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2012
‐
2013 VIReC
Database and Methods
2012
2013
VIReC
Database
and
Methods
CyberSeminarSeries
2012
‐
2013
VIReC DatabaseandMethodsCyberSeminar Series
2012
2013
VIReC
Database
and
Methods
Cyber
Seminar
Series
OverviewofVAData,InformationSystems,
NationalDatabasesandResearchUses
October1,2012
Presentedby:
DeniseM.Hynes,MPH,PhD,RN
CenterDirector,VIReC
Session Objectives
Session
Objectives
It d Si
•
I
n
t
ro
d
uce
S
er
i
es
• ProvideBriefOverviewofVADataSources
October 1, 2012 3
Series Objectives
Series
Objectives
T
o
p
r
o
vi
de
inf
o
rm
at
i
o
n
about
:
o po de oatoabout
• DifferenttypesofVAdataandinformation
systems
•
Uses of VA data in past research and potentially
Uses
of
VA
data
in
past
research
and
pote ntially
newapplications
• Limitationsofusingsecondarydatainresearch
•
Resources to support research use of VA data
•
Resources
to
support
research
use
of
VA
data
October 1, 2012 4
Topics for Today
Topics
for
Today
Oi f VA Db f Rh
O
verv
i
ewo
f
VA
D
ata
b
ases
f
or
R
esearc
h
VADatabases
Processing PlatformsandAccessPortals
PoliciesGoverningResearchAccess
Wheretogoformorehelp
October 1, 2012 5
Topics for Today
Topics
for
Today
Oi f VA Db f Rh
O
verv
i
ewo
f
VA
D
ata
b
ases
f
or
R
esearc
h
VADatabases
Processing PlatformsandAccessPortals
PoliciesGoverningResearchAccess
Wheretogoformorehelp
October 1, 2012 6
Overview: Many Sources of VA Data
Overview:
Many
Sources
of
VA
Data
Administration/
Administration/
operationsdata
Clinical
f h
V li
Financial
Data
f
romot
h
er
agencies
V
eteranpopu
l
at
i
on
surveys
October 1, 2012 7
Overview:LevelsofData
• Localfacilitydata
• VISNleveldata
Ct
(ti l
)
ll
•
C
orpora
t
e
(
na
ti
ona
l
)
l
eve
l
October 1, 2012 8
VHACor
p
orateDatabasesMono
g
ra
p
h
p gp
•
Produced by
Office of
Produced
by
Office
of
InformaticsandAnalytics
(
OIA
)
,NationalData
()
Systems
– Includes 139databasesand
informationsystems
– AvailableonVAIntranet
(contactvirec@va.gov for
url)
October 1, 2012 9
Toolkit for New Users of VA Data
Toolkit
for
New
Users
of
VA
Data
http://www.virec.research.va.gov/Toolkit/Overview.htm
October 1, 2012 10
[...]...Topics for Today Topics for Today Overview of VA Databases for Research O i f VA D b f R h VA Databases Processing Platforms and Access Portals Policies Governing Research Access Where to go for more help October 1, 2012 11 VA Databases VA Databases VA Inpatient and VA Inpatient and Outpatient Data VA CMS Data VA CMS D VA DSS National VA DSS National Clinical Data... – http://www .virec. research.va.gov/RUGs/RUG‐MedSAS‐ OP‐FY09‐ER .pdf October 1, 2012 16 VA/Center for Medicare and Medicaid Services (CMS) Data Medicaid Medicare Current Beneficiary Survey (MCBS) Medicare Enrollment and Claims Data Long Term Care Patient Assessment Data United States Renal Data United States Renal Data System (USRDS) Data available for veterans eligible for VHA care and select non‐... Data Steward: – National Data Systems National Data Systems • Website/Where to go to find more information: http://www .virec. research.va.gov/CDW/RG‐CDW‐CY12‐ ER .pdf 27 Topics for Today Topics for Today Overview of VA Databases for Research O i f VA D b f R h VA Databases Processing Platforms and Access Portals Policies Governing Research Access Where to go for more help October 1, 2012 28 Processing Platforms... Provides read‐only access to national EHRs – See http://www .virec. research.va.gov/CAPRI‐ VistAWeb/CAPRI.htm for more information • VistAWeb – Provides read‐only access to national EHRs – See http://www .virec. research.va.gov/CAPRI‐ VistAWeb/VistAWeb.htm for more information October 1, 2012 30 Topics for Today Topics for Today Overview of VA Databases for Research O i f VA D b f R h VA Databases Processing Platforms and Access Portals Policies Governing Research Access... veteran data October 1, 2012 17 VA/Center for Medicare and Medicaid Services (CMS) Data Services (CMS) Data • Data element examples: Data element examples: – Demographics – ICD‐9 and CPT4 procedure codes p – ICD‐9 diagnosis codes • Data steward: d – VIReC s VA/CMS Data for Research Project • Website/where to go to find more information – http://www .virec. research.va.gov/Index‐VACMS.htm October 1, 2012... Mainframe (AITC) – Centralized computer processing center under VA Office of Information and Technology (OI+T) ffi f f i d h l ( ) – See http://www .virec. research.va.gov/AITC/Overview.htm http://www virec research va gov/AITC/Overview htm for more information • VINCI – Secure computing environment for VA researchers – See http://www .virec. research.va.gov/VINCI/Overview.ht m for more information October 1, 2012... Date of death (variables from the different sources and value selected as “best”) –L h lh Last healthcare utilization date ili i d • Data Steward: Data Steward: – National Data Systems • Website/Where to go to find more information http://www .virec. research.va.gov/VSF/Overview.htm October 1, 2012 25 Corporate Data Warehouse Data Corporate Data Warehouse Data National repository of VHA administrative and clinical data d t Relational database ... ICD‐9 procedure/surgery codes p / g y – ICD‐9 diagnosis codes • D Data steward: d – National Data Systems (NDS) • Website/where to go to find more: http://www .virec. research.va.gov/RUGs/RUG‐MedSAS‐ – http://www virec research va gov/RUGs/RUG‐MedSAS‐ IP‐FY09‐ER .pdf October 1, 2012 14 VA Outpatient Data VA Outpatient Data October 1, 2012 15 VA Outpatient Data VA Outpatient Data Data element examples: • Data element... Website/Where to go to find more information – htt // http://www .virec. research.va.gov/RUGs/RUG‐PBM‐ i h /RUG /RUG PBM 2nd‐Ed‐CY08‐ER .pdf October 1, 2012 23 VA Vital Status File VA Vital Status File • General description: – Multiple sources of mortality information • VA Workload Data • BIRLS Death File • Medicare Vital Status File • SSA Death Master File – Two files: Master and Mini October 1, 2012 24 VA Vital Status File... Research and Development October 1, 2012 33 Data Access Requirements are Determined by the Data • National Data Systems (NDS) – – – – Corporate Data Warehouse (CDW) Corporate Data Warehouse (CDW) Vital Status Data MedSAS (real SSN) DSS (real SSN) • VA Information Resource Center (VIReC) – VA/CMS Data • Pharmacy Benefits Management Services – Pharmacy Benefits Management Data (PBM) October 1, 2012 34 VIReC . 2012
‐
2013 VIReC
Database and Methods
2012
2013
VIReC
Database
and
Methods
Cyber Seminar Series
2012
‐
2013
VIReC Database and Methods Cyber Seminar Series
2012
2013
VIReC
Database
and
Methods
Cyber
Seminar
Series
OverviewofVAData,InformationSystems,
NationalDatabases and ResearchUses
October1,2012
Presentedby:
DeniseM.Hynes,MPH,PhD,RN
CenterDirector, VIReC
Session. Series
2012
2013
VIReC
Database
and
Methods
Cyber
Seminar
Series
OverviewofVAData,InformationSystems,
NationalDatabases and ResearchUses
October1,2012
Presentedby:
DeniseM.Hynes,MPH,PhD,RN
CenterDirector, VIReC
Session