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BRA Overview What Does BRA Do? (cont.) Federal Enterprise Architecture (FEA) Health Business Reference Model (BRM) Health (110) Line of Business Access to Care (217) Sub-Function Request ID Request Name VHA IDs Need Description Need Tag Breast Cancer Clinical Case 689, 774 Registry and Tracking of Abnormal Results Allow RT/NRT querying of the system to track all diagnostic test results (abnormal or normal) and provide notification to providers of abnormal test results. VHBAO:NEED233 Monitor and Follow-up on Patients Health Status and Outcomes 7 - New Models of Care (NMOC) Women’s H ealth (W H ) Breast Cancer Clinical Case 689, 774 Registry and Tracking of Abnormal Results Establish a registry to ultimately improve detection, diagnosis, and treatment of breast cancer. VHBAO:NEED234 Monitor and Follow-up on Patients Health Status and Outcomes 7 - New Models of Care (NMOC) Women’s H ealth (W H ) Breast Cancer Clinical Case 689, 774 Registry and Tracking of Abnormal Results Provide breast cancer patients the ability to directly interact with the care team and to provide key input into their preventative and curative care. VHBAO:NEED235 Monitor and Follow-up on Patients Health Status and Outcomes 7 - New Models of Care (NMOC) Women’s H ealth (W H ) 20100701 20100701 20100701 Arch/BFF VHA Business Architecture Category Business Function Framework VA VBA BRM VHA Program Offices Application System Pharm: Benefits Management (PBM) Pharm: National Drug File (NDF) VA / VHA Strategic Drivers Acronym Application System Description Pharm: Bar Code BCMA Medication Administration (BCMA) PBM NDF Bar Code Medication Administration (BCMA) software provides a real-time, pointof-care solution for validating the administration of Unit Dose (UD) and Intravenous (IV) medications to inpatients in Veterans Administration Medical Centers (VAMCs). BCMA uses a Graphical User Interface (GUI), MS Windows-based Client/Server architecture, designed to improve the accuracy of the medication administration process, and to increase the efficiency of the administration documentation process. The end result is enhanced patient safety and patient care at VAMCs. The software extracts medication dispensing data elements from the Outpatient Pharmacy, Inpatient Medications IV and Unit Dose, Automatic Replenishment/Ward Stock, and Controlled Substance modules; Procurement information from Drug Accountability, Integrated Funds Control, Accounting and Procurement (IFCAP); and a limited amount of Laboratory data on a monthly basis. The software makes data extraction reports available at Department of Veterans Affairs Medical Centers (VAMCs) and allows local management to use the data to project local drug usage and identify potential drug accountability problem areas. VistA Evolution Product Set VHA Federal Program Inventory Line of Business DoD Or g an i z ati o n Sp eci fi c No DoD R efer en ces Avai l ab l e A. 2 Man ag e Po p u lati o n H eal th A. 3 Man ag e H eal th C ar e Ad mi n i str ati o n A2. 1 D efi n e / Assess Po p u lati o n A3. 1 Pr o vid e L o g i sti cs Man ag em en t A1. 4 Man ag e B en efi ci ar y C o n ti n u u m o f H eal th Ser vi ces A1. 5 Man ag e B en efi ci ar y En co u n ter VHA Business Function Framework VH A Or g an i z ati o n Sp eci fi c A. 1 Pr o vi d e Access to C ar e A1. 1 D eter m in e B en efi ci ar y C ar e El i g ib i l i ty Statu s A1. 3 Sch ed u l e B en efi ci ar y C ar e Ser vi ces A1. 6 Su p p o r t B en efi ci ar y Ser vices A1. 7 Estab l ish Access to C ar e Per fo r man ce Measu r es A2. 2 D evel o p Po p u lati o n H eal th Man ag em en t Pr acti ces A2. 3 Su p p o r t Pr o acti ve H eal th Activi ti es A2. 4 Estab l ish Effecti ve C o mmu n i cati o n an d W o r kfl o w F aci l i tati o n A2. 5 Eval u ate Po p u lati o n H eal th Man ag em en t A2. 6 Per fo r m Med i cal Su r vei l l an ce A1. 8 Su p p o r t C o mmu n i ty Ou tr each A3. 2 Man ag e F in an ces A3. 3 Man ag e H u man R eso u r ces A3. 4 D evel o p an d I mp l emen t Po l i ci es A3. 5 Per fo r m Med i cal Man ag em en t A3. 6 Ad mi n ister Pati en t C ar e Ad mi n i str ati ve Ser vices Line of Business Provide Health Care Administration Deliver Health Care Manage Health Care Administration (3) Manage Health Care Delivery (4) A. 4 Pr o vi d e C l i n i cal D eci si o n Su p p o r t A4. 1 Man ag e th e Tar g eted Po p u lati o n D atab ase A4. 2 Pr o vid e Access to I n fo r matio n R eso u r ces A4. 3 C r eate/ Man ag e C l i n i cal D o cu men ts A4. 