Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria
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Database amp Methods Cyberseminar Series
Overview of VA Data Information Systems
National Databases amp Research Uses
October 3 2016
Maria Souden MSI PhD
Associate Director VA Information Resource Center
2
What VIReC does
bull Develop knowledge about VA data
bull Share knowledge with VA researchers
bull Intranet website
bull VHA Data Portal (collaboration with NDS VINCI amp Data Quality)
bull Cyberseminars (hosted by CIDER)
bull Guides documentation and tutorials
bull HelpDesk (virecvagov)
102016
3
Database amp Methods Cyberseminar Series
Informational seminars to help VA researchers
access and use VA databases
Topics
bull VA data sources amp data access systems
bull Application of VA data to research and quality
improvement questions
bull Limitations of secondary data use
bull Resources to support VA data use
102016
4
FY lsquo17 Database amp Methods Schedule First Monday of the month 100pm-200pm ET
Visit our Education page for more information amp
registration links wwwvirecresearchvagov
Date Topic
10316 Overview of VA Data amp Research Uses
1172016 Requesting Access to VA Data
1252016 VA Healthcare Utilization
192017 VA Medicare Data (VACMS)
262017 Measuring amp Assessing Outpatient Care
362017 Mortality Ascertainment amp Cause of Death
432017 Assessing Race amp Ethnicity
512017 Co-morbidity Measures Using VA amp CMS Data
5222017 Advanced Topics in Co-morbidity
652017 Pharmacy Data
7102017 CAPRIVistAWeb for EHR Access
9112017 CDW microbiology lab amp pharmacy domains
Schedule shifts by one week in event of VA holiday 102016
Database amp Methods Cyberseminar Series
Session 1 Overview of VA Data Information
Systems National Databases amp Research Uses
6
Poll 1 Your role as a data user
bull What is your role in research andor quality improvement bull Research investigator
bull Methodologist
bull Data manager analyst or programmer
bull Project coordinator
bull Other ndash please describe via the QampA function
102016
7
Poll 2 Your experience with VA data
How many years of experience do you have working with
VA data
bull One year or less
bull More than 1 less than 3 years
bull At least 3 less than 7 years
bull At least 7 less than 10 years
bull 10 years or more
102016
102016
8
The purpose of this cyberseminar is to
provide an introduction to VA data and
resources for using it effectively
Todayrsquos objective
102016
9
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
2
What VIReC does
bull Develop knowledge about VA data
bull Share knowledge with VA researchers
bull Intranet website
bull VHA Data Portal (collaboration with NDS VINCI amp Data Quality)
bull Cyberseminars (hosted by CIDER)
bull Guides documentation and tutorials
bull HelpDesk (virecvagov)
102016
3
Database amp Methods Cyberseminar Series
Informational seminars to help VA researchers
access and use VA databases
Topics
bull VA data sources amp data access systems
bull Application of VA data to research and quality
improvement questions
bull Limitations of secondary data use
bull Resources to support VA data use
102016
4
FY lsquo17 Database amp Methods Schedule First Monday of the month 100pm-200pm ET
Visit our Education page for more information amp
registration links wwwvirecresearchvagov
Date Topic
10316 Overview of VA Data amp Research Uses
1172016 Requesting Access to VA Data
1252016 VA Healthcare Utilization
192017 VA Medicare Data (VACMS)
262017 Measuring amp Assessing Outpatient Care
362017 Mortality Ascertainment amp Cause of Death
432017 Assessing Race amp Ethnicity
512017 Co-morbidity Measures Using VA amp CMS Data
5222017 Advanced Topics in Co-morbidity
652017 Pharmacy Data
7102017 CAPRIVistAWeb for EHR Access
9112017 CDW microbiology lab amp pharmacy domains
Schedule shifts by one week in event of VA holiday 102016
Database amp Methods Cyberseminar Series
Session 1 Overview of VA Data Information
Systems National Databases amp Research Uses
6
Poll 1 Your role as a data user
bull What is your role in research andor quality improvement bull Research investigator
bull Methodologist
bull Data manager analyst or programmer
bull Project coordinator
bull Other ndash please describe via the QampA function
102016
7
Poll 2 Your experience with VA data
How many years of experience do you have working with
VA data
bull One year or less
bull More than 1 less than 3 years
bull At least 3 less than 7 years
bull At least 7 less than 10 years
bull 10 years or more
102016
102016
8
The purpose of this cyberseminar is to
provide an introduction to VA data and
resources for using it effectively
Todayrsquos objective
102016
9
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
3
Database amp Methods Cyberseminar Series
