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HLCCompendium
HLCCompendium
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NDHI<br />
NAT IONAL DIALOGUE FOR<br />
Healthcare Innovation<br />
JAL FHCC Order Portability<br />
Project<br />
Organization Overview<br />
• Leidos provides lasting solutions for the world’s most<br />
complex problems, including scientific, engineering,<br />
systems integration, and technical services<br />
• Leidos helps healthcare organizations meet regulatory<br />
requirements, optimize technology for their<br />
clinical workflows, improve collections and reduce<br />
receivables, and keep data safe<br />
Background<br />
To enhance operational efficiency, promote cost savings,<br />
and improve access to medical services, the Department<br />
of Defense (DoD) and the Department of Veterans<br />
Affairs (VA) established an integrated healthcare<br />
center in North Chicago in 2010: the Captain James<br />
A. Lovell Federal Health Care Center (JAL FHCC).<br />
The JAL FHCC is a consolidated federal health care<br />
facility which consists of:<br />
• North Chicago VA Medical Center, serving veterans<br />
in Northern Illinois<br />
• Great Lake Naval Station Health Clinics, supporting<br />
naval recruits and trainees<br />
In order to successfully integrate these healthcare<br />
systems, it was critical to develop ‘near real-time’<br />
interoperability between the DoD’s electronic health<br />
record (EHR) system, Composite Health Care System<br />
(CHCS), and the VA’s EHR system, Veterans Integrated<br />
Systems and Technology Architecture (VistA).<br />
Project Details<br />
• The objective was to plan and oversee acquisition<br />
and implementation of information systems that<br />
integrated health care processes at the health<br />
system to achieve the following:<br />
––<br />
Build a single patient registration process<br />
––<br />
Create a medical single sign-on capability with<br />
patient context management<br />
––<br />
Build orders portability services for pharmacy,<br />
radiology, consult, and laboratory process<br />
• The project was initiated using a traditional waterfall<br />
software development lifecycle with phase-gate<br />
acceptance, in accordance with the VA Program<br />
Management Accountability System (PMAS) and<br />
then transitioned to an Agile System Development<br />
Life Cycle<br />
• The solution utilized HL-7 encapsulated in XML over<br />
SOAP between the two EHR systems and identity<br />
management (MVI/DEERS)<br />
Value Delivered<br />
This comprehensive solution enables near real-time<br />
interoperability between the different EHR systems,<br />
with the following features:<br />
• Unambiguous patient identification<br />
• Efficient extraction of information between CHCS<br />
and VistA<br />
An Initiative of the<br />
71 |<br />
JAL FHCC Order Portability Project