ATTACHMENT G - VHA Business Function Framework User Guide_v3.7_202106.pdf

Veterans Health Administration

Business Function Framework

Version 3.7

User Guide

June 2021

VHA BFF 3.7 User Guide i

Revision History

Date Version Description Author

09/27/2013 2.5 Quarterly Update BSICR BAR Team

12/27/2013 2.6 Quarterly Update BSICR BAR Team

06/27/2014 2.7 Semi-Annual Update BSICR BAR Team

11/26/2014 2.8 Semi-Annual Update ABS TO4 Team

05/26/2015 2.9 Semi-Annual Update ABS TO4 Team

06/26/2015 2.9.1 Interim Update ABS TO4 Team

11/25/2015 2.10 Semi-Annual Update ABS TO4 Team

05/26/2016 2.11 Semi-Annual Update ABS TO4 Team

11/23/2016 2.12 Semi-Annual Update ABS TO4 Team

05/25/2017 2.13 Semi-Annual Update ABS TO4 Team

11/22/2017 2.14 Semi-Annual Update ABS TO4 Team

05/24/2018 2.15 Semi-Annual Update ABS TO4 Team

11/16/2018 3.0 Semi-Annual Update ABS TO4 Team

02/19/2019 3.01 Editorial Update HEA TO1 TEAM

5/16/2019 3.1 Semi-Annual Update incorporates BFF 3.1 HEA TO1 TEAM

11/14/2019 3.2 Semi-Annual Update – BFF 3.2 Release HEA T01 TEAM

2/10/2020 3.2 Update publication date only HEA T01 TEAM

5/29/2020 3.3 Semi-Annual Update – BFF 3.3 Release HEA T01 TEAM

9/08/2020 3.4

Sept 2020 BFF 3.4 Release –(81 New BFs); added BFF Rules

HEA T01 TEAM OPT 1

TEAM

10/15/2020 3.5 Oct 2020 BFF 3.4 Release – (61 New BFs) HEA T01 OPT 1 TEAM

2/28/2021 3.6

FEB 2021 BFF 3.6 Release – Update 2 Node Types, Some Definitions

HEA T01 OPT 2 TEAM

05/30/2021 3.7

MAY 2021 BFF 3.7 Release – 31 New functions, 52 Updated functions created to support the BTRIM Process Models Activity to Function alignment.

HEA T01 OPT 2 TEAM

ii

Table of Contents

An Introduction to the VHA BFF 3.7 User Guide 1

A High-Level View of VHA BFF 3.7

Line of Business Descriptions and Commentaries 3

Tips for Navigating and Using VHA BFF 3.7

Acronyms 8

References 10

Keyword Index by Line of Business 15

Keyword Index by Function Level 2 16

An Introduction to the VHA BFF 3.7User Guide

As supporting documentation for the VHA Business Function Framework (BFF), the

VHA BFF v3.7 User Guide provides important information for users. The User Guide offers tips for navigating the VHA BFF using keyword searches and functional searches based on high- and lower-level hierarchy mappings of a VHA BFF component (i.e., Line of Business or Function). These tips are useful for referencing the VHA BFF in mapping exercises that link other business-related artifacts to the

VHA BFF (and vice-versa), as well as performing other analytical activities. Finally, the VHA BFF 3.7 User Guide contains appendices that define acronyms and key terms, list key sources of information and references, and provide keyword and page indices for performing searches.

