Advanced Planning Brief to Industry

1. Advanced Planning Brief to Industry Lorraine Landfried Deputy CIO OIT Product DevelopmentJune 9, 2011

2. Agenda • Product Development Organizational Overview • PMAS and ProPath Refreshers • Major Initiatives • EHR • Health, Benefits, and Corporate Products • ICD-10 • Open Source • Upcoming Acquisitions

3. Office of Information & Technology Quality, Performance, and Oversight Assistant Secretary, Office of Information & Technology ------------------------------ Principal Deputy Assistant Secretary Customer Liaisons VLER EPMO Service Delivery & Engineering Product Development Architecture, Strategy, & Design IT Resource Management Information Security

4. Product Development DCIO for Product Development Lorraine Landfried Chief of Staff Mickie Krause ADCIO for Project Management Keith Seaman ADCIO for Product Support Wil Berrios ADCIO for Development Management Dave Peters

5. Where is Product Development? Albany Philadelphia Hines Eatontown Salt Lake City Oakland Silver Spring Denver Washington DC Quantico Birmingham Tuscaloosa Dublin Dallas Austin Bay Pines Product Development Center REPORT DATE: 04/20/11

6. Project Management ADCIO for Project Management Keith Seaman Director, Major Initiatives Steve Schliesman Director, EHR Susan Perez Director, Health Products Larry Weldon Director, Benefits & Corporate Products Dan Pate

7. Project Management ADCIO for Development Management Dave Peters Director, Planning & Analysis Competency Mark Warner Director, Application Development Competency Catherine Pfeil Director, Product Assessment Competency Julie Harvey

8. Project Management ADCIO for Product Support Wil Berrios Director, Health Product Support Vanessa Davis Director, Benefits Product Support Ron Hawkins Director, Corporate Product Support Tammy Watson

9. Product Development • Objective: PD manages all VA enterprise application development. Development consists of planning, developing or acquiring, integrating, and testing applications to meet business requirements.  It provides day-to-day direction over all solutions developed by OIT for VA business units and is a trusted partner in how VA delivers its mission and achieves VA’s transformational goals.

10. PD Overarching Goals and Priorities • Product Support • Serve as experts on deployed application software base • Respond to application software maintenance, and proactively identify/avoid potential problems • Maintain engineering and business integrity of operational products to support VA’s mission • Retire/consolidate products to reduce cost and/or exploit new benefits • Develop and deploy new mission critical systems • Major Initiatives, EHR • Heath, Benefits, Corporate products • Other funded system enhancements

11. Product Support • Flat or declining budgets • Determining strategies for consolidating and retiring products • Work must be “self-funded” – small investments for large return

12. Development Management • Competency segment of organization • Includes functions where consistency is critical: • Project planners • Project management • Programming • Technical analysis • Implementation management • Planning common competency acquisitions in coming years

13. Critical Management Information • Project Management Accountability System (PMAS): All projects must be PMAS compliant. • ProPath: PMAS mandates use of ProPath standardized processes. • Contractor clearance: process & project timeframes more stringent, efficient and timely clearance of contractors critical.

14. Changes in PD: Management and Execution • Building accountability for schedule and dollars • Continuing to improve customer delivery performance through schedule rigor – 1 minute late is LATE. • 72% on time to date this FY (71% for MI, 74% non-MI) • 100% of development budget tied to outcomes • Working to better define requirements through PMAS-mandated IPTs • Close collaboration earlier in development cycle with business owners, TAC, and all stakeholders • Structuring the organization • Competency-based • Central PMO contract • Flexibility and efficiency for changing priorities • Acquisitions will be structured to match organization • T-4

15. Critical DevelopmentInformation • Agile development • Common infrastructure: necessitates strong design abilities. • Open Source: impacts yet to be fully understood. • Technical Reference Model (TRM) • Databases: Oracle, SQL Server • Languages: Java, MUMPS, Delphi • Development Tools: IBM Rational brand line, Microsoft Project • Operating Systems:  Windows, RH Linux, Solaris • Application Server: Oracle WebLogic • Web Server: IIS, Tuxedo, MOSS • New initiatives: mobile apps, Android, Apple iOS2

16. PMAS: A Refresher • Requires all IT programs be appropriately resourced and use incremental product build techniques to focus on delivery of new functionality to customers at least every six months • Stringent monitoring; projects may be stopped. • At sign of trouble, projects may be paused and reevaluated. • Contracts now being structured and written according to PMAS requirements. • PMAS is mandatory for all OIT development work.  The PMAS Guide is available in the Bidder’s Library. • All development work will be reported in the PMAS database (MS Project 2010).

