Clinical process standardization


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The Contractor shall apply the results of analysis in Task 5.6 (Training Effectiveness and Performance Measures) to ensure training has met the intended objectives and outcomes and that the intended training benefits are realized.

The Contractor shall ensure that all outstanding training issues are resolved and documented that preclude formal close-out of site training activities.
The Contractor shall consolidate on-going lessons learned and post-mortem reviews for training activities. A final report will be prepared which the program office and facility leads will acknowledge that the training provided for the IT solution, training delivery, documentation, communication, and training close-out activities have been completed satisfactorily according to the training plan.
The Contractor shall solicit on-going VHA stakeholder and business owner feedback to obtain operational concurrence/acceptance for all training phases at the conclusion of each training cycle.
As part of the final concurrence process, the Contractor shall conduct virtual exit briefings with facility leadership and appropriate Applied Informatics Deployment, VA EES, VA VERC, and Patient Safety leads to identify outstanding issues. An action plan will be developed to address any concerns and ownership responsibilities shall be assigned to the appropriate organizations.
Additionally, and opportunities for training process improvement shall be collected during all phases of the IT lifecycle, captured in lessons learned, and maintained in the training SharePoint repository.
Deliverable 5.7.1: Training Close-Out Activities Monthly Summary Report: Twelve (12) summary reports in final draft addressing Training close-out activities for all training effectiveness and performance measures shall be provided to Applied Informatics Deployment, VA EES, VA VERC, and Patient Safety leads no later than the 5th business day of each month, totaling 12 reports.
Deliverable 5.7.2: Training Exit Briefings Summary Report: Twelve (12) summary reports in final draft providing a summary of training exit briefings which have occurred in the previous calendar month shall be provided to Applied Informatics Deployment leads no later than the 5th business day of each month, totaling 12 reports.



The Contractor shall support the VA enterprise management framework. In association with the framework, the Contractor shall comply with OI&T Technical Reference Model (One-VA TRM). One-VA TRM is one component within the overall Enterprise Architecture (EA) that establishes a common vocabulary and structure for describing the information technology used to develop, operate, and maintain enterprise applications. One-VA TRM includes the Standards Profile and Product List that collectively serves as a VA technology roadmap. Architecture, Strategy, and Design (ASD) has overall responsibility for the One-VA TRM.

The Contractor shall ensure Commercial Off-The-Shelf (COTS) product(s), software configuration and customization, and/or new software are PIV-enabled by accepting HSPD-12 PIV credentials using VA Enterprise Technical Architecture (ETA),, and VA Identity and Access Management (IAM) approved enterprise design and integration patterns,  The Contractor shall ensure all Contractor delivered applications and systems are compliant with VA Identity Management Policy (VAIQ# 7011145), Continued Implementation of Homeland Security Presidential Directive 12 (VAIQ#7100147), and VA IAM enterprise identity management requirements (IAM Identity Management Business Requirements Guidance document), located at  The Contractor shall ensure all Contractor delivered applications and systems provide user authentication services compliant with NIST Special Publication 800-63, VA Handbook 6500 Appendix F, “VA System Security Controls”, and VA IAM enterprise requirements for direct, assertion based authentication, and/or trust based authentication, as determined by the design and integration patterns.  Direct authentication at a minimum must include Public Key Infrastructure (PKI) based authentication supportive of Personal Identity Verification (PIV) and/or Common Access Card (CAC), as determined by the business need.  Assertion based authentication must include a SAML implementation. Additional assertion implementations, besides the required SAML assertion, may be provided as long as they are compliant with NIST 800-63 guidelines. Trust based authentication must include authentication/account binding based on trusted HTTP headers.  The Contractor solution shall conform to the specific Identity and Access Management PIV requirements are set forth in OMB Memoranda M-04-04 (, M-05-24 (, M-11-11 (, National Institute of Standards and Technology (NIST) Federal Information Processing Standard (FIPS) 201-2, and supporting NIST Special Publications.

The Contractor solution shall support the latest Internet Protocol Version 6 (IPv6) based upon the directive issued by the Office of Management and Budget (OMB) on September 28, 2010 ( & ( IPv6 technology, in accordance with the USGv6: A Technical Infrastructure for USGv6 Adoption ( and the NIST SP 800 series applicable compliance (, shall be included in all IT infrastructures, application designs, application development, operational systems and sub-systems, and their integration. All public/external facing servers and services (e.g. web, email, DNS, ISP services, etc.) shall support native IPv6 users, including all internal infrastructure and applications shall communicate using native IPv6 operations. Guidance and support of improved methodologies which ensure interoperability with legacy protocol and services, in addition to OMB/VA memoranda, can be found at

The Contractor solution shall meet the requirements outlined in Office of Management and Budget Memorandum M08-05 mandating Trusted Internet Connections (TIC) (, M08-23 mandating Domain Name System Security (NSSEC) (, and shall comply with the Trusted Internet Connections (TIC) Reference Architecture Document, Version 2.0
The Contractor IT end user solution that is developed for use on standard VA computers shall be compatible with and be supported on the standard VA operating system, currently Windows 7 (64bit), Internet Explorer 11 and Microsoft Office 2010. In preparation for the future VA standard configuration update, end user solutions shall also be compatible with Office 2013 and Windows 8.1. However, Office 2013 and Windows 8.1 are not the VA standard yet and are currently not approved for use on the VA Network, but are in-process for future approval by OI&T. Upon the release approval of Office 2013 and Windows 8.1 individually as the VA standard, Office 2013 and Windows 8.1 will supersede Office 2010 and Windows 7 respectively. Applications delivered to the VA and intended to be deployed to Windows 7 workstations shall be delivered as a signed .msi package and updates shall be delivered in signed .msp file formats for easy deployment using System Center Configuration Manager (SCCM) VA’s current desktop application deployment tool. Signing of the software code shall be through a vendor provided certificate that is trusted by the VA using a code signing authority such as Verizon/Cybertrust or Symantec/VeriSign. The Contractor shall also ensure and certify that their solution functions as expected when used from a standard VA computer, with non-admin, standard user rights that have been configured using the United States Government Configuration Baseline (USGCB) specific to the particular client operating system being used.
The Contractor shall support VA efforts IAW the Veteran Focused Integration Process (VIP). VIP is a Lean-Agile framework that services the interest of Veterans through the efficient streamlining of activities that occur within the enterprise. The VIP Guide can be found at The VIP framework creates an environment delivering more frequent releases through a deeper application of Agile practices. In parallel with a single integrated release process, VIP will increase cross-organizational and business stakeholder engagement, provide greater visibility into projects, increase Agile adoption and institute a predictive delivery cadence. VIP is now the single authoritative process that IT projects must follow to ensure development and delivery of IT products
The Contractor shall utilize ProPath, the OI&T-wide process management tool that assists in the execution of an IT project (including adherence to VIP standards). It is a one-stop shop providing critical links to the formal approved processes, artifacts, and templates to assist project teams in facilitating their VIP compliant work.

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