and Compliance	Clinical Ancillary	The Environment of Care Assessment Compliance Tool (EOC) is owned by VA Office of Information and Technology (OI&T) Field Operations, AITC that has been determined have a security categorization Moderate in accordance with VA 6500 as well as Federal Information Processing Standards (FIPS) Publication 199, Standards for Security Categorization of Federal Information and Information Systems. Department of Veterans Affairs (VA) Veterans Health Administration (VHA) requires each VA Medical Center (VAMC) to conduct routine Environment of Care (EOC) rounds at each VAMC health care system and Community Based Outpatient Clinic (CBOC), a minimum of twice per fiscal year (FY) in keeping with The Joint Commission (TJC) Elements of Performance for EC.04.01.01 Organizational Monitoring. VHA is comprised of 21 Veterans Integrated Service Networks (VISNs) that are each responsible for managing health care activities (including quality and safety) within their geographic area. This can include six (6) to 10 VAMCs and a number of supporting outpatient facilities. VAMCs work together within a VISN to provide high quality, safe and accessible health care to Veterans in their areas. With 152 VAMCs nation-wide and associated clinics, VHA manages one of the largest health care systems in the United States. VISNs face numerous clinical and business challenges, including ensuring quality assurance, continual compliance readiness, capturing the various patient type environments and capturing patient environmental need information. VHA employees are expected to manage EOC compliance as it relates to patient care activities, capturing deficiency data in real-time and generating time-sensitive corrective actions to identify potential patient safety risks and EOC deficiencies. Currently, the ways in which these EOC Rounds and Responses to compliance inquiries are handled vary significantly from site-to-site. This process should be streamlined, VHA-wide, to create consistency within the medical centers.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Jun 29, 2021.