A High-Level View of VHA BFF 3.7

1.1 Provide Member

Access

1.2 Provide

Communication and Outreach

1.3 Provide Homeless

Veterans Access to Health Care

1.4 Facilitate Patient

Travel to Points of Care

1.5 Manage Veteran

Self-Service Options

1.6 Establish Modes

of Access to Care Beyond the VAMC Facilities

The Health Care Segment

1.0 Provide Access to

Health Care

5.0 Conduct Health Care Research

4.0 Deliver Health Care

3.0 Provide Health Care

Administration

6.0 Provide Health Care Education

2.0 Provide Public Health

2.1 Coordinate with

Health Agencies

2.2 Promote

Environmental Health

2.3 Promote Clinical

Public Health

2.4 Conduct Public

Health Assessment

2.5 Provide Medical

Registry Service

2.6 Provide Public

Health Alerts

3.1 Administer Health

Care Business

3.2 Perform Hospital

Administration

3.3 Provide Health Care

Support Services

3.4 Conduct Disaster

Preparedness Programs

3.5 Manage Policy

Formulation and Implementation

3.6 Manage Customer

Relations

4.1 Provide Clinical

Care Services

4.2 Provide Ancillary

Services

4.3 Provide Common

Clinical Support

5.1 Establish

Research Strategic Direction

5.2 Write Research

Proposals

5.3 Evaluate

Research Proposals

5.4 Manage

Research Environment

5.5 Perform Health

Care Research

5.6 Share Research

Results

5.7 Apply Research

Results

6.1 Provide

Oversight for VHA Clinical Health Profession Trainees

6.2 Oversee

Relationships with External Institutions

7.1 Conduct Acquisition

Management

7.2 Conduct Budget

Formulation

7.3 Conduct Financial

Management

7.4 Perform Grants

Management

7.5 Conduct Human Capital

Management

7.6 Provide Information

Technology Services

7.7 Conduct Mail

Operations Management

7.8 Perform Property

Management

7.9 Perform Sales Order and

Fulfillment Management

7.10 Conduct Travel, Relocation and Fleet Management

7.11 Conduct

Congressional, Legislative, and Regulatory Affairs

7.12 Conduct Enterprise

Governance

7.13 Provide Organizational

Leadership and Administrative Support

7.14 Provide Legal Guidance

and Representation

7.15 Conduct Service

Continuity

7.16 Manage Physical and

Personnel Security

7.17 Manage Information

7.0 Manage Government

Resources

Line of Business Descriptions and Commentaries

Line of Business 1- Provide Access to Health Care

Description: Provide Access to Health Care enables access to appropriate health care.

This includes streamlining efforts to receive care; ensuring care is appropriate in terms of type, care, intensity, location and availability; providing seamless access to health knowledge, enrolling providers; performing eligibility determination, and managing patient movement.

Commentary: Provide Access to Health Care represents an important concept in health care provisioning regarding one’s ability to obtain health services. "Access" refers to entry into or granting use of the health care system, including decision points that influence entry or use. The specific dimensions represented by the functions of this LOB include availability and accessibility.

Line of Business 2- Provide Public Health

Description: Provide Public Health provides strategies to improve health by focusing on the well-being of the Veterans and VA health staff communities. This includes developing and implementing public health policy that promotes disease prevention, risk reduction and improved health for the community. Functions also include surveillance and epidemiology assessments. Public health functions are also used to decrease health disparities and improve health outcomes in sub-populations of Veterans, such as women Veterans.

Commentary: Provide Public Health was added to capture VHA public and population health activities such as epidemiological studies and medical registry management. Provide Public Health was initially called “Manage Population Health” to be more in line with the Federal Enterprise Architecture (FEA) Business

Reference Model (BRM) Health Business Area Population Health Management and

Consumer Safety LOB. During the Health System subject matter expert interviews, it was determined that “Manage Public Health” was a more appropriate name for this

LOB because this LOB is broader than just population health.

Line of Business 3- Provide Health Care Administration

Description: Provide Health Care Administration assures that federal health care resources are expended effectively to ensure quality, safety, and efficiency. This includes managing health care quality, cost, workload, and utilization.

Commentary: Provide Health Care Administration involves overseeing the day-to-day operations of a hospital, health care facility, or medical service. Personnel executing the functions in this LOB are making decisions about how to save money, managing staff, and handling any financial and legal problems that arise.

Components represented herein comprise the necessary functions to provide the best patient care, while interpreting and ensuring compliance with laws that affect health care providers and administrators.

Line of Business 4- Deliver Health Care

Description: Deliver Health Care provides health care to VHA beneficiaries. This includes assessing health status; planning health services; delivery of care, ensuring quality of services and continuity of care; and managing clinical information and documentation.

Commentary: Deliver Health Care contains the business functions that are involved with the patient encounter. HL7 defines a patient encounter as “an interaction between a patient and healthcare participant(s) for the purpose of providing patient service(s) or assessing the health status of a patient. For example, outpatient visits to multiple departments, home health support (including physical therapy), inpatient hospital stay, emergency room visit, field visit (e.g., traffic accident), office visit, occupational therapy, telephone call and provider communication health care to patients.” Deliver Health Care also contains the business functions that involve the clinical documentation that must take place to indicate what happened during patient/provider encounters and the results of ancillary actions. Finally, Clinical

Decision Support is documented in the Deliver Health Care LOB, as it is used to link health observations with health knowledge to influence choices by clinicians for the direct care of patients. Includes connected care modalities of telehealth, remote home monitoring, point of service kiosks, and mobile applications/tools.

