http://www.clinfowiki.org/wiki/api.php?action=feedcontributions&user=Mohoward&feedformat=atomClinfowiki - User contributions [en]2024-03-28T14:57:05ZUser contributionsMediaWiki 1.22.4http://www.clinfowiki.org/wiki/index.php/Veteran%E2%80%99s_Affairs_Switch_from_VistA_based_Electronic_Health_Record_to_Cerner_MillenniumVeteran’s Affairs Switch from VistA based Electronic Health Record to Cerner Millennium2018-04-30T02:53:06Z<p>Mohoward: Created page with "On June 5th, 2017 the VA Secretary at the time, Dr. David Shulkin, announced that the Veterans Affairs (VA) Health Care System would transition from Vista based electronic hea..."</p>
<hr />
<div>On June 5th, 2017 the VA Secretary at the time, Dr. David Shulkin, announced that the Veterans Affairs (VA) Health Care System would transition from Vista based electronic health record CPRS to Cerner Millennium by MHS GENESIS. This will be the largest implementation of an electronic health record system ever at 10 billion dollars over the next 10 years. <br />
<br />
The two primary reasons for the switch are that VistA is over 20 years old and there is a need for modernization and the Department of Defense (DOD) has already moved to the Cerner System. Having the VA and DOD on the same EHR would allow a Veteran’s complete and accurate health record in a single common EHR. From Dr. Shulkin “While we have established interoperability between VA and DOD for key aspects of the health record, seamless care is fundamentally constrained by ever-changing information sharing standards, separate chains of command, complex governance, separate implementation schedules that must be coordinated to accommodate those changes from separate program offices that have separate funding appropriations, and a host of related complexities requiring constant lifecycle maintenance.” (Office of Public and Intergovernmental Affairs, 2017)<br />
Due to the urgency expressed by Dr. Shulkin he decided that there is the need for a public interest exception to the requirement for full and open competition in this technology acquisition. This allows the VA to issue a solicitation directly to Cerner Corporation for the acquisition of the HER system currently being deployed by DOD. <br />
<br />
VistA<br />
The Veterans Health Information Systems and Technology Architecture (VistA) has been around since the 70’s when it was created by a group of VA clinicians. Although this means VistA isn’t on pace with todays health information technology and cybersecurity it does mean that VA clinicians have had a lot of time to learn how to use VistA to its highest potential. <br />
<br />
Cerner<br />
Cerner is the largest independent health IT company in the world. 532 hospitals have used Cerner EHR’s and 32 have reached HIMSS Analytics stage 7. <br />
<br />
Implementation<br />
There is no definitive date for rollout yet but an end date of 2022 for complete rollout has been stated. Although Cerner has already been rolled out at the DOD the VA has different services and a far broader age range to serve with many chronic and specialized needs. <br />
<br />
Current Updates<br />
March 21, 2018:<br />
• The budget grows to by an additional 6 billion dollars a 60 percent increase. The additional cost for that 6 billion could not be identified by Secretary Shulkin.<br />
• The VA Cerner contract is still not finalized<br />
• Primary reason for this delay is finalize language that wouldn’t allow proprietary protection and information blocking to occur<br />
• VA is working with Cerner to build a contract that encourages the use of open application programming interface (APIs) and Fast Healthcare Interoperability Resources (FHIR) standards to enable interoperability with the private sector.<br />
<br />
Sources<br />
va.gov/opa/pressrel/pressrelease.cfm?id=2914<br />
ehrintelligence.com/tag/veterans-affairs-va<br />
www.vistapedia.net/index.php/What_is_CPRS%3F<br />
<br />
Submitted by (Matthew Howard)<br />
[[Category:BMI512-SPRING-17]]</div>Mohowardhttp://www.clinfowiki.org/wiki/index.php/Main_PageMain Page2018-04-30T02:50:38Z<p>Mohoward: /* Government, Public and Private Initiatives */</p>
<hr />
<div>'''Welcome to the OHSU Clinfowiki'''<br />
<br />
The OHSU Clinical Informatics Wiki (aka ClinfoWiki) is the implementation of a [http://en.wikipedia.org/wiki/Wiki wiki] website devoted to topics in [[Biomedical Informatics]]. <br />
