OSEHRA Briefing Seong K. Mun, PhD President and CEO OSEHRA - PowerPoint PPT Presentation

OSEHRA Briefing Seong K. Mun, PhD President and CEO OSEHRA Vienna, VA Professor: Virginia Tech Arlington, VA

Hot off the Press • Hack-o-thon – Group Met at OSEHRA Over the weekend – Thank you • Major Bug Fix Contribution by DSS – Error caused by patient merge 2

Current Organizational Mem bers I ndustry Amida Technology Solutions HSPC SoosangST Bitscopic InterSystems Corporation Unisys Book Zurman, Inc. Kitware, Inc. VistA Expertise Network CGI Federal Liberty IT Solutions, LLC YottaDB LLC CGI Technologies and Solutions, MedicaSoft, LLC Zato Health Inc. Medsphere Cognosante Nuance Document Storage Systems, Inc. Paraxial, LLC Electronic Health Solutions PatchAdvisor FIS GT.M Group Perspecta Non-Profit / Academ ia Governm ent Oroville Hospital Central Regional Hospital (NC) The MITRE Corporation Regenstrief Institute University of Arkansas for Medical Sciences 3

OSEHRA Groups Last Meeting Group Name Type Status Date Advanced Convolutional Neural Networks (CNN) Open Source Project Group N/A Pending Start Architecture Work Group 4/22/2019 Ad-Hoc Certification Work Group 5/21/2019 Active Code Convergence Work Group 10/4/2018 Ad-Hoc Database Administration Committee (DBAC) Discussion Group 3/1/2019 Ad-Hoc Development Tools Discussion Group On-Going Ad-Hoc FHIR on VistA Open Source Project Group 3/18/2019 Pending Start Immunization Open Source Project Group 5/2/2019 Active Open Architecture Work Group 5/29/2019 Active Pharmacy Work Group 5/15/2018 Ad-Hoc popHealth Developer Work Group 5/7/2019 Active popHealth Steering Work Group 5/7/2019 Active popHealth User Work Group 5/7/2019 Ad-Hoc Reminders VA Work Group 5/31/2019 Active Synthetic Patient Data Work Group 5/30/2019 Active VA-PALS Open Source Project Group 4/24/2019 Active VistA Internationalization (Plan VI) Open Source Project Group 5/28/2019 Active Visualization Open Source Project Group 5/16/2019 Active Archived Groups: • VistA Security TW G • Meaningful Use 4 • VistA/ eHMP in the Cloud

GAO Report on VistA Modernization 5

EHRM I ndustry Day – Management Organization Structure – In coordination with OIT (Tibbits) and VHA (Hume) – VistA Transition is to be done in coordination with OIT – Clinical Council: Working Hard and Overwhelmed – Initial Operating Capability in March 2019 – Question about VistA Functions that Cerner Does Not Support – Two Contractors: they are looking for partners 6 6

Congressional I nterests • House Subcommittee on VA Mondernization – 4-5 Republican Members – Questions about VA-DoD Interoperability – Question of VistA Transition 7 7

General Direction • Software as Service • VA-DoD Joint Management Memo – VA in no longer agreeable 8

Major Code Contribution SAMHSA on Care Coordination 9

Omnibus Care Plan Functional Overview Scheduling/ Screener/ Administrative Care Coordination Care Planning Appointment Assessment • Program, Services, • New • Caseload Mgmt. • Scored screening • SOAP/Visit Notes Locations Appointments Dashboard and assessments • Dynamic Care Plan (MA Assessment, • Patient Enrollment • Encounter • Enrollee/ Summary PHQ9, PHQ4, etc.) Management Consumer • Practitioners, • Goals and Dashboard • BH-Works Organizations Interventions Comprehensive • Outreach/ based on • Patient Consent Assessment Activity Outcomes/scores • Episode of Care Management • Computable Scores/sub-scores • Smart Notes (LOINC) • Program Mgmt. Standards-based Data Shared Among Applications 4/30/2018 10

Omnibus Care Plan Technical Architecture Cloud-based, Secure, HIPAA-Compliant, Scalable, Extensible web platform •Browser-based, supports •HL7 Fast Healthcare •HIPAA compliant cloud phone/mobile Interoperability Resources services (FHIR), •Low Information •Business Associate Technology (IT) overhead •Integration with Agreement Electronic Health Record •Centralized management, (EHR), billing, quality secure, scalable systems Standards-based Cloud-based & Web-application Data Services HIPAA-Compliant •Reuses existing software •Encryption •Automatic increase in components memory, storage to match •Identity & Access Mgmt. user needs cloud services •Extensible to integrate •User roles (Permissions) other applications •Patient Consent Reusability and Security/Privacy Scalable Extensibility 4/30/2018 11

Emerging Korean Community Pusan University Consortium 12 12

VistA Training Resources: https: / / www.osehra.org/ content/ sample-ehr-curriculum 13

Project Schedule 14

Recent Visit of Korea Delegation • Single Payer Health System • PHR/Blue Button Based Data Hub • Open Source Based EHR Solutions: – Mid-size Hospitals 15

Sum m it Sponsors • Conference Sponsor – Perspecta • Platinum – DSS • Bronze – Book Zurman, Oroville, Prologica • WiFi – YottaDB • Exhibitors – Kitware, Patch Advisor, YottaDB 16

OSEHRA Sum m it Highlights • YottaDB pre-Summit Training on 8 July • VA Activities • HHS/HIS CTO Study – Howard Hayes, Theresa Cullen and Maia Laing • SAMHSA Care Coordination Platform Demo • Health Concourse Demo • VA-PAL 17

Federal Open Source Panel • Social Security Administration • Department of Homeland Security • National Security Agency • National Science Foundation • Federal Election Committee • Department of Transportation 18

Thank you. m unsk@osehra.org w w w .osehra.org