Line of Business 5- Conduct Health Care Research

Description: Conduct Health Care Research includes developing new strategies to handle diseases; identifying new means for delivery of services, methods, decision models and practices; managing clinical trials and research quality, ultimately making strides in quality improvement.

Commentary: Conduct Health Care Research LOB serves as a centralized location for health care research topics in the BFF. Biomedical Laboratory, Health Services, Clinical and Rehabilitation research topics are covered by this LOB.

Line of Business 6- Provide Health Care Education

Description: Provide Health Care Education fosters advancement in health knowledge. This includes promoting health care knowledge advancement and providing for practitioner education. It also includes provision of clinical education sites for trainees across all health professions and in conjunction with educational institutions.

Commentary: Provide Health Care Education serves as a centralized location for health care education topics in the BFF. Health Care Education is provided to allied health professionals and medical and dental students and residents. Allied health professionals are students that are being mentored by VA employees or someone from their training institution (e.g., psychologists, social workers, specialty care, etc.) - a wide range of health care providers. The VHA employee education and training components can be found under the Human Resources function in

Managing Business Enabling Services.

Line of Business 7- Manage Government Resources

Description: Manage Government Resources encompasses all non-mission related business functions across VA. This includes both back-office operational activities such as supply chain management, human resources, finance, and information technology; as well as enterprise-level support activities for the mission such as strategic planning and resource allocation, controls and oversight, risk management, performance management, and business process re-engineering.

Tips for Navigating and Using VHA BFF 3.7

Keyword Searches

The purpose of this section of the VHA BFF 3.7 User Guide is to assist users in searching the VHA BFF by keyword for relevant components (i.e., yielding relevant component names and numbers). When conducting keyword searches on VHA BFF, please refer to the following instructions:

Step 1: Review and analyze your related artifacts and/or source documentation for health care and business enabling services-related keywords.

Step 2: Using the keyword indices provided in this User Guide, locate each of your keywords and the corresponding VHA BFF component(s) [e.g., search by Line of

Business or Function Level 2] in the indices.

Step 3: Scan VHA BFF to locate the components resulting from your search of the keyword indices.

Step 4: Review the description for each relevant VHA BFF component (i.e., Line of

Business, or Function).

Step 5: Record the corresponding component names and numbers in your documentation.

Step 6: Perform a functional search to identify underlying Function Level components (whichever ones are at the lowest level or leaf node components).

Functional Searches (by Hierarchy)

This section provides guidelines for performing functional searches on the VHA BFF and references the hierarchy maps located in the VHA BFF Supplement (part of the

VHA Business Architecture Repository (BAR) Release).

Step 1: Review and analyze your source artifacts and related documentation (e.g., strategic initiatives, new service requests, project lists, etc.) for health care delivery functions (i.e., related to access to care, public health, delivery, research, education) and business enabling services (e.g., administrative services management, IT services management, supply chain management, human resources management, financial management, planning and budgeting services, etc.) that VHA provides.

Step 2: Using the hierarchy maps for the VHA BFF, locate the relevant Line(s) of

Business.

Step 3: Review the hierarchy map for each pertinent VHA BFF Line of Business and identify any relevant underlying Function Levels.

Step 4: Using the VHA BFF, review the description for each relevant VHA BFF component (i.e., Line of Business and/or Function).

Step 5: Record the corresponding names and numbers in your documentation.

Acronyms

Acronym Description

ADE Adverse Drug Event

BFF Business Function Framework

BRM Business Reference Model

CAC Common Access Card

CAM Complementary and Alternative Medicine

CDC Centers for Disease Control and Prevention

CHAMPVA Civilian Health and Medical Program of the Department of Veterans Affairs

