Clinical process standardization



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DATE: 3/14/2017
VERSION: 1.2
ACQUISITION SENSITIVE


  1. BACKGROUND

The Veterans Health Administration is modernizing its Electronic Health Records (EHR) to enhance the capabilities of its clinical Information Technology (IT) tools as part of VHA’s strategic goal of transforming Veterans’ healthcare into an innovative, responsive 21st century organization. The goals of EHR modernization include interoperability and improved clinical and technical capabilities, efficiency, productivity, employee satisfaction, and ultimately Veterans satisfaction and improved health outcomes. As VHA’s primary integrated system of nationally mandated and locally adapted software applications directly supporting patient care at VHA facilities, Veterans Health Information Systems and Technology Architecture (VistA) enhancements will provide new functionality and enable high quality healthcare and interoperability capabilities.


Clinical Process Standardization

Clinical training is a significant factor in the success of modernized healthcare tools when shifting to a proactive, patient-centered model of health care. Such training shall educate end-users on new clinical workflows and the use of modernized technical tools. Applied Informatics and EHR workgroup project leads will be responsible for providing oversight of training activities for all software deployed as part of EHR modernization, and will be guided by the VistA Evolution Deployment Plan and VistA Evolution Training Plan. Applied Informatics Deployment, VA EES, VA VERC, and Patient Safety leads will work with various project teams to ensure successful training outcomes are realized as iterative software enhancements are released to medical facilities.


As VHA implements new functionality into its healthcare IT tools and applications, effective clinical training must be developed and delivered to accelerate the adoption towards standardized clinical and patient workflows, increases the ability of clinical staff to utilize newly deployed healthcare software tools, and realize the benefits of healthcare transformation.


  1. APPLICABLE DOCUMENTS

In the performance of the tasks associated with this Performance Work Statement, the Contractor shall comply with the following:



  1. 44 U.S.C. § 3541, “Federal Information Security Management Act (FISMA) of 2002”

  2. Federal Information Processing Standards (FIPS) Publication 140-2, “Security Requirements For Cryptographic Modules”

  3. FIPS Pub 201-2, “Personal Identity Verification of Federal Employees and Contractors,” August 2013

  4. 10 U.S.C. § 2224, "Defense Information Assurance Program"

  5. Carnegie Mellon Software Engineering Institute, Capability Maturity Model® Integration for Development (CMMI-DEV), Version 1.3 November 2010; and Carnegie Mellon Software Engineering Institute, Capability Maturity Model® Integration for Acquisition (CMMI-ACQ), Version 1.3 November 2010

  6. 5 U.S.C. § 552a, as amended, “The Privacy Act of 1974”

  7. 42 U.S.C. § 2000d “Title VI of the Civil Rights Act of 1964”

  8. VA Directive 0710, “Personnel Security and Suitability Program,” June 4, 2010, http://www.va.gov/vapubs/

  9. VA Handbook 0710, Personnel Security and Suitability Security Program, May 2, 2016, http://www.va.gov/vapubs

  10. VA Directive and Handbook 6102, “Internet/Intranet Services,” July 15, 2008

  11. 36 C.F.R. Part 1194 “Electronic and Information Technology Accessibility Standards,” July 1, 2003

  12. Office of Management and Budget (OMB) Circular A-130, “Managing Federal Information as a Strategic Resource,” July 28, 2016

  13. 32 C.F.R. Part 199, “Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)”

  14. An Introductory Resource Guide for Implementing the Health Insurance Portability and Accountability Act (HIPAA) Security Rule, October 2008

  15. Sections 504 and 508 of the Rehabilitation Act (29 U.S.C. § 794d), as amended by the Workforce Investment Act of 1998 (P.L. 105-220), August 7, 1998

  16. Homeland Security Presidential Directive (12) (HSPD-12), August 27, 2004

  17. VA Directive 6500, “Managing Information Security Risk: VA Information Security Program,” September 20, 2012

  18. VA Handbook 6500, “Risk Management Framework for VA Information Systems – Tier 3: VA Information Security Program,” March 10, 2015

  19. VA Handbook 6500.1, “Electronic Media Sanitization,” November 03, 2008

  20. VA Handbook 6500.2, “Management of Breaches Involving Sensitive Personal Information (SPI)”, October, 28, 2015

  21. VA Handbook 6500.3, “Assessment, Authorization, And Continuous Monitoring Of VA Information Systems,” February 3, 2014

  22. VA Handbook 6500.5, “Incorporating Security and Privacy in System Development Lifecycle”, March 22, 2010

  23. VA Handbook 6500.6, “Contract Security,” March 12, 2010

  24. VA Handbook 6500.8, “Information System Contingency Planning”, April 6, 2011

  25. OI&T ProPath Process Methodology (reference process maps at http://www.va.gov/PROPATH/Maps.asp and templates at http://www.va.gov/PROPATH/Templates.asp

