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Overview of the VHA Corporate Data Warehouse
(CDW), the VSSC Portal
and Importance of Accurate Data
Sara TemlitzJack Bates
Pat Gadbaw
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VHA Data as a Business Asset
• Master Data Management– Multiple data sources– Data is not linear or unidirectional
• Single Version of the Truth• Data Issues
– Completeness– Latency– Accuracy– Data management– Data stewardship
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The Importance of Data Quality
• The role of Data Quality in:– Data Governance– Data Management
• Data Quality as it relates to other programs within and outside VHA– Data Standardization– Data Stewardship– Other VA Administrations– Other Business Partners
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Administrative Data Quality Council
• Mission - to enhance the delivery of Veterans health care benefits by improving the management of administrative data
• Membership – made up of representatives from:– Chief Business Office– Health Informatics and Information Resources– Field HIM, Registration, Enrollment and other Staff– Ad Hoc members from Data Warehousing, Data
Standardization, Compliance, Training and others
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Data Quality in VHA Data Stores
• Understanding Data Definitions• Understanding Data Use• Reporting inaccurate data• Being diligent in using good Data
Quality practices
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VHA Corporate Data Warehouse Overview
Jack Bates, MSDirector, VHA Corporate Data
Warehouse
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Corporate Data Warehouse (CDW)
• What is the Corporate Data Warehouse?– The CDW is a central collection of standardized databases integrating key enterprise wide clinical, administrative, and financial data to provide a unified view of VHA.
• CDW Strategy is a result of three primary factors:1. Standard Information: Business needs to have ready access to data to support management decision making.
2. Standard Architectures: Recognized value in standard platform, architecture, database structure and maintenance of CDW opposed to independent disparate Data Warehouse (DW) and Data Mart (DM) development by each business entity.
3. Standard Tools: The need to have modern, proven, robust access tools for reporting and analyzing data at the enterprise level.
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VHA Data Warehouse ArchitectureVHA Data Warehouse Architecture
DiabetesDiabetes
OEF/OIFOEF/OIF
DataDataWarehouseWarehouseVHAVHAaa
VHAVHAcc
SourceSourceSystemsSystems
AcquireAcquire Populate Populate Create Create Access Access Data Data WarehouseWarehouse MartsMarts Information Information
11 33 44
CommonCommonQuery, Reporting,Query, Reporting,
Analysis, and Analysis, and Data MiningData Mining
ToolsTools
OutpatientOutpatientEncountersEncounters
PharmacyPharmacyBenefitsBenefits
ManagementManagement
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OtherOther
VistAVistAHDRHDR
NPCDNPCDDSSDSSADRADR
VAVADoDDoDCMSCMS
ConformedConformedDimensionsDimensions
Prog OfficeProg OfficeData MartsData Marts
Ext
ract
, Tra
nsf
orm
, Lo
adE
xtra
ct, T
ran
sfo
rm, L
oad
RegionRegionWarehousesWarehouses
VHAVHAcc – VHA clinical systems – VHA clinical systemsVHAVHAaa – VHA administrative and financial systems – VHA administrative and financial systems
Program OfficesProgram Offices•Pharmacy BenefitsPharmacy Benefits•ProstheticsProsthetics•DentalDental
Closed Loop Information SystemClosed Loop Information System
ResearchResearchData MartsData Marts
Value Added DataValue Added Data
MetadataMetadataRepositoryRepository
HDR – Health Data Repository NPCD – National Patient Care Database DSS – Decision Support SystemADR – Administrative Data Repository DoD – Dept. of Defense CMS - Centers for Medicare & Medicaid Services
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VHA Corporate Data WarehouseDimensional Architecture
Conformed Dimensions (who,what,when,where,how,why)
Patien
t
Provid
er
Facilit
y
Stop
Code
Bed S
ectio
n
CPTIC
D9BOC
Time
Clin.Lab
Clin.Vitals
Admin.Visits
Admin.Admits
Fin.Billing
Fin.G&L Con
form
ed F
acts
(w
hat)
Business Process Transactions
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HDR Clinical Domains (Facts)
• OP Pharmacy• Allergies• Vitals• Ch Lab• Demographics• IP Pharmacy• Problem List• TIU Documents• Orders• OP Encounters• Health Factors• Radiology• Immunizations• Autopsy Lab• Patient Education• Mental Health
• Consults• Decision Support• Surgery• Women’s Health• Clinical Procedures• Dental• HBHC• Nursing• Blind Rehab• Catastrophically Disabled• Event Capture• Dietetics• Prosthetics• Registry Data• RAI/MDS (Long Term Care)• Compensation and Pension Exams• Blood Bank Lab
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Daily Load Dashboard
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The Future is Now
Increasing Data VolumesIncreasing domains
Clinical, Administrative, and Financial domainsTelemedicineGenomics
Clinical documentsIncreasing Data Frequency
Quarterly → Monthly → Semimonthly → Weekly → Daily → Real time
Increasing BI CapabilitiesPush technology (Mobile devices)AlertsPredictive analyticsPoint of care knowledge management (closed loop decision making)Text mining
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VHA Support Service Center
Overview VSSC PortalPat Gadbaw
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Course Objectives
• Provide Basic Understanding of VSSC – Portal Layout & Utilization– Tools– Support– Access
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Link to VSSC Home Page
http://vssc.med.va.gov//
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VSSC Portal Overview
• VSSC Portal– Domains– Program Areas– Subject Areas– Tools– Drop Down Menus
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VSSC Portal
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VSSC PortalThis layout may change in next several months
Special Populations Domain - Clinical Cohorts Subject Area
Select by subject area
Select by Product Type
Select by Subject Area
Select by Product Type
Hoover over Product Name for Description
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VSSC Product TypesICONs may change in next several months