CMOP Consolidated Mail Outpatient Pharmacy

CPRS Computerized Patient Record System

CRM Customer Relationship Management

CSP Cooperative Studies Program

CT Computed Tomography

DC Doctors of Chiropractic

DFAS Defense Finance Accounting System

DISA Defense Information Security Agency

DNR Do Not Resuscitate

DoD Department of Defense

DSS Defense Security Service

DURSA Data Use and Reciprocal Support Agreement

EHR Electronic Health Record

EHR-S Health Level 7 Electronics Health Record System

EIL Equipment Inventory Listing

EKG Electrocardiography

FDA Food and Drug Administration

FEA Federal Enterprise Architecture

FEMA Federal Emergency Management Agency

FISMA Federal Information Security Management Act

FOIA Freedom of Information Act

GLBA Gramm-Leach-Billey Act

GPRA Government Performance Results Act

HBPC Home Based Primary Care

HHS Department of Health and Human Services

HIPAA Health Insurance Portability and Accountability Act

HR Human Resources

HVAC Heating, Ventilation and Air Conditioning

IAM Identity and Access Management

I&O Intake and Output

Acronym Description iBRM DoD/VA Health integrated Business Reference Model

LOB Line of Business

MHRRTP Mental Health Residential Rehabilitation and Treatment Program

MNT Medical Nutritional Therapy

MRI Magnetic Resonance Imaging

MRSA Methicillin-Resistant Staphylococcus Aureus

NDMS National Disaster Medical System

NFS Nutrition and Food Services

NHPP National Health Physics Program

NIST National Institute of Standards and Technology

NPDB National Practitioner Data Bank

NwHIN Nationwide Health Information Network

OB GYN Obstetrician/Gynecologist

OGA Other Government Agency

OGAF Open Group Architectural Framework

OV-5 Unified Modeling Language Operational Viewpoint-5

PACS Picture Archiving and Communication System

PCI-DSS Payment Card Industry Data Security Standard

PHI Protected Health Information

PHR Patient Health Record

PIV Personal Identity Verification

PPI Positive Patient Identification

PSM Patient Safety Manager

PTSD Post-Traumatic Stress Disorder

SimLEARN Simulation Learning Education and Research Network

SME Subject Matter Expert

TBI Traumatic Brain Injury

VA Department of Veterans Affairs

VACO VA Central Office

VAMC VA Medical Center

VeHU VA eHealth University

VBA Veterans Benefits Administration

VHA Veterans Health Administration

VIC Veterans Identification Card

VISN Veterans Integrated Service Network

VistA Veterans Health Information Systems and Technology Architecture

VPFS Veterans Personal Finance System

VS Vital Signs

References

VHA BFF 3.7references several architecture models:

• Department of Defense (DoD) Architecture Framework

• Federal Enterprise Architecture Framework

• Health Level Seven Electronic Health Record-System (EHR-S) Functional

Model

• DoD/VA Health integrated Business Reference Model

• Military Health System Operational Viewpoint-5 (OV-5) Activity Model

• The Open Group Architecture Framework

The VHA BFF also reflects input from VHA Subject Matter Experts.

Guiding Principles govern VHA BFF structure and content, ensuring consistency in the model.

Guiding Principles – VHA BFF

GP 1: Levels of Decomposition- Decompose the lines of business with their functions and continue to decompose to lower levels until a sufficient level of detail is achieved; however, do not exceed four levels of decomposition.

GP 2: Enumerated Types- Enumerated types of a function will not be included in the BFF unless the processes that form the enumerated types are distinctly different.

GP 3: Component Placement in Model- A BFF component must fit the intent of its assigned line of business.

GP 4: Verb Usage in Component Names- Each BFF component name will begin with an appropriate verb.

GP 5: Organizational References- The BFF represents the VHA business functions and not organizational structures.

GP 6: Component Descriptions- BFF component descriptions describe “what”

VHA does - and not how, why, when, who or where functions are performed.

GP 7: Oversight and Policy- Oversight and policy formulation functions are included in the BFF if these functions describe the activities necessary to comply with external entities, national or inter-departmental regulations.

GP 8: Components Free of System or Capability Requirements- All components must be free of system or capability "requirements" for existing or future functions.

GP 9: Component Type Classification- All components must be classified as one of the following component types: Core Mission, Business Service, or Enterprise

Service.

GP 10: No Redundant Components- All components must be examined for redundancy and/or overlap.

GP 11: Parent to Child Relationships- All lower level components must represent a strict decomposition of higher-level components.

GP 12: Parent Component Decomposition- Every parent component must contain at least two and should contain no more than nine child components whenever reasonably possible.