  26. One-VA Technical Reference Model (TRM) (reference at http://www.va.gov/trm/TRMHomePage.asp)

  27. National Institute Standards and Technology (NIST) Special Publications (SP)

  28. VA Directive 6508, “Implementation of Privacy Threshold Analysis and Privacy Impact Assessment,” October 15, 2014

  29. VA Handbook 6508.1, “Procedures for Privacy Threshold Analysis and Privacy Impact Assessment,” July 30, 2015

  30. VA Directive 6300, Records and Information Management, February 26, 2009

  31. VA Handbook, 6300.1, Records Management Procedures, March 24, 2010

  32. OMB Memorandum, “Transition to IPv6”, September 28, 2010

  33. VA Directive 0735, Homeland Security Presidential Directive 12 (HSPD-12) Program, October 26, 2015

  34. VA Handbook 0735, Homeland Security Presidential Directive 12 (HSPD-12) Program, March 24, 2014

  35. OMB Memorandum M-06-18, Acquisition of Products and Services for Implementation of HSPD-12, June 30, 2006

  36. OMB Memorandum 05-24, Implementation of Homeland Security Presidential Directive (HSPD) 12 – Policy for a Common Identification Standard for Federal Employees and Contractors, August 5, 2005

  37. OMB memorandum M-11-11, “Continued Implementation of Homeland Security Presidential Directive (HSPD) 12 – Policy for a Common Identification Standard for Federal Employees and Contractors, February 3, 2011

  38. OMB Memorandum, Guidance for Homeland Security Presidential Directive (HSPD) 12 Implementation, May 23, 2008

  39. Federal Identity, Credential, and Access Management (FICAM) Roadmap and Implementation Guidance, December 2, 2011

  40. NIST SP 800-116, A Recommendation for the Use of Personal Identity Verification (PIV) Credentials in Physical Access Control Systems, November 20, 2008

  41. OMB Memorandum M-07-16, Safeguarding Against and Responding to the Breach of Personally Identifiable Information, May 22, 2007

  42. NIST SP 800-63-2, Electronic Authentication Guideline, August 2013

  43. NIST SP 800-157, Guidelines for Derived PIV Credentials, December 2014

  44. NIST SP 800-164, Guidelines on Hardware-Rooted Security in Mobile Devices (Draft), October 2012

  45. Draft National Institute of Standards and Technology Interagency Report (NISTIR) 7981 Mobile, PIV, and Authentication, March 2014

  46. VA Memorandum, VAIQ #7100147, Continued Implementation of Homeland Security Presidential Directive 12 (HSPD-12), April 29, 2011 (reference https://www.voa.va.gov/documentlistpublic.aspx?NodeID=514)

  47. VA Memorandum, VAIQ # 7011145, VA Identity Management Policy, June 28, 2010 (reference Enterprise Architecture Section, PIV/IAM (reference https://www.voa.va.gov/documentlistpublic.aspx?NodeID=514)

  48. IAM Identity Management Business Requirements Guidance document, May 2013, (reference Enterprise Architecture Section, PIV/IAM (reference https://www.voa.va.gov/documentlistpublic.aspx?NodeID=514)

  49. Trusted Internet Connections (TIC) Reference Architecture Document, Version 2.0, Federal Interagency Technical Reference Architectures, Department of Homeland Security, October 1, 2013, https://www.fedramp.gov/files/2015/04/TIC_Ref_Arch_v2-0_2013.pdf

  50. OMB Memorandum M-08-05, “Implementation of Trusted Internet Connections (TIC), November 20, 2007

  51. OMB Memorandum M-08-23, Securing the Federal Government’s Domain Name System Infrastructure, August 22, 2008

  52. VA Memorandum, VAIQ #7497987, Compliance – Electronic Product Environmental Assessment Tool (EPEAT) – IT Electronic Equipment, August 11, 2014 (reference Document Libraries, EPEAT/Green Purchasing Section, https://www.voa.va.gov/documentlistpublic.aspx?NodeID=552)

  53. Sections 524 and 525 of the Energy Independence and Security Act of 2007, (Public Law 110–140), December 19, 2007

  54. Section 104 of the Energy Policy Act of 2005, (Public Law 109–58), August 8, 2005

  55. Executive Order 13693, “Planning for Federal Sustainability in the Next Decade”, dated March 19, 2015

  56. Executive Order 13221, “Energy-Efficient Standby Power Devices,” August 2, 2001

  57. VA Directive 0058, “VA Green Purchasing Program”, July 19, 2013

  58. VA Handbook 0058, “VA Green Purchasing Program”, July 19, 2013

  59. Office of Information Security (OIS) VAIQ #7424808 Memorandum, “Remote Access”, January 15, 2014, https://www.voa.va.gov/DocumentListPublic.aspx?NodeId=28

  60. Clinger-Cohen Act of 1996, 40 U.S.C. §11101 and §11103

  61. VA Memorandum, “Implementation of Federal Personal Identity Verification (PIV) Credentials for Federal and Contractor Access to VA IT Systems”, (VAIQ# 7614373) July 9, 2015, https://www.voa.va.gov/DocumentListPublic.aspx?NodeId=28

  62. VA Memorandum “Mandatory Use of PIV Multifactor Authentication to VA Information System” (VAIQ# 7613595), June 30, 2015, https://www.voa.va.gov/DocumentListPublic.aspx?NodeId=28

  63. VA Memorandum “Mandatory Use of PIV Multifactor Authentication for Users with Elevated Privileges” (VAIQ# 7613597), June 30, 2015; https://www.voa.va.gov/DocumentListPublic.aspx?NodeId=28

  64. “Veteran Focused Integration Process (VIP) Guide 1.0”, December, 2015, https://www.voa.va.gov/DocumentView.aspx?DocumentID=4371

  65. “VIP Release Process Guide”, Version 1.4, May 2016, https://www.voa.va.gov/DocumentView.aspx?DocumentID=4411

  66. “POLARIS User Guide”, Version 1.2, February 2016, https://www.voa.va.gov/DocumentView.aspx?DocumentID=4412


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