<br />
The Department of Medical Informatics & Clinical Epidemiology (DMICE) is one of 27 academic departments in the School of Medicine at Oregon Health & Science University (OHSU). The mission of DMICE is to provide leadership, discovery and dissemination of knowledge in clinical informatics, clinical epidemiology, and bioinformatics / computation biology. This mission is fulfilled through programs of research, education, and service. DMICE programs are recognized internationally for their accomplishment and innovation. The OHSU Biomedical Informatics program is one of the largest of its kind in the world. <br />
<br />
Clinfowiki is edited by [http://www.ohsu.edu/xd/education/schools/school-of-medicine/departments/clinical-departments/dmice/people/vishnu-mohan.cfm Vishnu Mohan, M.D., M.B.I.], and was created in 2005 by [http://www.uthouston.edu/sbmi/faculty-and-staff/dean-sittig.htm Dean F. Sittig, Ph.D.].<br />
<br />
To begin a new article, or edit an existing article, you must first create an account and login to the ClinfoWiki. The site can be browsed by anyone.<br />
<br />
[[Special:ActiveUsers|We]] are currently working on [[Special:Statistics|{{NUMBEROFARTICLES}}]] articles, and we '''[[Clinfowiki To Do|need your help]]''' to complete this study of Informatics. See [[Special:Statistics]] for more complete information on the site.<br />
<br />
The Clinfowiki has recently been reorganized into the <u>20</u> categories below. When adding (or editing) content, please try to ensure the content traces back to one of these categories.<br />
<br />
<br />
=[[:Category:Technologies | Technologies]]=<br />
<br />
==[[:Category: EHR | Electronic Medical Record (EMR)]]==<br />
* [[EHR | What is the Electronic Medical Record]]<br />
* [[EMR v. EHR]]<br />
* [[EHR-enabled Research]]<br />
* [[Security of the distributed electronic patient record: a case-based approach to identifying policy issues]]<br />
* [[Purpose of EMRs]]<br />
<br />
==[[:Category: CPOE | Computerized Physician Order Entry (CPOE)]]==<br />
* [[CPOE | Computerized Physician Order Entry]]<br />
* [[Barcode medication administration]]<br />
* [[E-prescribing | Electronic Prescribing (E-prescribing)]]<br />
<br />
==[[:Category: CDS | Clinical Decision Support (CDS)]]==<br />
* [[CDS | Clinical Decision Support]]<br />
* [[Timeline of the Development of Clinical Decision Support]]<br />
* [[The Evolution of Clinical Decision Support]]<br />
* [[Decision Support Service]]<br />
* [[Effect of Computerized Clinical Decision Support on the Use and Yield of CT Pulmonary Angiography in the Emergency Department]]<br />
* [[Automated Clinical Decision Support (CDS) using Pattern Recognition/Temporal Relationships]]<br />
<br />
==[[:Category: PHR | Personal Health Record (PHR)]]==<br />
* [[PHR | Personal Health Records]]<br />
* [[PHA | Personal Health Applications]]<br />
<br />
==[[:Category: Reviews | Reviews of scientific papers]]==<br />
<br />
==[[:Category:Integrated Data Repositories (IDR) | Integrated Data Repositories (IDR)]]==<br />
* [[CIDR | Clinical Integrated Data Repositories (CIDR)]]<br />
<br />
==[[:Category:Ancillary Systems | Ancillary Systems]]==<br />
* [[Ancillary Clinical Information Systems]]<br />
* [[BioBanking | Biobanking -- a.k.a. Biorepositories or Tissue Bank]]<br />
* [[Anesthesia Information Management Systems (AIMS)]]<br />
<br />
==[[:Category:Medical Devices | Medical Devices]]==<br />
<DynamicPageList><br />
category = Medical Devices<br />
</DynamicPageList><br />
* [[mHealth]]<br />
<br />
==[[:Information Retrieval]]==<br />
* [[Semantic MEDLINE]]<br />
<br />
==[[:Category:Other Technologies | Other Technologies]]==<br />
* [[:Category:New_Technology| New CIS-related Technologies]]<br />
* [[FOSSM | Free and Open Source Software (FOSS) licensing in medicine]]<br />
* [[Unintended Consequences of HIT]]<br />
* [[i2b2 Informatics for Integrating Biology and the Bedside]]<br />
* [[The Cloud and it's impact on Health IT]]<br />
* [[Teleconcussion - An Emerging Sports Concussion Management Model]]<br />
* [[The Blockchain in Healthcare]]<br />
* [[American College of Emergency Physicians: InnovatED]]<br />
<br />
=[[:Category:Applications | Applications]]=<br />
<br />
==[[:Category:Evidence Based Medicine (EBM) | Evidence Based Medicine (EBM)]]==<br />