Informational seminars to help VA researchers
access and use VA databases
Topics
bull VA data sources amp data access systems
bull Application of VA data to research and quality
improvement questions
bull Limitations of secondary data use
bull Resources to support VA data use
102016
4
FY lsquo17 Database amp Methods Schedule First Monday of the month 100pm-200pm ET
Visit our Education page for more information amp
registration links wwwvirecresearchvagov
Date Topic
10316 Overview of VA Data amp Research Uses
1172016 Requesting Access to VA Data
1252016 VA Healthcare Utilization
192017 VA Medicare Data (VACMS)
262017 Measuring amp Assessing Outpatient Care
362017 Mortality Ascertainment amp Cause of Death
432017 Assessing Race amp Ethnicity
512017 Co-morbidity Measures Using VA amp CMS Data
5222017 Advanced Topics in Co-morbidity
652017 Pharmacy Data
7102017 CAPRIVistAWeb for EHR Access
9112017 CDW microbiology lab amp pharmacy domains
Schedule shifts by one week in event of VA holiday 102016
Database amp Methods Cyberseminar Series
Session 1 Overview of VA Data Information
Systems National Databases amp Research Uses
6
Poll 1 Your role as a data user
bull What is your role in research andor quality improvement bull Research investigator
bull Methodologist
bull Data manager analyst or programmer
bull Project coordinator
bull Other ndash please describe via the QampA function
102016
7
Poll 2 Your experience with VA data
How many years of experience do you have working with
VA data
bull One year or less
bull More than 1 less than 3 years
bull At least 3 less than 7 years
bull At least 7 less than 10 years
bull 10 years or more
102016
102016
8
The purpose of this cyberseminar is to
provide an introduction to VA data and
resources for using it effectively
Todayrsquos objective
102016
9
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
4
FY lsquo17 Database amp Methods Schedule First Monday of the month 100pm-200pm ET
Visit our Education page for more information amp
registration links wwwvirecresearchvagov
Date Topic
10316 Overview of VA Data amp Research Uses
1172016 Requesting Access to VA Data
1252016 VA Healthcare Utilization
192017 VA Medicare Data (VACMS)
262017 Measuring amp Assessing Outpatient Care
362017 Mortality Ascertainment amp Cause of Death
432017 Assessing Race amp Ethnicity
512017 Co-morbidity Measures Using VA amp CMS Data
5222017 Advanced Topics in Co-morbidity
652017 Pharmacy Data
7102017 CAPRIVistAWeb for EHR Access
9112017 CDW microbiology lab amp pharmacy domains
Schedule shifts by one week in event of VA holiday 102016
Database amp Methods Cyberseminar Series
Session 1 Overview of VA Data Information
Systems National Databases amp Research Uses
6
Poll 1 Your role as a data user
bull What is your role in research andor quality improvement bull Research investigator
bull Methodologist
bull Data manager analyst or programmer
bull Project coordinator
bull Other ndash please describe via the QampA function
102016
7
Poll 2 Your experience with VA data
How many years of experience do you have working with
VA data
bull One year or less
bull More than 1 less than 3 years
bull At least 3 less than 7 years
bull At least 7 less than 10 years
bull 10 years or more
102016
102016
8
The purpose of this cyberseminar is to
provide an introduction to VA data and
resources for using it effectively
Todayrsquos objective
102016
9
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
Database amp Methods Cyberseminar Series
Session 1 Overview of VA Data Information
Systems National Databases amp Research Uses
6
Poll 1 Your role as a data user
bull What is your role in research andor quality improvement bull Research investigator
bull Methodologist
bull Data manager analyst or programmer
bull Project coordinator
bull Other ndash please describe via the QampA function
102016
7
Poll 2 Your experience with VA data
How many years of experience do you have working with
VA data
bull One year or less
bull More than 1 less than 3 years
bull At least 3 less than 7 years
bull At least 7 less than 10 years
bull 10 years or more
102016
102016
8
The purpose of this cyberseminar is to
provide an introduction to VA data and
resources for using it effectively
Todayrsquos objective
102016
9
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
6
Poll 1 Your role as a data user
bull What is your role in research andor quality improvement bull Research investigator
bull Methodologist
bull Data manager analyst or programmer
bull Project coordinator
bull Other ndash please describe via the QampA function
102016
7
Poll 2 Your experience with VA data
How many years of experience do you have working with
VA data
bull One year or less
bull More than 1 less than 3 years
bull At least 3 less than 7 years
bull At least 7 less than 10 years
