1. Community Information Technology Engagement (CITE): Program Overview
Healthcare Information and Management Systems Society 2014 Conference
Dr. Mark Dente, Chief Medical Information Officer of CITE
Health Informatics
Office of Informatics and Analytics
Veterans Health Administration (VHA)
February 2014

2. VA as a Provider of Health Care
151
VA Medical Centers, with at least one in each state, Puerto Rico and
Washington, DC
1,400+
Care facilities including outpatient clinics, nursing homes, rehabilitation centers, etc.
90,000
Medical professionals trained at VA facilities each year
40.1%
of the $140.3B Fiscal Year 2013 budget went to VA Medical Programs

3. VistA Evolution Technical Objectives and Design Principles
VA establishes the following technical objectives to guide the VistA* Evolution Program’s technical activities to meet the goal of establishing seamless interoperability and clinical objectives:
Objective 1: Acquire and maintain Electronic Health Record and ancillary Health Information Technology (HIT) systems.
Objective 2: Re-engineer health care business processes and establish practical approaches to improve business processes and revise procedures, policies and structures that have evolved with legacy HIT systems.
Objective 3: Demonstrate value and guide VistA Evolution management.
*Veterans Health Information Systems and Technology Architecture
1/17/2014 DRAFT NOT FOR DISTRIBUTION
PPP

4. CITE Mission
The mission of the CITE Team is help achieve the VistA Evolution Program Office vision by dynamically organizing and communicating technologies and requirements between the “Community” and VA

5. Definition of Community
The community includes:
Industry innovators
Open Source Electronic Health Record Alliance (OSEHRA)
American Medical Informatics Association
Health systems
Researchers
Universities
Open Source community
Health standards groups
Department of Defense

6. VistA Evolution Program Office Support
The CITE team will act as Subject Matter Experts, contributing to other VistA Evolution work streams
Support program success
Governance
VistA-4 Architecture contributions
Intake process support
VistA Evolution Program Office Support
Research, design, and prototyping with community
Market research/community sourcing
Resource Trust
Dialogue with community
Represented in Standard Development Organizations (SDO)
Community Involvement

7. Bringing the Stakeholders Together
VA Office of Information Technology (OIT)
VHA
CITE Team
Community
The CITE Team is positioned to bring stakeholders together to work toward a common vision.

8. VistA Evolution Program Support
The CITE team will serve as Subject Matter Experts, contributing to other VistA Evolution work streams
Defined an engagement protocol for approaching the community based on guidance from the Office of General Counsel. Ensures compliance with the Federal Acquisition Regulation, Corporation Control Act, and Federal Advisory Committee Act .
Governance
Developed the Resource Trust concept, a collaborative workgroup where industry informatics thought leaders provide best practice domain insight and share industry lessons learned with VistA Evolution Program Office leaders. Ensures community innovation efforts are evaluated as part of the VistA Evolution Program.
Value of Information Resource/Brain Trust
Supported language for Open Application Programming Interface and Open Architecture
Request for Information Request for Proposal Open Standards

9. Community Involvement
Create internal and external messaging to promote awareness
Participate in speaking engagements
Promote VistA Evolution value and engagement to industry
Communications
SDO Community Outreach
Participate in consortiums around standards
HL7 Fast Healthcare Interoperability Resources, Boston Sharp Group, Open Health Tools, and others
Standards Development
Promote the use of OSEHRA to its full capacity
Increase clinician focus
OSEHRA

10. Community Involvement
Find the shortest pathway through VHA – OIT – Product Development for each product, solution or service, thus optimizing C3>C1
Use Case under development - Fileman 22.2
Solution Intake
Create a reference guide for the community for utilizing Cooperative Research and Development Agreements. Will encourage community to engage in VA’s pilot and Proofs-of-Concept (POC) process.
Run POC Pilots (e.g., review community developed meds reconciliation)
Community Developed Solutions
Host an Industry Day for members of the outside community to learn about the VistA Evolution Program. Will inspire the community to bring solutions and services to VA.
Webinars and social media
External Communication

11. Questions?
Contact Information Dr. Mark Dente