4 Pr o vid e C o mmu n i cati o n s Su p p o r t A4. 5 Pr o vid e H eal th I n fo r matio n an d D eci si o n Su p p o r t Man ag em en t A4. 6 Pr o vid e I n ter Ag en cy I n ter o p er ab il i ty A3. 8 Su p p o r t Man ag ed C ar e C o n tr acts A4. 8 Pr o vid e I mmu n iz ati o n an d Med i cati o n Al er ts A. 5 Man ag e H eal th C ar e D el i ver y A5. 1 Assess B en efi ci ar y H eal th Statu s A5. 2 Plan H eal th Ser vices A5. 3 Man ag e H eal th car e Ser vices A5. 4 Man ag e C l i n i cal I n fo r matio n an d D o cu men tati o n A5. 5 En su r e Qu ali ty o f H eal th Ser vices A. 6 Pr o vi d e H eal th C ar e R esear ch A. 7 Pr o vi d e H eal th C ar e Ed u catio n A6. 1 H ealth Ser vices R esear ch an d D evel o p men t (H SR &D ) A7. 1 Man ag e Al l i ed H eal th Ed u catio n A6. 2 C o o r d i n ate R eh ab i l i tatio n R esear ch an d D evel o p men t Pr o g r ammi n g Conduct Health Care Research Provide Health Care Education Provide Health Care Research (5) Provide Health Care Education (6) Manage Business Enabling Services (7) A6. 3 C o o r d i n ate an d D evelo p Med i cal R esear ch Ser vice Pr o g r ams A7. 2 Man ag e Gr ad u ate Med i cal Ed u catio n A7. 3 Pr o vid e Ad eq u ate Su p p ly o f H eal th Per so n n el A6. 4 Ad mi n ister C o o p er ative Stu d i es Pr o g r am (C SP) A5. 6 Per fo r m Op er ati o n s Man ag em en t an d C o mmu n i cati o n A4. 9 Pr o vid e Au to mated Su p p o r t fo r C ar e an d Tr eatmen t Plan s A4. 10 U ti l iz e Accep tab l e H eal th C ar e Messag i n g Stan d ar d s A4. 11 Pr o vi d e Tech n o l o g y Assessm en t Health Care Segment Manage Public Health Manage Public Health (2) A. 0 Pr o vi d e H eal th car e A4. 7 Pr o vid e fo r C o mmu n i cati o n s wi th C i vi l i an Pr o vi d er s A3. 10 I d en tity Man ag em en t Provide Access to Health Care Health Care Research & Practitioner Education (249) Provide Health Care (0) A3. 7 Mo n i to r B u si n ess Man ag em en t Activi ti es A3. 9 Per fo r m Med i cal Situ ati o n Awar en ess Segment Health Care Delivery Services (248) VA Capability Model A1. 2 Per fo r m Assessm en t an d Plan fo r C ar e VHA Applications Health Care Administration (247) FEA Business Reference Model Provide Access to Health Care (1) Function C o mmo n H eal th C ar e B u si n ess Activi ty The National Drug File (NDF) package provides standardization of the local drug files in all VA medical facilities. Standardization includes the adoption of new drug nomenclature and drug classification, as well as linking the local drug file entries to data in the National Drug files. For drugs approved by the Food and Drug Administration (FDA), NDF provides VA medical facilities with the ability to access information concerning dosage form, strength and unit, package size and type, manufacturer’s trade name, and National Drug Code (NDC) information. The NDF software also lays the foundation for sharing prescription information among medical facilities. Population Health Mgmt. & Consumer Safety (246) Manage Business Enabling Services Integrated Electronic Health Record (iEHR) Capabilities DoD/VA Health integrated Business Reference Model OPM Occupational Groups Request ID Request Name VHA IDs Need Description Need Tag Breast Cancer Clinical Case 689, 774 Registry and Tracking of Abnormal Results Allow RT/NRT querying of the system to track all diagnostic test results (abnormal or normal) and provide notification to providers of abnormal test results. VHBAO:NEED233 Monitor and Follow-up on Patients Health Status and Outcomes 7 - New Models of Care (NMOC) Women’s H ealth (W H ) Breast Cancer Clinical Case 689, 774 Registry and Tracking of Abnormal Results Establish a registry to ultimately improve detection, diagnosis, and treatment of breast cancer. VHBAO:NEED234 Monitor and Follow-up on Patients Health Status and Outcomes 7 - New Models of Care (NMOC) Women’s H ealth (W H ) Breast Cancer Clinical Case 689, 774 Registry and Tracking of Abnormal Results Provide breast cancer patients the ability to directly interact with the care team and to provide key input into their preventative and curative care. VHBAO:NEED235 Monitor and Follow-up on Patients Health Status and Outcomes 7 - New Models of Care (NMOC) Women’s H ealth (W H ) 20100701 20100701 20100701 Arch/BFF Category VSSC Performance Measures (Clinical, etc.) VHA Business Requirements & System Requirements (HL7) VHA IT Projects VETERANS HEALTH ADMINISTRATION VHA Business Process Models VHA Information Models (under Target Health Data Standards (under development) development) 0