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VA Digital Strategy

Milestone 2.1

Milestone 2.1: Engage with customers to identify at least two existing major customer-facing services that contain high-value data or content as first-move candidates to make compliant with new open data, content, and web API policy.

VA has completed Milestone 2.1. Fourteen customer-facing systems were identified and two of them were selected as first-move candidates. Detailed information on the originally planned deliverables is provided in the two tables below.

During the initial 12-month period, VA adjusted its plans and delivered the products described in Milestone 2.2.

Milestone 2.1 First-Move Candidates

System Name System Description Main Customers
Veterans Affairs National Facilities Locator This service is being adapted for web API and allows user to search for VA facility locations; VA central offices, benefits offices, cemeteries, and all VA medical facilities. This service categorizes information for browsing by state and administration, as well as by viewing through an interactive map of the United States. Veterans and General Public
Nationwide Gravesite Locations This service is being adapted for web API and allows user to search for burial locations of Veterans and their family members in VA National Cemeteries, state Veterans cemeteries, various other military and Department of Interior cemeteries, and for Veterans buried in private cemeteries when the grave is marked with a government grave marker. The National Gravesite Locations API includes burial records from many sources. These sources provide varied data; some searches may contain less information than others. Information on Veterans buried in private cemeteries was collected for the purpose of furnishing government grave markers, and we do not have information available for burials prior to 1997. Veterans and General Public

Milestone 2.1 Initial Candidate List

System Name System Description Main Customers
GI Bill (fully-automated claims processing IT system) The Post-9/11 GI Bill provides education benefits for Service members and their families. With its increased benefits and complexity, the GI Bill requires extensive modifications to existing processing, procedures, and IT systems. The long-term implementation strategy will result in a fully-automated claims processing IT system that will be used as a model to migrate all VA educational programs onto an integrated, sustainable platform. Veterans & their Families
Personal Identity Verification (PIV) The VA PIV cards are designed to verify identity and ensure the work performed or created by VA employees and contractors was completed by the individual and protected from fraudulent use. VA is piloting mandatory use of PIV cards for IT system users in the Washington, DC, metropolitan area. In FY13, through the Preparedness Major Initiative, 21 VACO campus buildings will be integrated into the Enterprise Physical Control Systems for centralized management. VA Employees
VLER – Benefits Virtual Lifetime Electronic Record The VLER Warrior Support Projects ensure that information is available to end users in a timely fashion to support Integrated Care for our Nations Operation New Dawn and Severely Ill and Injured Service members and Veterans. Specifically, the Information Sharing Initiative (ISI) will facilitate the exchange of relevant data between VA, DoD and Social Security Administration in order to ensure services and benefits are planned, managed and delivered consistently and correctly to beneficiaries. DoD, VA, and Social Security Administration
VLER – Core Virtual Lifetime Electronic Record Federal Information Sharing Technologies (FIST) provides the framework for the comprehensive management of health information across computerized systems and its secure exchange between consumers, providers, Government entities and insurers. VA Employees, Providers & other Govt Agencies
VLER – Memorials Virtual Lifetime Electronic Record NCA provides burial space for Veterans and their eligible family members, maintains national cemeteries as national shrines, marks Veterans’graves with a Government-furnished headstone or marker, provides presidential memorial certificates in recognition of their service, and administers grants for establishing or expanding state and tribal Government Veterans’ cemeteries. VLER’s NCA projects are working to modernize a number of burial benefits systems. Veterans & their Families
Veterans Relationship Management (VRM) (VRM) – Enterprise Veterans Self Service will help VA develop and deliver on-demand access to comprehensive services and benefits in a consistent, Veteran-centric environment. This project will also help VA improve the ways information is exchanged between Veterans and VA and within the organization. VA Employees
State Drug Prescription Monitoring Program VA is now permitted to share prescription history information with state prescription monitoring programs (PMPs), a major step toward improving health care and reducing prescription drug abuse among Veterans. Adding VA prescription history data to that of state PMPs will provide a more complete picture of Veterans’use of controlled substances, helping prescribers make better clinical decisions and reducing opportunities for prescription drug diversion. It will also help meet one of the four major goals of the White House Office of National Drug Control Policy (ONDCP’s) 2011 Prescription Drug Abuse Prevention Plan: to improve the monitoring of controlled substance prescribing and dispensing. Providers
PRE (VA Pharmacy Reengineering) PRE will meet the current and future business needs of Department of Veterans Affairs (VA) Pharmacy. PRE will replace the existing Veterans Health Information Systems and Technology Architecture (VistA) Pharmacy application suite. The existing pharmacy software modules are being reengineered through new development and the purchase of commercial-off-the-shelf (COTS) products that will support future architecture for applications. PRE also includes development and customization of a decision support system based on COTS and VA components that cross checks a patient'’s newly ordered and existing drugs and doses and then sends VA Pharmacists alerts that can save lives and reduce adverse drug events. Providers
Genomic Informatics System for Integrative Science (GenISIS) GenISIS stores bio-specimens with longitudinal clinical annotations collected through the Million Veteran Project (MVP) and makes them available to investigators with appropriate protocols to conduct genomic/molecular studies. Genomic data generated from such studies is added to the GenISIS platform and made available for future studies. VA Employees and Providers
Health Management Platform The Health Management Platform integrates health informatics and IT in the delivery of health care IT products and provides a succession plan to transition the Computerized Patient Record System (CPRS) to the next generation of browser-based Electronic Health Records (EHRs). VA Employees and Providers
New Models of Care—My HealtheVet My HealtheVet (MHV) is a forward-facing web portal that helps replace a visit-based, hospital-centric model with a Veteran-centric health care model. The MHV infrastructure is designed to help Veterans navigate VA’'s health care system and receive coordinated care, thus enhancing the Veteran’s overall healthcare experience through a results-driven and innovative environment. Benefits to the Veterans include the ability to use MHV to view their Personal Health Records (PHRs) and extracts from their VA health records online, the ability to securely communicate electronically with their health care teams, and the ability to access educational material. MHV is the unifying step towards providing Veterans with complete ownership of their health care. Veterans
Veterans Affairs National Facilities Locator This service is being adapted for web API and allows user to search for VA facility locations; VA central offices, benefits offices, cemeteries, and all VA medical facilities. This service categorizes information for browsing by state and administration, as well as by viewing through an interactive map of the United States. Veterans and General Public
Nationwide Gravesite Locations This service is being adapted for web API and allows user to search for burial locations of veterans and their family members in VA National Cemeteries, state veterans cemeteries, various other military and Department of Interior cemeteries, and for veterans buried in private cemeteries when the grave is marked with a government grave marker. The Nationwide Gravesite Locator includes burial records from many sources. These sources provide varied data; some searches may contain less information than others. Information on veterans buried in private cemeteries was collected for the purpose of furnishing government grave markers, and we do not have information available for burials prior to 1997. Veterans and General Public