The following is a list of VERBS to be utilized in defining the business functions name of which is defined in the preparation for each function within the Business Function

Framework. The first word of the BFF Name must be a verb.

VERBs - Utilize in VHA BFF

The first word of the BFF Name must be a verb.

Verbs Definition

Acquire The business function involves buying or obtaining a good, service, or asset

Administer The business function is responsible for the implementation, use or operation of an activity, product or service

Adopt The business function incorporates or institutes an idea, method, or procedure

Advise The business function recommends a course of action

Analyze The business function methodically examines details in the constitution or structure of an activity, product or service

Archive The business function places or stores a collection of documents or records

Assign The business function allocates or appoints an organization or individual to accomplish a task.

Backup The business function provides supplemental support, if necessary

Capture The business function includes information gathering and reporting

Change The business function makes an activity, product or service different

Check-In The business function confirms the arrival of a patient for a medical appointment

Communicate The business function shares or exchanges information, news, or ideas

Conduct The business function directs a course of action

Control The business function determines the behavior or maintains authority over an activity, product or service

Coordinate The business function facilitates a complex activity or organization to ensure efficiency or effectiveness

Create The function brings an activity, product or service into being

Deliver The business function provides an activity, product or service to designated recipients

Determine The business function involves a number of business rules

Develop The business function creates a product or service

Establish The business function institutes an activity, product or service

Evaluate The business function determines or assesses the value, accuracy or timeliness an activity, product or service

Facilitate The business function makes an action or process easier

Implement The business function puts a decision, plan or agreement into effect

Inventory The business function generates a list of activities, products or services

Maintain The business function causes or enables a condition or ‘state of affairs’ to continue at the same level or rate

Manage The business function handles, directs, governs, or controls resources (for some purpose)

Monitor The business function provides oversight of an activity and can include tracking and reporting

Participate The business function takes part or shares in an activity

Perform The business function executes a specific task

Process The business function performs a series of operations to execute an activity or provide a product or service

Promulgate The business function promotes or makes an activity, product or service widely known and/or used

Provide The business function supplies or makes an activity, product or service available for use

Pursue The business function follows an organization, individual, activity, product or service

Reach The business function enables the communication of an organization, individual, activity, product or service

Record The business function documents an organization, activity, product or service for later reference

Report The business function gives an account of a particular matter

Schedule The business function arranges for a planned event to take place at a particular time and place

Select The business function chooses the most suitable organizations, individuals, activities, products and/or services from a larger number as being the best or most valuable

Service The business function provides aid or services rather than products or goods

Share The business function allots a portion of an activity, product or service with others

Support The business function sustains or assists in the establishment, operation, maintenance, refinement and/or retirement of an activity, product or service

Track The business function follows the course or pathway of an activity, product or service

Use The business function deploys an activity, product or service as a means of accomplishing a purpose or achieving a result

Keyword Index by Line of Business

Name

LOB

Number Keywords

Provide Access to Health Care 1 access, enrollment, eligibility, health care, patient movement, scheduling

Provide Public Health 2 assessments, epidemiology, disease, health, policy, public, reduction, risk, strategies, surveillance, Veterans

Provide Health Care Administration

3 administration, cost, efficiency, health care, quality, resources, safety, workload, utilization

Deliver Health Care 4 beneficiaries, care, clinical, continuity, delivery, documentation, health, information, quality, services, status

Conduct Health Care Research 5 clinical, decision, delivery, health care, improvement, methods, models, quality, research, services, trials

Provide Health Care Education 6 care, education, health care, patients, quality, residents, students, training

Manage Government Resources

7 business, enabling, enterprise-level activities, non-mission related functions, back-office, operational

Keyword Index by Function Level 2

Function Number Keywords

Provide Member Access 1.1 access, member, enrollment, eligibility, health care, patient movement, scheduling

Provide Communications and Outreach

1.2 communications, health, outreach, Veterans

Provide Homeless Veterans Access to Health Care

1.3 access, benefits, community-based, health care, homeless, residential, treatment, Veterans

Facilitate Patient Travel to Points of Care

1.4 care, examination, facilities, patient, transportation, travel, treatment

Manage Veteran Self- Service Options

1.5 access, benefits, business transactions, devices, knowledge, processes, tools, self-service, services, VA Point-of-Service, Veterans

Establish Modes of Access to Care Beyond the VAMC Facilities

1.6 Innovative, access, care, variety, settings, outpatient, acute, home, remote/rural, telehealth, modalities, strategies, mobile-clinics, community, information, transmission, methods, clinician, patient, request.

