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Corporate Data Warehouse (CDW)
,The Veterans Health Administration (VHA) is increasingly dependent upon data. Most of its employees generate and use vast amounts of data on a daily basis. To improve our capacity for data analysis while providing the most efficient and the highest quality health care to our Veteran patients, VHA, working with the VA Office of Information and Technology, implemented a health data warehouse. Central to this plan is consolidating data from disparate sources into a coherent single logical data model. The Corporate Data Warehouse (CDW) is the physical implementation of this logical data model at the enterprise level for VHA. Although the CDW initially began to store data as early as 2006, a renewed effort began in 2010 to accelerate CDW's content by including more subject areas from Veterans Health Information Systems and Technology Architecture (VistA) and content from other existing national data systems. CDW supports fully developed subject areas in its production environment as well as supporting rapid prototyping by extracting data directly from source systems with very minor data transformations. The Regional Data Warehouses and the Veterans Integrated Service Network (VISN) Data Warehouses share content from CDW and allow for greater reporting flexibility at the local level throughout the VHA organization.,
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Associated Health Allocation
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,The Associated Health Allocation Database is used to determine the allocation of positions and funds for VA Associated Health programs offered by Veterans Affairs Medical Centers (VAMC).,
Performance and Operational Web-Enabled Reports (POWER)
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,The Performance and Operational Web-Enabled Reports (POWER) system is a state-of-the-art data warehouse containing data on Veterans Health Administration (VHA) performance metrics that are obtained daily from the individual Veterans Health Information Systems and Technology Architecture (VistA) systems.The POWER system was developed to measure the key performance indicators across VHA facilities and is helping to improve VHA's Medical Care Collections Fund (MCCF) revenue operational performance by providing accurate, reliable, and up-to-date performance measure information. POWER leverages a data warehouse to maintain data used in VHA performance measure calculations. The site provides Web-based analytical reporting capabilities, allowing users to view data by dimensions, such as, National, Consolidated Patient Account Center (CPAC), Veterans Integrated Service Network (VISN), or Station locations and by month. The data can also be displayed in tables, graphs and spreadsheets. It should be noted that POWER is not an accounting system; rather, it is a strategic and operational performance reporting system.The POWER system supports VHA's efforts to improve its revenue business operations by providing accurate and reliable performance information on the following metrics: Collections, Gross Days Revenue Outstanding (GDRO), Percentage of Accounts Receivable (AR) Greater than 90 Days, Days to Bill, Total Billings, Percentage of Collections to Billings, and Cost to Collect. POWER is VHA's revenue performance metric dashboard monitoring system that tracks MCCF performance by National, CPAC, VISN and Station.,
National Health Care Practitioner Database (NHCPD)
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,This database is part of the National Medical Information System (NMIS). The National Health Care Practitioner Database (NHCPD) supports Veterans Health Administration Privacy Act requirements by segregating personal information about health care practitioners such as name and social security number from patient information recorded in the National Patient Care Database for Ambulatory Care Reporting and Primary Care Management Module.,
Report of VA Medical Training Programs
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,The Report of VA Medical Training Programs Database is used to track medical center health services trainees and VA physicians serving as faculty. The database also tracks the number of U.S. and international medical residents on-duty at a Veterans Affairs Medical Center (VAMC). Information in the database comes from all VAMCs that have residency programs. The Office of Academic Affiliations distributes worksheets and memos to participating VAMCs annually. VAMC personnel enter the information electronically into the database located at the Academic Information Management Center (AIMC) in St. Louis, Missouri. The main user of this database is the Office of Academic Affiliations which uses the reports from the system to assist in its decision making.,
VHA Support Service Center Patient Appointment
