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Power of VA-DoD Sharing Power of VA-DoD Sharing Conference Conference VistA Fee IPAC Update VistA Fee IPAC Update Office of Enterprise Development (OED) Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Patient Management Portfolio Management Office (PMO) Deborah Lawson June 4, 2009

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Page 1: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Power of VA-DoD Sharing ConferencePower of VA-DoD Sharing Conference

VistA Fee IPAC UpdateVistA Fee IPAC Update

Office of Enterprise Development (OED) Office of Enterprise Development (OED)Patient Management Portfolio Management Office (PMO)Patient Management Portfolio Management Office (PMO)

Power of VA-DoD Sharing ConferencePower of VA-DoD Sharing Conference

VistA Fee IPAC UpdateVistA Fee IPAC Update

Office of Enterprise Development (OED) Office of Enterprise Development (OED)Patient Management Portfolio Management Office (PMO)Patient Management Portfolio Management Office (PMO)

Deborah LawsonJune 4, 2009

Page 2: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

AgendaAgenda

• Introductions

• Overview

• Processes & Problems

• Stakeholders

• Software Requirements

• Timelines

• Summary

• Questions

• Key Acronyms

2VistA Fee IPAC UpdateJune 4, 2009

Page 3: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

IntroductionsIntroductions

VA/DoD VistA Fee IPAC Interface Project

IT Project Manager:

Debbi Lawson, PMP

3VistA Fee IPAC UpdateJune 4, 2009

Page 4: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Overview – VA/DoD VistA Fee-IPAC InterfaceOverview – VA/DoD VistA Fee-IPAC Interface

• Project: VistA Fee to comply with IPAC

• Purpose: Enhance VA-DoD collaboration

• Outcomes: – Accurate workload capture– More appropriate budget allocations– Payment process standardization– Increased reporting capability– More timely payments

• When: 2010

4VistA Fee IPAC UpdateJune 4, 2009

Page 5: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Background – Veterans Health AdministrationBackground – Veterans Health Administration

5VistA Fee IPAC UpdateJune 4, 2009

Agent Orange Health Effects and Vietnam VeteransBlind Rehabilitation ServicesCancer ProgramCenter for Women VeteransCold InjuryGeriatrics and Extended CareGulf War Veterans HeathHepatitis CHIV/AIDS ProgramHomelessnessMental HealthMental Illness ResearchNursingPolytraumaPost-Traumatic Stress DisorderProsthetics and Sensory AidsSocial Work

Page 6: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Background – Current Inpatient Fee ProcessBackground – Current Inpatient Fee Process

6VistA Fee IPAC UpdateJune 4, 2009

Page 7: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Background – Current TAMC-VA IPAC Process Background – Current TAMC-VA IPAC Process

7VistA Fee IPAC UpdateJune 4, 2009

Page 8: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Background – Current TAMC-VA IPAC Process Background – Current TAMC-VA IPAC Process

8VistA Fee IPAC UpdateJune 4, 2009

Page 9: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

ProblemsProblems

• VA– Out of compliance with DoT– Underreporting of workload in VERA– Manual, time consuming work-arounds– Disincentive to partner with DoD

• DoD– Disincentive to partner with VA– Late payments

9VistA Fee IPAC UpdateJune 4, 2009

Page 10: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

BackgroundBackground

10VistA Fee IPAC UpdateJune 4, 2009

Page 11: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

StakeholdersStakeholders

• VA– VHA CO VA-DoD Sharing Office – John Bradley– VHA CO – Michael Moore– VHA CBO – Patty Gheen– AITC (Central Fee) – Judy Sine– FSC (FASPAC) – Gary McWilson/Mary Lancaster– OI&T OED (Fee Basis) – Debbi Lawson– ESM – Eddie Piskura

11VistA Fee IPAC UpdateJune 4, 2009

Page 12: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

StakeholdersStakeholders

• VA / DoD Sites– VA Pacific Islands Health Care System – John Holes– Alaska Veterans Affairs Health Care System– VA Northern California Health Care System– El Paso VA Health Care System– VA Southern Nevada Health Care System– New Mexico VA Health Care System– Key West Community Based Outpatient Clinic– VA Gulf Coast Health Care System

