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Standards and Interoperability for DoD/VA Health Information Exchange
Session 200, Thursday, March 8, 2018
Moderator: Dr. Paul Cordts, Military Health System (MHS)Speakers:Dr. Ashwini Zenooz, U.S. Department of Veterans Affairs (VA)Dr. Lauren Thompson, U.S. Department of Defense (DoD)Dr. Andrew Gettinger, Office of the National Coordinator for Health Information Technology
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Moderator introduction
Dr. Paul Cordts, MD, SES
Director of Strategy, Planning and
Functional Integration (J-5)
Defense Health Agency (DHA)
Military Health System (MHS)
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Speaker introduction
Dr. Ashwini Zenooz, MD, SES
Chief Medical Officer, EHR Modernization
(EHRM) Program Executive Office (PEO)
U.S. Department of Veterans Affairs (VA)
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Speaker introduction
Dr. Lauren Thompson, SES
Director, DoD/VA Interagency Program Office
(IPO)
U.S. Department of Defense (DoD)
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Speaker introduction
Andrew Gettinger, M.D.
Chief Clinical Officer
Office of the National Coordinator for Health
Information Technology (ONC)
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Conflicts of interest
Dr. Paul Cordts, MD, SES, has no real or apparent conflicts of
interest to report.
Dr. Ashwini Zenooz, MD, SES, has no real or apparent conflicts
of interest to report.
Dr. Lauren Thompson, SES, has no real or apparent conflicts of
interest to report.
Dr. Andrew Gettinger, MD, has no real or apparent conflicts of
interest to report.
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Agenda
• Why is interoperability important?
• Internal and external interoperability at DoD and VA
• What makes interoperability difficult?
• Advancing interoperability: Role of the ONC
• Q+A
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Learning objectives
• Describe the ONC standards that support Health Information
Exchange (HIE)
• Identify the application of Health Information Technology (HIT)
standards that facilitate MHS/VA clinical data sharing
• Evaluate opportunities for enhanced MHS/VA interoperability
in the future
Questions?
“Medically Ready Force…Ready Medical Force” 9
VA Slide - Placeholder
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Q+A
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Questions
Dr. Lauren Thompsono Director, DoD/VA Interagency
Program Office (IPO)
Dr. Ashwini Zenoozo Chief Medical Officer, EHR
Modernization (EHRM) Program Executive Office (PEO)
Dr. Paul Cordtso Electronic Health Record (EHR)
Functional Champion, MHS
Dr. Andrew Gettingero Chief Clinical Officer
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Appendix
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DoD and VA: interoperability today
16M+
correlated patients
415K+
DoD and VA
clinicians
1.5M
data elements
exchanged daily
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DoD and VA: interoperability today
HAIMS VBMS
Many other systems, including civilian hospitals
Allergies & Medications
Service Treatment Record
Health Record Display
CHDRCDR HDR
JLV DASDES
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Joint Legacy Viewer (JLV) expansion within DoD and VA
0
50000
100000
150000
200000
250000
300000
350000
400000
450000
FY16Q1
FY16Q2
FY16Q3
FY16Q4
FY17Q1
FY17Q2
FY17Q3
FY17Q4
Total DoD JLV Users
Total VHA JLV Users
Total VBA JLV Users
In 2013, the Departments deployed the Joint Legacy Viewer (JLV) to nine pilot sites,
providing an integrated view of DoD and VA clinical information. Today, there are
more than 415,000 total JLV users from DoD, VHA, and VBA.
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DoD and VA’s current HIE partnerships
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The way forward for HIE