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,Patient appointment information is obtained from the Veterans Health Information Systems and Technology Architecture Scheduling module. The Patient Appointment Information application gathers appointment data to be loaded into a national database for statistical reporting. Patient appointments are scanned from September 1, 2002 to the present, and appointment data meeting specified criteria are transmitted to the Austin Information Technology Center Patient Appointment Information Transmission (PAIT) national database. Subsequent transmissions (bi-monthly) update PAIT bi-monthly via Health Level Seven message transmissions through Vitria Interface Engine (VIE) connections. A Statistical Analysis Software (SAS) program in Austin utilizes PAIT data to create a bi-monthly SAS dataset on the Austin mainframe. This additional data is used to supplement the existing Clinic Appointment Wait Time and Clinic Utilization extracts created by the Veterans Health Administration Support Service Center (VSSC).,
VHA Data Sharing Agreement Repository
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,The VHA Data Sharing Agreement Repository serves as a centralized location to collect and report on agreements that share VHA data with entities outside of VA. It provides senior management an overall view of existing data sharing agreements; fosters productive sharing of health information with VHA's external partners; and streamlines data acquisition to improve data management responsibilities overall. Agreements that VHA has established with entities within the VA are not candidates for this Repository.,
VA Personal Health Record Sample Data
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,My HealtheVet (www.myhealth.va.gov) is a Personal Health Record portal designed to improve the delivery of health care services to Veterans, to promote health and wellness, and to engage Veterans as more active participants in their health care. The My HealtheVet portal enables Veterans to create and maintain a web-based PHR that provides access to patient health education information and resources, a comprehensive personal health journal, and electronic services such as online VA prescription refill requests and Secure Messaging. Veterans can visit the My HealtheVet website and self-register to create an account, although registration is not required to view the professionally-sponsored health education resources, including topics of special interest to the Veteran population. Once registered, Veterans can create a customized PHR that is accessible from any computer with Internet access.,
Clinical Information Support System (CISS)
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,Clinical Information Support System (CISS) is a web-based portal application that provides a framework of services for the VA enterprise and supplies an integration point for its partner systems. The initial CISS partner system is the Occupational Health Record-keeping System (OHRS), a web-based application that enables employee occupational health staff to create, maintain, and monitor medical records for VA employees and generate national, Veterans Integrated Service Network (VISN), and site-specific reports.The CISS portal is development in the delivery of information and applications to the clinical user community. It provides a single point of access for the clinical user's application and information needs, facilitating faster and more efficient patient care.The CISS framework further establishes a foundation for publishing any type of application, including clinical, non-clinical, HealtheVet, and legacy applications. These plug-in applications, called 'partner systems', can be developed independently and published to the users through the CISS portal. The CISS Program development team uses repeatable Agile development, management and support processes to rapidly develop quality software in 6-month release cycles, improving efficiency and customer satisfaction.,
Veterans Equitable Resource Allocation (VERA)
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,The Veterans Equitable Resource Allocation (VERA) database, is operated by the Allocation Resource Center (ARC) in Braintree, MA. The ARC is part of the Resource Allocation & Execution Office of the Office of Finance. The database is developed from the Patient Treatment File, National Patient Care Database, Fee Basis Medical and Pharmacy System, Decision Support System (DSS) National extracts, DSS Derived Monthly Program Cost Report (MPCR), Resident Assessment Instrument (RAI) Minimum Data Set (MDS), Clinical Case Registry (CCR), and Home Dialysis Data Collection System, the Pharmacy Benefits Management database and the Consolidated Enrollment File. Most of the clinical data is Veterans Health Information Systems and Technology Architecture data which is transmitted to the Austin Information Technology Center (AITC) where it is retrieved by the ARC each month. The ARC also retrieves DSS cost data from the AITC as well. Some additional information is received from the Hines Pharmacy Benefits Management and the CCR databases. The data from these sources is combined to develop patient-specific care and cost data for each hospitalization or visit at the location or treatment level. Aggregate tables summarize this data for reporting and analysis purposes. The VERA databases are the basis for resource allocation in the Veterans Health Administration.,
Veterans Health Administration (VHA)
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The purpose of this agreement is for SSA to verify SSNs and other identifying information for the Department of Veterans Affairs, VHA. DVA will use the information SSA provides to ensure the accuracy of its recordkeeping systems.