Innovation Advanced Deployment
In 2013, the VHA Innovation Program and partner VACI launched a major campaign to increase the number of completed, successful innovation projects deployed more broadly and rapidly across VA’s network. This effort resulted in a number of programs being expanded into multiple VA field sites and a continued effort to identify similar programs regularly for advanced deployment. Projects are recommended by the Innovation Selection Board to the Under Secretary for Health for final approval.
Work on implementing the 2013 projects is currently underway, while the 2014 projects were recently finalized. Check back regularly to see updates on projects being deployed across the network. If you are interested in becoming involved in future innovation deployment projects, please contact VHA Innovation for more information or with questions.
Alert Watch and Response Engine (AWARE)
The AWARE prototype tracks and monitors follow-up actions and identifies certain critical lab and imaging test result alerts that lack timely follow-up. The prototype consists of two main components: the Alert Tracker (also known as the Follow-up Action Tracker) and the Quality Improvement Tool (also known as the Critical Alert Reporting Engine). The AWARE prototype software application will be implemented at the Louis Stokes VA Medical Center, Cleveland, OH as the beta site, followed by national deployment to the other VAMCs.
Automated Radiology (RAPTOR)
RAPTOR is an automated, electronic tool for capturing medical device data from VistA that is needed by radiologists to optimize advanced medical imaging protocols including computed tomography, magnetic resonance imaging and nuclear medicine. The objective of the RAPTOR implementation effort is to install and beta test the application in a production environment at four clinical sites: Palo Alto, Fresno, Seattle and Tucson VAMCs.
Chemotherapy Mechanized Ordering and Management System (COMS)
COMS is an automated tool that enables end-to-end tracking of chemotherapy regimen including pharmacy orders, order templates, provider notes, end of treatment summaries and a database of relevant information. Clinicians can use the tool to access and query the chemotherapy-related clinical data needed to meet a variety of reporting needs. The objective of this implementation effort is to pilot COMS in a production environment at three beta sites, of which two have been identified, the Durham and Seattle VAMCs.
Remote Mental Health Intake and Assessment
The remote mental health intake and assessment project will accelerate the process for enrolling patients in mental health care. The project will create and deploy a web-based intake form for mental health assessments to be used for returning Operation Enduring Freedom/Operation Iraqi Freedom Veterans and enable clinicians to do mental health screening in remote settings. The purpose of the implementation effort is to deploy this innovation in a production environment at five clinical sites.
Advanced Environmental Controls for Severely Disabled Veterans
The Advanced Environmental Controls project improves the quality of life for severely disabled Veterans by providing them with tools that enable them to have better control over their surroundings. The project leverages voice activation technology, sip n’ puff straws, and head/eye pupil movement technologies to enable patients to call for the nurse, adjust bed position, dial/receive telephone calls, control television settings, control lights, and access electronic entertainment such as e-books and computer games.
Multi-Sensory Environment for Special Care Units
The Multi-Sensory Environment for Special Care Units project developed a new set of policies and procedures for the treatment of dementia and Alzheimer’s disease in Special Care Units. The project leverages Snoezelen therapy, which has been shown to have a calming effect on anxious or agitated persons and a stimulating effect on those who are difficult to access through verbal and tactile approaches. The deployment team will coordinate the installation of the necessary equipment at clinical sites and coordinate two user training modules at each site, an equipment training module and a dementia care training module.
After Visit Summary (AVS)
AVS is a user-friendly tool that summarizes key medical information from outpatient appointments by automatically populating a patient-centered print out with orders, instructions and medications.
Hazardous Pharmaceuticals (HazPharm)
HazPharm seeks to modify necessary VA systems to properly identify hazardous pharmaceuticals for handling precautions and disposal instructions. This will serve to protect the Veterans, VA staff, and environment.
Park a Prescription
Park a Prescription provides a method for providers to be able to “PARK” a prescription placing it in a status of “hold until requested by patient or provider.” The provider would be able to write for the medication order or edit current medication orders and then choose whether the medication should be sent immediately (current functionality) or to wait for the patient to request the medication (parking).
Mobile Hearing Aid Distance Fitting Application (HADFA)
The HADFA project aims to develop and oversee the enterprise implementation of an application that will allow VA care teams to adjust a patient’s hearing aids from a distance, without requiring them to come into the medical center. This included developing the application for iOS and Android smartphones, and ensuring it is available in the VA App Store.
Remote Veteran Apnea Management Portal (REVAMP)
REVAMP creates the ability for VA to remotely diagnose and treat sleep apnea by establishing an innovative clinical pathway for the diagnosis and treatment of Veterans with obstructive sleep apnea who live in remote and rural areas, utilizing web technologies.
Automated Audiology Clinical Extenders (AACE)
Audiology store-it-forward and automated audiometry, used in traditional clinical settings, are the focus for an initiative to provide Automated Audiology Clinical Extenders (AACE) to enhance current tele-audiology services. AACE has as its objectives to provide training and the tools necessary for selected clinical staff to do the following: Provide services that have the potential to increase patient access to audiological services, reduce costs and inconveniences associated with medical travel, minimize stress on family Caregivers who often provide transportation to appointments, reduce the amount of time patients and Caregivers take off work, increase the ability to rapidly respond to hearing related issues. Additionally, there is the potential to decrease the demand burden on busy providers and clinics and to increase patient satisfaction by increasing capacity and timely accessibility, and quality of care.