VA has completed Milestone 2.1. Fourteen customer-facing systems were identified and two of them were selected as first-move candidates. Detailed information on the originally planned deliverables is provided in the two tables below.

During the initial 12-month period, VA adjusted its plans and delivered the products described in Milestone 2.2.

Milestone 2.1 First-Move Candidates

System Name System Description Main Customers
Veterans Affairs National Facilities Locator This service is being adapted for web API and allows user to search for VA facility locations; VA central offices, benefits offices, cemeteries, and all VA medical facilities. This service categorizes information for browsing by state and administration, as well as by viewing through an interactive map of the United States. Veterans and General Public
Nationwide Gravesite Locations This service is being adapted for web API and allows user to search for burial locations of Veterans and their family members in VA National Cemeteries, state Veterans cemeteries, various other military and Department of Interior cemeteries, and for Veterans buried in private cemeteries when the grave is marked with a government grave marker. The National Gravesite Locations API includes burial records from many sources. These sources provide varied data; some searches may contain less information than others. Information on Veterans buried in private cemeteries was collected for the purpose of furnishing government grave markers, and we do not have information available for burials prior to 1997. Veterans and General Public

Milestone 2.1 Initial Candidate List

System Name System Description Main Customers
GI Bill (fully-automated claims processing IT system) The Post-9/11 GI Bill provides education benefits for Service members and their families. With its increased benefits and complexity, the GI Bill requires extensive modifications to existing processing, procedures, and IT systems. The long-term implementation strategy will result in a fully-automated claims processing IT system that will be used as a model to migrate all VA educational programs onto an integrated, sustainable platform. Veterans & their Families
Personal Identity Verification (PIV) The VA PIV cards are designed to verify identity and ensure the work performed or created by VA employees and contractors was completed by the individual and protected from fraudulent use. VA is piloting mandatory use of PIV cards for IT system users in the Washington, DC, metropolitan area. In FY13, through the Preparedness Major Initiative, 21 VACO campus buildings will be integrated into the Enterprise Physical Control Systems for centralized management. VA Employees
VLER – Benefits Virtual Lifetime Electronic Record The VLER Warrior Support Projects ensure that information is available to end users in a timely fashion to support Integrated Care for our Nations Operation New Dawn and Severely Ill and Injured Service members and Veterans. Specifically, the Information Sharing Initiative (ISI) will facilitate the exchange of relevant data between VA, DoD and Social Security Administration in order to ensure services and benefits are planned, managed and delivered consistently and correctly to beneficiaries. DoD, VA, and Social Security Administration
VLER – Core Virtual Lifetime Electronic Record Federal Information Sharing Technologies (FIST) provides the framework for the comprehensive management of health information across computerized systems and its secure exchange between consumers, providers, Government entities and insurers. VA Employees, Providers & other Govt Agencies
VLER – Memorials Virtual Lifetime Electronic Record NCA provides burial space for Veterans and their eligible family members, maintains national cemeteries as national shrines, marks Veterans’graves with a Government-furnished headstone or marker, provides presidential memorial certificates in recognition of their service, and administers grants for establishing or expanding state and tribal Government Veterans’ cemeteries. VLER’s NCA projects are working to modernize a number of burial benefits systems. Veterans & their Families
Veterans Relationship Management (VRM) (VRM) – Enterprise Veterans Self Service will help VA develop and deliver on-demand access to comprehensive services and benefits in a consistent, Veteran-centric environment. This project will also help VA improve the ways information is exchanged between Veterans and VA and within the organization. VA Employees
State Drug Prescription Monitoring Program VA is now permitted to share prescription history information with state prescription monitoring programs (PMPs), a major step toward improving health care and reducing prescription drug abuse among Veterans. Adding VA prescription history data to that of state PMPs will provide a more complete picture of Veterans’use of controlled substances, helping prescribers make better clinical decisions and reducing opportunities for prescription drug diversion. It will also help meet one of the four major goals of the White House Office of National Drug Control Policy (ONDCP’s) 2011 Prescription Drug Abuse Prevention Plan: to improve the monitoring of controlled substance prescribing and dispensing. Providers