• VSSC Web Site vssc.med.va.gov• VSSC Portal & ProClarity Tools
– SAS Canned Reports – MS Reporting Services – ProClarity Briefing Books – ProClarity Desktop Software (software needed) – Other Tools– Dashboard– Protected Health Information (PHI)– Applications
• Portals P
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Protected Health Information (PHI)
• A Protected Health Information (PHI) task code, implemented in January 2007, is required to access products with PHI icons on the VSSC web site or ProClarity Analytics Server . This task code is a lower level access code than real ssn; therefore, if you already have station, visn or national level real ssn, you do not need to apply. To access PHI, including provider-specific information, the PHI – 110NN07 task code must be added to VA Form 9957 to allow a user to see all variables that were previously removed to de-identify the PHI such as dates, scrambled social security number, zip codes, names, and any other unique identifying number, characteristics or codes. The approval process for this task code is as follows: Requesting Individual signs VA Form 9957, first approval official is the Supervisor and second approval official is the Director. The point of contact will either be the ACRS Point of Contact or the Information Security Officer. When signatures are completed, the ACRS POC will enter the information in the National Security SSN Database (NSSD).
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Domain areas of Clinical Interest
• ACA – – Clinic Wait Times– PCMM
• Quality & Performance – Performance
Measures & Monitors
– Quality
• Special Populations– Clinical Cohorts
• Special Projects– Physician
Productivity– VANOD
• Workload– Workload
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Examples of Product Type reports
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SAS Canned Reportstart page
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SAS Canned Report
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MS Reporting Services Subscription Ready Interactive Report
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ProClarity Web (PAS)Briefing Book View
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ProClarity DesktopCube
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List of Cube Libraries
List of Cube Libraries by Server Location
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Other Tools Business Reporter
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Example of Zip code Data imported into MapPoint
Example shows zip codes missed in VA-Air Force market
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VSSC Drop Down Menu’s
• News• Portals• Training• Support• Search & Advanced Search
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VSSC Newsletter
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Communication and Training
• Monthly Newsletter
• E-Mail Help Desk
• Live Meeting Training Sessions
• Tutorials
• Presentations and Face to Face Meetings
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Subscribe to VSSC Newsletter
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Portals Supported by VSSC
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Portals: Data ConsortiumVHA Data Tutorial
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VSSC Web-CamTraining Sessions
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VSSC Web-Cam
• Overview of VSSC Portal Part 1 & 2• Overview of ProClarity Web (PAS)
Parts 1, 2 & 3– Briefing Book Libraries, Books & Views– Customizing Pre-Built views– Create Your own View
• Overview of accessing VSSC cubes & Briefing Books via ProClarity Desktop
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VSSC Support
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VSSC SupportFAQ’s
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Questions? Need Help?
E-Mail: VSSC KLF Help Desk
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Sign up for Live-Meeting Training Sessions
See other on-line training tools
Click on desired session & enter email for class
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VSSC Search & Advanced Search
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Search Results - LTC
![Page 46: 1 Overview of the VHA Corporate Data Warehouse (CDW), the VSSC Portal and Importance of Accurate Data Sara Temlitz Jack Bates Pat Gadbaw](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649d7a5503460f94a5ed86/html5/thumbnails/46.jpg)
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Advanced Search
![Page 47: 1 Overview of the VHA Corporate Data Warehouse (CDW), the VSSC Portal and Importance of Accurate Data Sara Temlitz Jack Bates Pat Gadbaw](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649d7a5503460f94a5ed86/html5/thumbnails/47.jpg)
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Mouse over function displays where product/ report is located
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ProClarity Software Downloads
• We recommend for all Data Analysts:
– ProClarity Desktop Professional and Business Reporter
– ProClarity KPI Designer
![Page 49: 1 Overview of the VHA Corporate Data Warehouse (CDW), the VSSC Portal and Importance of Accurate Data Sara Temlitz Jack Bates Pat Gadbaw](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649d7a5503460f94a5ed86/html5/thumbnails/49.jpg)
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Download ProClarity software
![Page 50: 1 Overview of the VHA Corporate Data Warehouse (CDW), the VSSC Portal and Importance of Accurate Data Sara Temlitz Jack Bates Pat Gadbaw](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649d7a5503460f94a5ed86/html5/thumbnails/50.jpg)
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Download Software & Instructions
![Page 51: 1 Overview of the VHA Corporate Data Warehouse (CDW), the VSSC Portal and Importance of Accurate Data Sara Temlitz Jack Bates Pat Gadbaw](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649d7a5503460f94a5ed86/html5/thumbnails/51.jpg)
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DiscussionWhat can we do to
Enhance our Products to meet Your Needs?
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