bull 10 years or more
102016
102016
8
The purpose of this cyberseminar is to
provide an introduction to VA data and
resources for using it effectively
Todayrsquos objective
102016
9
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
7
Poll 2 Your experience with VA data
How many years of experience do you have working with
VA data
bull One year or less
bull More than 1 less than 3 years
bull At least 3 less than 7 years
bull At least 7 less than 10 years
bull 10 years or more
102016
102016
8
The purpose of this cyberseminar is to
provide an introduction to VA data and
resources for using it effectively
Todayrsquos objective
102016
9
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
102016
8
The purpose of this cyberseminar is to
provide an introduction to VA data and
resources for using it effectively
Todayrsquos objective
102016
9
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
102016
9
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
102016
10
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
11
Activities that generate VA data
bull Administrative Operations activities
bull Clinical care Patient records
bull Financial recordkeeping
bull Veteran population surveys
bull Patient care outside the VA system
102016
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
12
Veterans Health Information Systems amp
Technology Architecture (VistA)
bull Integrated system of software
applications
bull Directly supports patient care at
Veterans Health Administration (VHA)
healthcare facilities
bull Source of data for many VHA datasets
or databases of interest to
researchers
102016
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VACMS Data for Research
102016
13
Commonly used VA data sources
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
14
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA Vital Status File
EHRVistA
VA MCA National Clinical Data
VA Pharmacy Data
VA CMS Data for Research
102016
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
15
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Utilization and Status
102016
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
16
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
Clinical Care Activities amp Costs
102016
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
17
Commonly used VA data sources
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Pharmacy Data
VA Vital Status File
VA CMS Data for Research
102016
Non-VA Data
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
102016
18
Session roadmap
bull Introduction to VA data
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
bull Questions
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
19
Highlight Corporate Data Warehouse Data steward National Data Systems (NDS)
VA Corporate Data Warehouse
(CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
2020
CDW origin amp content
Region 1
Data
Warehouse
CDW
(60+ domains)
Patient
Staff
Allergy
Inpatient
Outpatient
Inpatient Rx
Outpatient Rx
Lab Chemistry
Lab Microbiology
Vital Signs
etc
Nightly updates t20 o architected
database - no change to content 102016
Minute by minute transactions
added ndash no changes
gt130 VistA
Systems
Region 2
Data
Warehouse
Region 3
Data
Warehouse
Region 4
Data
Warehouse
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
21
CDWhellip things to know
bull Data straight from VistA
ndash Not curated or transformed
bull CDW is a relational database not a dataset
bull For SAS users requires some conceptual shifts and new
skills
bull Relatively new and still evolving
bull CDW SharePoint Site httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
102016
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
22
CDW roles
BISL
bull Data Architects
bull Business
Intelligence
Service Line
bull Builds the data
warehouse that
organizes these
data
NDS
bull Data Steward
bull National Data
Systems
bull Grants access to
CDW data
VINCI
bull Data
Provisioning
VA Informatics amp
Computing
Infrastructure
Creates subsets
of CDW data for
users who have
been granted
access
bull
bull
VIReC
bull Data Knowledge
VA Information
Resource Center
Provides
documentation amp
education to help
understand and
use the data
bull
bull
102016
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
d
ata
fo
r C
DW
re
so
urc
es
VIR
eC
23
httpvawwvirecresearchvagovCDWDocumentationhtm (VA Intranet)
102016
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
25
Highlight VA MedSAS Data Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
26
MedSAShellip things to know
bull Data have been summarized and had business rules
applied
bull Inpatient discharges at the stay level (episode of care)
bull Outpatient information at the visit and encounter level
bull Include diagnostic treatment and some demographic