Coordinate with Health Agencies

2.1 collaboration, emergency management, epidemiology, partnering, public health

Promote Environmental Health

2.2 educational, environmental, exposures, health, materials, medical, occupational, outcomes, outreach, policy, post-deployment

Promote Clinical Public Health

2.3 clinical, disease, education, field coordination, health, public health, policy, programs, Veterans, well-being

Conduct Public Health Assessment

2.4 assessments, factors, health, interventions, population health, populations, Veteran

Provide Medical Registry Service

2.5 condition, clinical, data, disease, exposure, methods, outcomes, policy, population, scientific, Spinal Cord Injury, study, system, Women's Health Care

Provide Public Health Alerts

2.6 population, alerts, public health notices, health risks, preparedness, outbreaks, clinical treatment guidelines, emerging pathogen information

Administer Health Care Business

3.1 administrative, costs, efficiency, health care, providers, revenue analysis, performance metrics, terminology management, utilization management

Perform Hospital Administration

3.2 administration, cost, efficiency, health care, hospital, patient safety, quality, resources, risk

Function Number Keywords management, safety, utilization, workload, admit, discharge, transfer, ambulatory visit, occupational safety

Provide Health Care Support Services

3.3 non-clinical, provider information, credentialing, facility accreditation, Veteran personal finance management

Conduct Disaster Preparedness Programs

3.4 disaster, emergency management, emergencies, health care, internal, operations, preparedness, programs, provider, management, mitigation, regional, response, staffing

Manage Policy Formulation and Implementation

3.7 implementation, policy, policy development, policy formulation

Manage Customer Relations

3.6 customer relations, customer relationship management, customer service, CRM, health care, patient

Provide Clinical Care Services

4.1 treatment, cardiology, endocrinology, medical, nephrology, neurology, ophthalmology, optometry, primary, surgery, specialty services, mental health, nursing, acute, administration, anesthetist, chronic, clinical, community, education, episodic, health, illness, infection, informatics, nurse, palliative, practitioner, research, specialties, procedures, wellness, dental care, dentistry, guidance, national emergency, operational plans, patient care, policy, programs, sharing agreements, alternative medicine, complementary, health promotion, medical intervention, connected care modalities, extended care, specialty, allergy, Anesthesiology, Dermatology, Internal Medicine, Internist, Cardiology, Endocrinology.

Gastroenterology, Hematology, Nephrology, Pulmonology, Ophthalmology, Podiatry, Optometry, Otolaryngologist, Urology, Neurology, Radiation, Oncology

Provide Ancillary Services

4.2 ancillary, assisted living, custodial, institutional, non-institutional, diagnostic, laboratory, pathology, physical therapy, practitioners, radiology, imaging, capture image, manage image, rehabilitation, services, specialty, social work, chaplain, blood, non-blood, pharmacy, formulary, inpatient, outpatient, inventory, consolidated mail, immunization, therapeutic, biological, delivery, devices, personal medical device, implant, inventory, logistics, medical, structure, support, tracking, prosthetic

Number Keywords equipment, sensory aids, CPAP, glucometer, nutrition, food service

Provide Common Clinical Support

4.3 care, caregiver, condition, education, family, instructions, medications, patient, risks, support, clinical data, clinical decision-making, decision, disease-specific, institutional protocols, patient profiles, problems, recommendations, referrals, support, tests, treatments, trends, clinical documentation, referrals, longitudinal, notes, patient demographics, patient health records, point of care records, single logical health record, care management, case management, disease management, health service, level of care, management, outcomes, plans, quality, resources, wellness, executive function, Activities of Daily Living

Establish Research Strategic Direction

5.1 research, incentives, priorities, partnerships, research requests, strategic direction, long term

Write Research Proposals

5.2 write, research, proposals, activities, funding, external funding, grant request

Evaluate Research Proposals

5.3 evaluate, research, activities, award, grants, research grants, priorities, funding

Manage Research Environment

5.4 research, quality, medical facilities, monitor, activities, standards, subjects, compliance

Perform Health Care Research

5.5 research, development, medical, rehabilitation, health services, investigation data

Share Research Results 5.6 research, results, review, sharing, publication, findings