PRE (VA Pharmacy Reengineering) PRE will meet the current and future business needs of Department of Veterans Affairs (VA) Pharmacy. PRE will replace the existing Veterans Health Information Systems and Technology Architecture (VistA) Pharmacy application suite. The existing pharmacy software modules are being reengineered through new development and the purchase of commercial-off-the-shelf (COTS) products that will support future architecture for applications. PRE also includes development and customization of a decision support system based on COTS and VA components that cross checks a patient'’s newly ordered and existing drugs and doses and then sends VA Pharmacists alerts that can save lives and reduce adverse drug events. Providers
Genomic Informatics System for Integrative Science (GenISIS) GenISIS stores bio-specimens with longitudinal clinical annotations collected through the Million Veteran Project (MVP) and makes them available to investigators with appropriate protocols to conduct genomic/molecular studies. Genomic data generated from such studies is added to the GenISIS platform and made available for future studies. VA Employees and Providers
Health Management Platform The Health Management Platform integrates health informatics and IT in the delivery of health care IT products and provides a succession plan to transition the Computerized Patient Record System (CPRS) to the next generation of browser-based Electronic Health Records (EHRs). VA Employees and Providers
New Models of Care—My HealtheVet My HealtheVet (MHV) is a forward-facing web portal that helps replace a visit-based, hospital-centric model with a Veteran-centric health care model. The MHV infrastructure is designed to help Veterans navigate VA’'s health care system and receive coordinated care, thus enhancing the Veteran’s overall healthcare experience through a results-driven and innovative environment. Benefits to the Veterans include the ability to use MHV to view their Personal Health Records (PHRs) and extracts from their VA health records online, the ability to securely communicate electronically with their health care teams, and the ability to access educational material. MHV is the unifying step towards providing Veterans with complete ownership of their health care. Veterans
Veterans Affairs National Facilities Locator This service is being adapted for web API and allows user to search for VA facility locations; VA central offices, benefits offices, cemeteries, and all VA medical facilities. This service categorizes information for browsing by state and administration, as well as by viewing through an interactive map of the United States. Veterans and General Public
Nationwide Gravesite Locations This service is being adapted for web API and allows user to search for burial locations of veterans and their family members in VA National Cemeteries, state veterans cemeteries, various other military and Department of Interior cemeteries, and for veterans buried in private cemeteries when the grave is marked with a government grave marker. The Nationwide Gravesite Locator includes burial records from many sources. These sources provide varied data; some searches may contain less information than others. Information on veterans buried in private cemeteries was collected for the purpose of furnishing government grave markers, and we do not have information available for burials prior to 1997. Veterans and General Public

Customer Engagement Approach (Milestone 2.1)

The United States Department of Veterans Affairs utilized several effective methods to ascertain both systems and services that would satisfy the requirements associated with OMB milestone actions 2.1 and 7.1. Since the May 23, 2012 publication of the Federal Digital Government Strategy, the U.S. Department of Veterans Affairs has performed several data calls requesting information regarding planned, in-development, and provisioned SOA Services and Mobile Applications. Additionally, numerous face to face meetings and conference calls were held with various program managers and systems engineers across departments to validate what would later become the initial direct responses to milestone actions 2.1 and 7.1. As clarification was received from CIO Council emails during July 2012, the U.S. Department of Veterans Affairs revised its initial data gathering approach. The U.S. Department of Veterans Affairs internally canvassed and prioritized its cadre of mission essential Information Systems and mobile applications for the purpose of crafting a response that would best satisfy milestone actions 2.1 and 7.1.