information from the electronic health record
bull Demographic information current at time of encounter or stay
bull Includes data about care in non-VA facilities paid for by
VA
102016
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
27
MedSAS inpatient overview
PTF data
Patient Treatment File (PTF) Austin Information Technology Center (AITC) National Data Systems (NDS)
102016
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
28
MedSAS inpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull ICD-9 procedure
surgery codes
bull Discharge dates
bull Treating specialty
102016
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
29
MedSAS outpatient overview
National Patient Care Database (NPCD)
National Data Systems (NDS) 102016
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
30
MedSAS outpatient data elements
Examples
bull Patient demographics
bull ICD-9 diagnosis codes
bull CPT-4 procedure codes
bull Event dates
bull Provider specialty
102016
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
31
MedSAS Replacement data view
bull NPCD Database to be discontinued
bull MedSAS outpatient files will become available as SQL
views in CDW
bull Current variables recreated exactly
bull Will look the same to the end user just in SQL
bull Being tested to make sure workload logic applied
correctly
bull Availability and access information to come
102016
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
data
M
edS
AS
fo
r es
resourc
VIR
eC
32
httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet) 102016
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
34
Highlight VA Vital Status File (VSF) Data steward National Data Systems (NDS)
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File (VSF)
VA Pharmacy Data VA CMS Data for Research
102016
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
35
VA Vital Status Filehellip things to know
bull Includes death and birth dates from multiple sources of
mortality information
bull VA Workload Data (PTF and Fee Basis)
bull Beneficiary Identification and Resource Locator System (BIRLS)
Death File (from VBA)
bull Medicare Vital Status File
bull Monthly Social Security Administration Death Master File
bull Two files - Master and Mini
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
36
VA Vital Status File data elements
VSF Master File VSF Mini File
bull Death dates from
bull VA amp CMS enrollment amp
utilization
bull VBA amp Social Security benefits
bull Last healthcare utilization
dates from multiple
sources
bull Applies algorithm to
determine ldquobestrdquo
bull Death date
bull Birth date
bull Gender
bull Last utilization
bull Presumed living indicator
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
37
Highlight MCA National Clinical Data Data steward VHA Managerial Cost Accounting Office
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VA CMS Data for Research
102016
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
38
MCA national clinical datahellip things to know
bull Available as 26 National Data Extracts (NDEs) classified
as Core Clinical Financial Program Activity
bull See VHA Data Portal for full list
bull Four Clinical NDEs most relevant to health services
research
bull Lab tests amp costs (LAB)
bull Lab test results (LAR)
bull Pharmacy prescriptions (PHA)
bull Radiology procedures (RAD)
102016
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
39
VA MCA clinical NDE data elements
Examples
bull Date
bull Test results
bull Ordering provider
bull Costs
102016
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
Resources for MCA NDEs
VIReC MCA NDEs Documentation httpvawwvirecresearchvagovMedSASDocumentationhtm (VA Intranet)
MCAO National Data Extracts amp Reporting Information httpvawwdssmedvagovnationalrptgnr_extractsasp (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagovincludepageaspid=managerial-cost-accounting (VA Intranet)
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
41
Highlight VA pharmacy data Data stewards MCAO PDM NDS
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data
VA CMS Data for Research
102016
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
42
Sources of data on medications dispensed in VA
MCA Pharmacy NDE
bull Data Steward MCAO
Pharmacy Benefits Management
bull Data Steward PBM
Two CDW Domains
bull Data Steward NDS
bull Bar Code Medication Administration (BCMA) Domain (inpatient
pharmacy)
bull Outpatient Pharmacy Domain
102016
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
43
VA pharmacy data elements
Examples
bull Generic drug name
bull Days supply
bull VA drug class
bull Cost
102016
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
d
ata
m
acy
ph
ar
for
ce
s
Re
so
ur
44
httpvawwvirecresearchvagovPharmacyOverviewhtm (VA Intranet) 102016
