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VA EXPRESS CARD

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Veterans will be able to interact with VA kiosks where appointment listings can be obtained ... be developed in concert with overall organizational information ... – PowerPoint PPT presentation

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Title: VA EXPRESS CARD


1
VA EXPRESS CARD
  • Dennis M. Lewis, FACHE
  • Director, Edward Hines, Jr., VA Hospital
  • Hines, Illinois 60141
  • Dennis.Lewis_at_med.va.gov

2
Overview
  • 26 million veterans and 43 million dependents
  • Nearly one-third of the nations population are
    potentially eligible for VA benefits
  • Facilities in all 50 states, Washington, DC,
    Puerto Rico, Virgin Islands, Philippines, Guam
    and Samoa

3
Overview
  • Nations largest medical system with 173 medical
    centers, 129 nursing homes, 35 domiciliaries and
    400 community based clinics
  • 58 regional veterans benefits offices providing
    monetary, disability, pension, education and
    vocational rehabilitation benefits
  • 13 million home loans and the nations largest
    insurance program
  • Nations largest cemetery system with 116
    national cemeteries

4
History
Metal ID 1930s-1970s
Plastic ID (1st generation) 1970s-1990s
Paper ID 1940s-1970s
Veteran Identification Card (VIC) 1997
VAlor Card 2001
5
Background
  • In 1993, the VA approved testing of a 1st
    generation veteran identification card (VIC) at
    VA Hospitals. VIC was to
  • Be a Universal VA Identification Card
  • Prompt Health Card versus Hospital Care
  • Improve services to veterans - seamlessly

6
Background
  • The national implementation of VIC was completed
    in April 1997
  • The card is plastic, embossed, with a magnetic
    stripe and bar code
  • The embossed information allows for paper
    transfer of information, while the magnetic strip
    and bar code are electronically readable

7
Background
  • VIC was to rapidly look-up medical and
    administrative information on the veteran
  • It would allow for electronic registration
  • Card were personalized at each facility with five
    data elements including name, date-of-birth,
    social security number and service connection

8
Background
  • VIC also contained a small black and white
    picture of the veteran
  • Takes about a minute to produce
  • To date over eight million cards have been issued

9
Background
  • The information on the card didnt change
  • The veterans name and social security number
    were visible on the card

10
Background
  • After a complete program review of VIC in
    1998/1999 it was recommended that ...rather than
    make incremental improvements to the existing
    VIC, the VA should move to smart identification
    cards
  • The recommendation was conceptionally approved in
    the Fall of 1999

11
Background
  • Additional recommendation addressed the need for
    significant culture/operational changes in the
    way VA conducts its clinical and administrative
    practices.

12
Objectives
  • There will be ONLY one card across the Department
    of Veterans Affairs
  • The card may be presented by a veterans at any VA
    (VHA, VBA, NCA) facility and honored by all VA
    employees
  • The card will be scaleable
  • The card will enhance VAs business services and
    bring inherent value to VAs mission and veterans

13
Objectives
  • The card will be network-centric as opposed to
    card-centric
  • The card will enhance veteran quality of care,
    safety and service
  • Will enhance VAs business services and bring
    inherent value to VAs mission
  • It will work across government and contain a
    digital certificate to facilitate veterans
    participation in e-commence and e-government

14
Objectives
  • For the first time, the card will contain
    clinical and administrative data that is subject
    to change
  • Will contain data from all three principal VA
    organizational units
  • As the VA Express Card matures it will provide
    additional applications
  • Veterans will be able to interact with VA kiosks
    where appointment listings can be obtained

15
Objectives
  • Pharmacy refill requests
  • Veterans can charge administrative information,
    mailing address, telephone numbers, etc.
  • Obtain updated benefits information, disability
    rating, military service status and eventually,
    electronic purse functionally

16
Initial Implementation Goals
  • Determine adequacy of visual ID with introduction
    of larger, full color veteran picture
  • Determine adequacy of data carrier for
    registration and emergency medical information
    demographics
  • Determine portability of patient information,
    specifically between VA and non-VA facilities

17
Initial Implementation Goals
  • Realization of a paperless system and
    acceptance by veterans and staff of the VA
    Express Card
  • Identify impact upon business processes - what
    can be streamlined, changed eliminated
  • Identify technology requirements/barriers to the
    use of the VA Express Card
  • Identify non-VA program needs/requirements, i.e.,
    DOD, G-8, etc.

18
Business Case The fundamental inefficiency
of Americas health care system is the timely
matching of patient need to the most appropriate
level of service at the most appropriate costs
T.U. Gaboatie
19
Business Case
  • In 1998, more than 100 million citizens visited
    the Nations 5000 emergency rooms
  • In FY00, 1.17 million veterans had over 2.17
    million emergency room encounters

20
Business Case
  • 80 or more of all patients presenting in
    emergency rooms are treated based on
    self-reported medical history, or no history at
    all
  • In FY00, 37 of all veterans were treated at more
    than one VA facility

21
Business Case
  • In FY00, approximately 3.9 million veterans were
    treated at VA facilities
  • Approximately 1.44 million were treated at
    multiple VA facilities

22
Current Status
  • A requirements analysis, business case and
    project plan was completed in July 2000
  • An initial proof of concept is a lab setting was
    successfully completed in August of 2000
  • Initial deployment of hardware software
    necessary to facilitate nationwide implementation
    began in January 2001 in Network 12

23
Current Status
  • Electronic embossing proof of concept demo
    completed and installed - March 2001
  • Single and all form embossing demonstration
    completed - March 2001
  • Site testing staff training on embossing
    replacement completed April 2001

24
Current Status
  • Installation of card issuance hardware/software
    completed April 2001
  • Communication launch to veterans at Milwaukee and
    Iron Mountain started April 2001
  • Approximately 11,000 smart cards mailed out April
    2001

25
Summary
  • Multiple rolls are seen for the VA Express Card
  • Visual Identification (improving veteran privacy)
  • Electronic identification (keys certificates)
  • Portable data carriers pointer to additional
    data
  • Significant reduction in potential patient
    treatment errors
  • Physical Access
  • Information System Security
  • Electronic Payment/Digital Purse

26
Final Thoughts
  • Smart card technology is resource expensive
  • In large organizations, must be developed in
    concert with overall organizational information
    technology strategy
  • Business case must be strong, identifying closely
    with organizations goals and objectives
  • Dont expect immediate acceptance

27
Final Thoughts
  • Patients and staff will use the smart card when
  • Its adaptable
  • Its integrated with other functions
  • It leverages the strengths of your other
    systems
  • Its personal and customizable
  • It provides greater service

28
Further Information
  • http//vaww.va.gov/proj/onevacard/
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