* [[EBM | Evidence Based Medicine]]<br />
* [[Hierarchy of Evidence]]<br />
* Rationale, design,and implementation protocol of an electronic health record integrated clinical prediction rule (iCPR) randomized trial in primary care<br />
* [[Efficacy of an Evidence-Based Clinical Decision Support in Primary Care Practices A Randomized Clinical Trial]]<br />
<br />
==[[:Category:Methodologies and Frameworks | Methodologies and Frameworks]]==<br />
* [[Evaluation and Design Methodologies]]<br />
* [[The Journey through Grief: Insights from a Qualitative Study of Electronic Health Record Implementation]]<br />
* [[Sociotechnical systems]]<br />
* [[Data Center Planning and Design Overview for Healthcare Organizations]]<br />
* [[EHR Participatory Deployment Vs Black box Deployment methods]]<br />
<br />
==[[:Category:Government, Public and Private Initiatives | Government, Public and Private Initiatives]]==<br />
* [[HITREC | Health Information Technology Regional Extension Centers (HITREC)]]<br />
* [[RHIO | Regional Health Information Organization (RHIO)]]<br />
* [[NHIN | Nationwide Health Information Network (NwHIN)]]<br />
* [[Assistant Secretary for Planning & Evaluation]] <br />
* [[Office of the National Coordinator for Health Information Technology (ONC)]] <br />
* [[Council on the Application of Health Information Technology (CAHIT)]] <br />
* [[Agency for Healthcare Research and Quality (AHRQ)]] <br />
* [[Centers for Medicare and Medicaid Services (CMS)]] <br />
* [[U.S. Food and Drug Administration (FDA)]] <br />
* [[National Institutes of Health (NIH)]] <br />
* [[Big Data to Knowledge (BD2K)]]<br />
* [[Indian Health Service (IHS)]] <br />
* [[Health Services and Resource Administration (HRSA)]] <br />
* [[Centers for Disease Control and Prevention (CDC)]] <br />
* [[U.S. Department of Commerce]] <br />
* [[Combined U.S. Department of Defense / Veterans Affairs Initiatives]] <br />
* [[U.S. Department of Defense (DoD) Initiatives]] <br />
* [[Department of Veterans Affairs Initiatives]] <br />
* [[U.S. Department of Homeland Security]] <br />
* [[Healthcare Information Technology Standards Panel (HITSP)]] <br />
* [[Purpose and overview | International perspectives]] <br />
* [[UK]] <br />
* [[National Electronic Health Record Program in United Kingdom]]<br />
* [[:Category:Blogposium|All articles resulting from the Blogposium collaboration]]<br />
* [[Maternal and Perinatal Quality Care Collaboratives]]<br />
* [[EHealth Initiative]]<br />
* [[Meaningful use]]<br />
* [[Electronic Laboratory Reporting]]<br />
* [[Department of Education]]<br />
* [[PMI | Precision Medicine Initiative (PMI)]]<br />
* [[Health Information and Management Systems Society (HIMSS)]]<br />
*[[Society for Participatory Medicine]]<br />
*[[Veteran’s Affairs Switch from VistA based Electronic Health Record to Cerner Millennium]]<br />
<br />
==[[:Category:Training and User Support | Training and User Support]]==<br />
<br />
==[[:Category:Terminology and Coding | Terminology and Coding]]==<br />
* [[Glossary of acronyms]] <br />
* [[Definition and Use of Interface Terminologies]] <br />
* [[Common Terminology Services | Common Terminology Services (CTS)]]<br />
* [[Distributed Cognition and Knowledge-based Controlled Medical Terminologies]]<br />
* [[Ontology]] <br />
* [[International Statistical Classification of Diseases | International Statistical Classification of Diseases (ICD)]]<br />
* [[Systematized Nomenclature Of Medicine | Systematized Nomenclature Of Medicine (SNOMED)]] <br />
* [[International Dietetics and Nutrition Terminology | International Dietetics and Nutrition Terminology (IDNT)]]<br />
* [[International Classification of Primary Care | International Classification of Primary Care (ICPC)]]<br />
* [[Unified Medical Language System | Unified Medical Language System (UMLS)]]<br />
* [[Aggregated data]]<br />
<br />
==[[:Category:Workflow | Workflow]]==<br />
* [[Methods to capture workflow]] <br />
* [[Measurement]] <br />
* [[Importance of Workflow Analysis During Physician Office EMR Implementation]] <br />
* [[Workflow Management System]] <br />
* [[Process Mining]]<br />
* [[Using Evidence-Based Layout Design to Enhance Workflow in the Clinical Laboratory]]<br />
* [[Planning for Radiology CDS Technology]]<br />
<br />