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
45
Highlight VACMS Data for Research Data steward VIReC
VA Corporate Data Warehouse (CDW)
VA Medical SAS (MedSAS)
VA MCA National Clinical Data
VA Vital Status File
VA Pharmacy Data VACMS Data for Research
102016
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
46
VACMS - types of data
bull Medicare amp Medicaid enrollment and claims data
bull Medicare Current Beneficiary Survey (MCBS) data
bull Patient assessment data
bull Healthcare Effectiveness Data and Information Set
(HEDIS) - utilization in Medicare managed care
bull United States Renal Data System (USRDS) data
102016
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
47
VACMS data elements
bull Examples
bull Medicare and Medicaid enrollment
bull ICD-9 diagnosis codes
bull ICD-9 and CPT4 procedure codes
bull Charges and payments
bull Veteran flag
102016
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
D
ata
V
AC
MS
fo
r ce
s
Re
so
ur
48
httpvawwvirecresearchvagovIndex-VACMShtm (VA Intranet) 102016
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
102016
49
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
50
VA Informatics and Computing Infrastructure
bull Secure data environment
bull High-speed processing platform
bull Free data management and analytic
tools
bull VINCI services
VINCI Central Website httpvawwvincimedvagovvincicentral (VA Intranet)
102016
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
51
AITC (Austin Information Technology Center)
bull Centralized computer processing center (mainframe)
bull Available data
bull MedSAS datasets
bull VA Vital Status file
bull Learn Morehellip
bull VHA Data Portal AITC Mainframe page httpvawwvhadataportalmedvagovDataSourcesAITCMainframeaspx (VHA Intranet)
bull AITC Mainframe Website httpsvawwsdeportalvagovsiteseoPagesDefaultaspx (VHA Intranet)
102016
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
52
CAPRI amp VistAWebhellipthings to know Read-only access to patient electronic health records (EHRs)
CAPRI VistAWeb
bull Uses desktop computer
software application
bull Can see patient record
one site at a time
bull Includes search function
bull Direct access to
VistAWeb
bull VA Intranet web portal
bull Can see patient record for
all sites at once
bull VistA Imaging available
102016
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
102016
53
Session roadmap
bull Introduction
bull Highlights of commonly used VA data sources
bull Platforms amp tools for using data
bull Where to go for more help
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
54 wwwvirecresearchvagov vawwvirecresearchvagov
Public-facing
VIReC overview
Publications amp events
Cyberseminars
VA network only
Data news
Resources for working with data
httpvawwvhadataportalmedvagov
VA network only
Combined resource (with NDS and VINCI)
Data source amp access information
102016
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
55
VIReC options for specific questions
HSRData Listserv HelpDesk
bull Community knowledge
sharing
bull ~1200 VA data users
bull Researchers operations
data stewards managers
bull Subscribe by visiting httpvawwvirecresearchvagovSupportH
SRData-Lhtm (VA Intranet)
bull Individualized support
virecvagov
(708) 202-2413
102016
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
56
Qu
ick lin
ks f
or
VA
da
ta r
eso
urc
es
Quick Guide Resources for Using VA Data httpvawwvirecresearchvagovToolkitQG-Resources-for-Using-VA-Datapdf (VA Intranet)
VIReC httpvawwvirecresearchvagovIndexhtm (VA Intranet)
VIReC Cyberseminars httpwwwvirecresearchvagovResourcesCyberseminarsasp
VHA Data Portal httpvawwvhadataportalmedvagovHomeaspx (VA Intranet)
VINCI httpvawwvincimedvagovvincicentral (VA Intranet)
Health Economics Resource Center (HERC) httpvawwhercresearchvagov (VA Intranet)
CDW httpsvawwcdwvagovPagesCDWHomeaspx (VA Intranet)
Archived cyberseminar What can the HSRampD Resource Centers do for you httpwwwhsrdresearchvagovfor_researcherscyber_seminarsarchivesvideo_archivecfmSessionID=101
102016
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
57
Take-aways
bull VA has many data sources that can be used to address
research amp QI questions
bull Data are complex and distributed
bull Use resources VIReC and others offer to
bull help you navigate data sources
bull connect you with peers experts amp additional info
102016
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
58
Contact information
Maria Souden MSI PhD
Associate Director
VA Information Resource Center
Hines VA Hospital
virecvagov
708-202-2413
102016
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
Database amp Methods Cyberseminar Series
Requesting Access to VA Data for Research
and Quality Improvement
Linda Kok MA
VA Information Resource Center
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