Apply Research Results 5.7 results, improve, delivery of care, research, findings, dissemination, coordination

Provide Oversight for VHA Clinical Health Profession Trainees

6.1 oversight, clinical health, health professions trainee, training, education, program, accrediting, associated health, advanced fellowships, medical and dental, nursing education, evaluation, funding, innovation, trainee allocation, stipend, trainee supervision, trainee records, innovative training

Oversee Relationships with External Institutions

6.2 oversight, relationships, academic institution, external entities, accrediting bodies, subspecialty societies, member organizations, external healthcare education entities

Conduct Acquisition Management

7.1 acquisition, strategy, feasibility, goods, services, source selection, competition, requirements, Number Keywords criteria, cost estimate, solicitation, evaluation, contract, terms, amendment, modification, fee management, forecasting, audits, reporting, purchase card

Conduct Budget Formulation

7.2 budget formulation, request, planning, submission, estimates, analysis, monitoring, spend plan, operating

Conduct Financial Management

7.3 set-up, execution, maintenance, fund allocation, internal controls, obligations, appropriations, asset management, reporting, asset information processing, payable management, confirmation, disbursement, revenue processing, reimbursable processing, receivables, collections, debt management, ledger management, reconciliation

Perform Grants Management

7.4 grants management, pre-award, post-award, close-out, oversight, application, eligibility, selection, performance reviews, issuance, compliance, reporting, recipient oversight, audit, payment processing

Conduct Human Capital Management

7.5 human capital, strategies, management, policies, workforce planning, position management, talent acquisition, employee engagement, recruitment management, competencies, candidate assessment, outreach, announcement management, evaluation, vetting adjudication, onboarding, talent development, mentoring, training, performance management, compensation, benefits, separation, retirement, grievance management, labor relations, collective bargaining, workforce reporting

Provide Information Technology Services

7.6 IT service, infrastructure, capacity management, networks, connectivity, telecommunications, video conferencing, email services, data exchanges, monitor usage, assistive technology, operations, incident management, configuration management, manage licenses, testing, integration, implementation, release management, cybersecurity, forensics, vulnerability assessment

Conduct Mail Operations Management

7.7 interoffice, interagency, collecting, sorting, delivery, manage mail from other carriers, special handling, special delivery

Perform Property Management

7.8 real property, acquisition, control, property receipt, inventory management, title, inspection, utilization, maintenance, transfer, disposal, retirement, valuation, facilities, grounds capital

Number Keywords investment, leasing, licensing, occupancy permits, property design, engineering architecture, construction, parking, storage, property relocation, moving, space management

Perform Sales Order and Fulfillment Management

7.9 sales order, fulfillment management, order intake, order processing, order reporting, inventory, delivery, receipts, returns, costing, pricing, operational materials, warranty, warehouse, customer account management, customer outreach

Conduct Travel, Relocation and Fleet Management

7.10 travel, local, temporary duty, reservation processing, fleet, operations, maintenance, ticketing, emergency assistance, reporting, relocation, voucher processing, audit, card account, transit subsidy

Conduct Congressional, Legislative, and Regulatory Affairs

7.11 congressional, legislation, regulatory, policy, research, confirmation hearings, constituents, inquiries, reporting, public comments, tracking, liaison operations

Conduct Enterprise Governance

7.12 policies, guidelines, procedures, governance, strategic planning, mission, stakeholder, requirements, management, programming, cost estimation, directives, internal controls, audits, performance improvement, risk management, quality assurance, innovation, transformation

Provide Organizational Leadership and Administrative Support

7.13 leadership, oversight, administrative, financial, human resources, correspondence management, media services, FOIA, internal communications

Provide Legal Guidance and Representation

7.14 legal, guidance, representation, advice, policy, laws, regulations, court decisions

Conduct Service Continuity

7.15 service continuity, risk assessment, countermeasures, contingency planning, continuity of operations, service recovery, enterprise emergency response

Manage Physical and Personnel Security

7.16 physical security, personnel security, facility security, physical protection, security clearance management, insider threats

Number Keywords

Manage Information 7.17 information assets, management, control, enterprise architecture, business architecture, systems architecture, data architecture, technical architecture, information security, privacy, identity, authentication, access management, secure communications, IT security controls, knowledge capture, distribution, documentation management, library, historical research, data governance, data management, business intelligence.