==[[:Category:Interface, Usability and Accessibility | Interface, Usability and Accessibility]]==<br />
* [[Usability]] <br />
* [[Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA]]<br />
* [[Software Test Documentation]]<br />
* [[Data Model to Enhance the Security and Privacy of Healthcare Data]]<br />
<br />
=[[:Category:Reference | Reference]]=<br />
<br />
==[[:Category:Academics and Education | Academics and Education]]==<br />
* [[Informatics Students' Contributions|Contributions from OHSU students]]<br />
* [[List of Informatics Departments]]<br />
* [[Endowed Professorships | Endowed Professorships and Chairs in Health / Medical / Nursing / Biomedical Informatics]]<br />
* [[Graduate Medical Education Milestones]]<br />
<br />
==[[:Category:Specialites and Disciplines | Specialites and Disciplines]]==<br />
* [[Bioinformatics]]<br />
* [[Chief Nursing Informatics Officer]]<br />
* [[Clinical Informatics Fellowship]]<br />
* [[Clinical research informatics]]<br />
* [[Clinical Social Work Informatics]]<br />
* [[Consumer health informatics]]<br />
* [[Dental informatics]]<br />
* [[Health informatics]]<br />
* [[Imaging informatics]]<br />
* [[Medical laboratory informatics]]<br />
* [[Medical Subspecialty Board of Clinical Informatics]]<br />
* [[Mental health informatics]]<br />
* [[Neuroinformatics]]<br />
* [[Nursing informatics]]<br />
* [[Pediatric Informatics]]<br />
* [[Pharmacy Informatics]]<br />
* [[Public Health Informatics]]<br />
* [[Quality Informatics]]<br />
* [[Traditional Chinese Medicine (TCM) informatics]]<br />
* [[Translational Bioinformatics]]<br />
<br />
==[[:Category:Research Groups | Research Groups]]==<br />
* [[CIRCLE: Clinical Informatics Research Collaborative]]<br />
* [[Biomedical Informatics Research Network (BIRN)]]<br />
<br />
==[[:Category:Literature | Literature]]==<br />
* [[Books | Books on Topics in Clinical Informatics]]<br />
* [[Leading Health Informatics and Medical Informatics Journals]]<br />
<br />
==[[:Category:External Links | External Links]]==<br />
* [http://www.ohsu.edu/xd/ Oregon Health & Science University]<br />
* [http://www.ohsu.edu/xd/education/schools/school-of-medicine/departments/clinical-departments/dmice/ The Department of Medical Informatics and Clinical Epidemiology at OHSU]<br />
* [http://www.cpoe.org Website of the Provider Order Entry Team from Oregon Health]<br />
* [http://hittransition.com/tools.htm Links to online tools for HIT/RHIO development]<br />
* [http://www.hitdashboard.com/unitedStates.aspx Health Information Technology Dashboard]<br />
* [http://wellness.wikispaces.com/Tactic+-+Use+Evolving+Health+Information+Technology+Tools Wellness Wiki: Use Evolving Health Information Technology Tools]<br />
* [http://www.emedicine.com/ eMedicine] Physician contributed medical articles and CME<br />
* [http://www.kmle.com KMLE Medical Dictionary] Medical dictionary and medical related links<br />
* [http://www.merckmedicus.com Merck Medicus] Contains a significant number of textbook resources (requires free registration<br />
* [http://www.nlm.nih.gov NLM] (US National Library of Medicine)<br />
* [http://www.webmd.com WebMD] General comprehensive online health information<br />
* [http://www.open.medicdrive.org Medicine 2.0] Comprehensive online Personal health record information.<br />
* [http://www.searchmedica.com SearchMedica.com] Searches medical literature for health care professionals<br />
* [http://www.ahima.org AHIMA] American Health Information Management Association<br />
* [http://www.amia.org AMIA] American Medical Informatics Association<br />
* [http://www.ania-caring.org ANIA-CARING] American Nursing Informatics Association and the Capital Area Roundtable on Informatics in NursinG<br />
* [http://www.himss.org HIMSS] Healthcare Information and Management Systems<br />
* [http://www.imia-medinfo.org IMIA] International Medical Informatics Association<br />
* [http://wellness.wikispaces.com/Tactic+-+Use+Evolving+Health+Information+Technology+Tools Use Evolving Health Information Technology Tools]<br />
* [http://wellness.wikispaces.com/Blueprint+for+an+Integrated+HIT+system+-+The+Patient+Life-Cycle+Wellness+System Blueprint for an Integrated HIT system - The Patient Life-Cycle Wellness System]<br />
* [http://circleinformatics.org CIRCLE: Clinical Informatics Research Collaborative]</div>Mohoward