Provider Directory To-Be Architecture.pdf

141 KB Posted

Attached to
DA10--RFI 2 - VA Community Care Provider Directory VA-26-00000156
Solicitation number
36C10B25Q0302
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The document is a detailed architectural workflow diagram for the VA Provider Directory system, illustrating the complex data integration and management processes across multiple internal and external interfaces. The workflow depicts how provider data is received, validated, and updated through various systems including VA Programs, DAS (Integration Web Service API), VA Staff, TPAs (Third Party Administrators), and multiple downstream and non-VA interfaces such as CMS National Plan and Provider Enumeration System, Department of Defense, and Indian Health Services.

The diagram shows a comprehensive data flow process with key decision points, including data compliance checks, manual update options, error notification mechanisms, and interactions with legacy data systems like PPMS (Provider Performance Management System). Critical systems involved include VA Internal PD Portal, Provider Directory APIs, CDW (Clinical Data Warehouse), VA Online Scheduling (VAOS), and various other VA healthcare IT systems like Cerner, VistA, and VA Health Connect. The architecture ensures data integrity, supports provider directory updates, and facilitates information exchange across multiple VA healthcare ecosystem components.

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Other files

File Type Posted
RFI loopback 36C10B25Q0302 -0003 SF 30.docx DOCX document
36C10B25Q0302_3.docx DOCX document
36C10B25Q0302_2.docx DOCX document
RFI 36C10B25Q0302 -0001 SF 30.docx DOCX document
36C10B25Q0302_1.docx DOCX document
Provider Directory RFI notice.docx DOCX document
Attachment A Provider Directory Tool.pdf PDF
36C10B25Q0302.docx DOCX document
Provider Directory Tool Product Description 050725.docx DOCX document

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Integrated Veteran Care

R

VA Programs

VA Internal PD Portal

Provider Directory Update Provider

Directory

TPAs

Yes

No PD Updates Successful?

VA - PD

Provider Directory

Downstream Interfaces and Dependencies

• CCN via DAS

• CCRA/HSRM

• eCAMS

• CCRS

• VA.gov Provider Locator

• CDW

• VA Online Scheduling

(VAOS)

• CommCare CRM

• EPS

• VistA

• Cerner

• Centralization of

Authorized Emergency Care (CAEC) / Emergency Care Reporting Tool

(ECR)

• VA Health Connect

• MPI

• AET

• CPL

• FSC

No

Yes

VA Staff

Non-VA Interfaces and Dependencies

• DAS (Integration Web Service API)

• Address Validation (currently Bing Services)

• CMS - National Plan and Provider Enumeration System

• IAM

• DEA Database

• Manual - VCA - External

Network (IEN) Data Management Team

• National Dialysis Services Contract

(NDSC)

• HHS (LEIE file)

• GSA SAMS.gov (System for Award Management)

• VA Site Tracking

Database (VAST)

• Indian Health Services

• Local Contracts

• Dept. of Defense (DOD)

• VistA

DAS

Provider Directory APIs

Customers/Patients/Providers

Manual Updates?

Veteran Care Agreements

(VCAs)

Legacy Data

(PPMS)

ETL?

Is Data Compliant?

Notify Data Provider

Document Update

Accepted

Data Migration

Provider Directory Public Portal

VA Ticketing Tool

Provider Data Updates File

FSC - VFMP

Receive VFMP Provider Data

Vlog File

VA Staff

Error Notifications & Resolution

CDW

Slide Number 1

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