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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

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