12VistA Fee IPAC UpdateJune 4, 2009

Page 13: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

StakeholdersStakeholders

• DoD / DFAS– Cleveland

• Christina Floro• Gene Riendeau

– Columbus• Margo Berry• Lee Williams

– Indianapolis • Jeannie Allen• Mark Angellotti

13VistA Fee IPAC UpdateJune 4, 2009

Page 14: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

GoalsGoals

Business Requirements • Electronically document all information required to

process a claim through IPAC• Electronically send claim information to IPAC

Business Processes Enabled• Data Sharing and Interoperability with DoD• Accurate VA workload capture

14VistA Fee IPAC UpdateJune 4, 2009

Page 15: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

VistA Fee RequirementsVistA Fee Requirements

Manage IPAC Vendors• Add IPAC Vendor file• Add new menu• Add new options to Add/Edit/Delete• Add reports• Transmit IPAC Vendor data to Central Fee

Modify Invoice and Payment Options• Prompt users for IPAC data • Pharmacy Modifications for IPAC• Include IPAC data in payment

15VistA Fee IPAC UpdateJune 4, 2009

Page 16: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

VistA Fee Requirements (Continued)VistA Fee Requirements (Continued)

Modify Payment Confirmations

Reports• IPAC Vendor DoD Invoice Report• IPAC Vendor Payment Report• DoD Invoice Number Inquiry

16VistA Fee IPAC UpdateJune 4, 2009

Page 17: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Other RequirementsOther Requirements

Central Fee• Receive & file IPAC vendor data• Identify IPAC payments• Return IPAC transaction number• Send data to FASPAC

FASPAC• Create new receiver for Central Fee data• Create new sender to Central Fee to return data

17VistA Fee IPAC UpdateJune 4, 2009

Page 18: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

BenefitsBenefits

• Streamlines method to submit DoD claims to IPAC

• Reduces manual entry while increasing accuracy

• Increases accuracy of VERA workload reporting

• Represents national solution

• Accommodates other federal providers

18VistA Fee IPAC UpdateJune 4, 2009

Page 19: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Timeline - PastTimeline - Past

• Idea: April 2006

• New Service Request: May 2007• Business Requirements: November 2007

• Approved by JEC: July 2008

• Funding: November 2008

• OI&T Project Start: January 2009

• Requirements Complete: May 2009

19VistA Fee IPAC UpdateJune 4, 2009

Page 20: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Timeline - FutureTimeline - Future

Schedule Baseline Due: 6/29/09

Project Phases:• Design 9 weeks• Coding 16 weeks• Integrated testing 4 weeks• Site testing 6 weeks• National Patch release 2 weeks• Project Close 4 weeks

20VistA Fee IPAC UpdateJune 4, 2009

Page 21: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

SummarySummary

• Positive Incentive for VA-DoD sharing

• Reimbursements more accurate

• Speeds payments to DoD

June 4, 2009 VistA Fee IPAC Update 21

Page 22: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Questions?Questions?

June 4, 2009 VistA Fee IPAC Update 22

Page 23: Power of VA-DoD Sharing Conference VistA Fee IPAC Update Office of Enterprise Development (OED) Patient Management Portfolio Management Office (PMO) Deborah

Key AcronymsKey Acronyms

AITC – Austin Information Technology Center (5)

DFAS - Defense Finance and Accounting System (9)

DoD – Department of Defense (0)

DoT – Department of the Treasury (8)

ESM – Enterprise Systems Management (10)

FASPAC - Federal Accounting Service Payment and Collections (9)

FMS - Financial Management System (5)

FSC – Financial Services Center (9)

IPAC – Intra-governmental Payment and Collection (6)

MTF – Military Treatment Facility (6)

VA – Department of Veterans Affairs (0)

VACO – Department of Veterans Affairs Central Office (10)

VAMC – Department of Veterans Affairs Medical Center (4)

VERA - Veterans Equitable Resource Allocation (8)

VHA – Veterans Health Administration (2)

VISN - Veterans Integrated Service Network (5)

VistA - Veterans Health Information Systems and Technology Architecture (5)

June 4, 2009 VistA Fee IPAC Update 23