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Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses October 3, 2016 Maria Souden, MSI, PhD Associate Director, VA Information Resource Center
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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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Page 1: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 2: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 3: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 4: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 5: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 6: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 7: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 8: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 9: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 10: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 11: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 12: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 13: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 14: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 15: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 16: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 17: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 18: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 19: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 20: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 21: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 22: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 23: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 24: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 25: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 26: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 27: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 28: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 29: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 30: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 31: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 32: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 33: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 34: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 35: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 36: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 37: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 38: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 39: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 40: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 41: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 42: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 43: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 44: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 45: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 46: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 47: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 48: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 49: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 50: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 51: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 52: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 53: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 54: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 55: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 56: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

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

Page 57: Database & Methods Cyberseminar Series · Database & Methods Cyberseminar Series Overview of VA Data, Information Systems, National Databases & Research Uses. October 3, 2016 Maria

Database amp Methods Cyberseminar Series

Requesting Access to VA Data for Research

and Quality Improvement

Linda Kok MA

VA Information Resource Center