17. ProPath: A Refresher • ProPath is a front-end tool to a Process Asset Library containing information regarding standard VA IT processes. • It is a one-stop shop, providing critical links to the formal approved processes, artifacts, and templates to assist project teams in facilitating their PMAS-compliant work. • Visual flow representation makes it easy to retrieve information and comprehend process. • It is SDLC agnostic. It reflects processes mandated for use with Agile, Linear, and any other methodology. • Just as with the PMAS Guide, using ProPath is mandatory and is directly implied by the information in the PMAS Guide. ProPath is available in the Bidder’s Library.

18. Major Initiatives Director: Steve Schliesman

19. Electronic Health Record (EHR) • Formal agreement and sponsorship on March 17, 2011. EHR will be national model for capturing, storing, and sharing electronic health information. • Functional and technical experts developing overall concept of operations to determine best approach.  • Team structure transformed to best support proposed governance model. • June 23, 2011: estimated completion of governance model, cost analysis, technical assessment, architectural review, and knowledge sharing process recommendation. • July: estimated completion of common Graphical User Interface (GUI). • Challenges • Disparate architecture: DoDAF & FEA/ProPath • Need for platform independence: anything that should be joint will be joint • Recent VA/DoD sharing initiatives • Health information for almost 4M Veterans and Servicemembers available to clinicians  • Self-access through “Blue Button” technology • Joint Federal Health Care Center • VLER: Phased approach to data sharing to broader audience (private clinicians, benefits adjudicators, family members, care coordinators, and other caregivers) with five pilot sites where health information is shared between VA, DoD, and private sector

20. Common DoD-VA Requirements: HL7 EHR-S Functional Model with DoD and VA vetted Extensions (SV-4) Common DoD-VA Integrated Health Business Reference Model (OV-5) Common DoD-VA “To Be” Process Flow Model (OV-6C) Presentation (Common GUI) Applications and Services VA Unique (6) DoD Unique (16) Common (Joint) Applications & Services (30) Pharmacy PersonalHealth Record Laboratory Blood Mgmt Battlefield Care Pediatrics Nursing Home Long Term Care DisabilityEvaluation InpatientOrders Mgmt EmergencyDept Care DocumentMgmt MilitaryReadiness Obstetrics Rehabilitative Care TransientOutreach Dental Care Consult &Referral Mgmt Immunization OperatingRoom Mgmt Enroute Care Veterinary PharmacyMail Order OccupationalHealth (VA) Common Interface Standards Common Services Broker(includes Enterprise Service Bus (ESB) and Infrastructure Services) Common Interface Standards Common Data Centers Common Information Interoperability Framework (CIIF) Common Information Model, Common Terminology Model, Information Exchange Specifications, Translation Service Common Data Standards: SNOMED CT and Extensions, LOINC and RxNorm Common DoD-VA Measures of Effectiveness, Measures of Performance and Key Performance Parameters

21. Health Products Director: Larry Weldon

22. ICD-10 • International standard diagnostic classification for many health management purposes • Government mandate for compliance by October 1, 2013 • Participation from VHA, Health Information Management (HIM), and several OIT teams • Affects nearly all areas of the health organization, including clinical functions, claims and financial functions and Health Information Management • Many core applications will require upgrade to accommodate new ICD-10 codes • New codes have greater degree of specificity than current ICD-9-CM codes and will increase in number • Approximately 13,000 ICD-9 codes • Approximately 68,000 ICD-10-CM codes

23. Benefits & Corporate Products Director: Dan Pate

24. Open Source • Transition to an Open Source Model • Proposed governance structure embodied in a Custodial Foundation • VA and DoD likely the first members • VA initially funds the foundation • VA contributes the initial code as open source base • Desired outcomes: • Greater innovation and breadth of function • Improved interoperability among VistA modules and between VistA and related systems • Stronger system and application security • Rapid customization (such as unique localization requirements) • Improvements in quality and reliability

25. Upcoming Acquisitions • $350M more to come in FY11 for MIs • $100M+ to come on other PD work • $600M in FY12 on MIs and EHR

26. Upcoming Acquisitions To Be Awarded 4th Qtr FY11 through 1st Qtr FY12

27. Upcoming Acquisitions To Be Awarded 4th Qtr FY11 through 1st Qtr FY12

28. Upcoming Acquisitions To Be Awarded 4th Qtr FY11 through 1st Qtr FY12