============================================================================= Run Date: JAN 28, 2016 Designation: ROEG*2*1 Package : ROEG - MULTIPLE SCLEROSIS SURVEILLA Priority: Mandatory Version : 2 SEQ #1 Status: Released Compliance Date: FEB 27, 2016 ============================================================================= Subject: HREG MSSR 2.0 Deployment Category: - Informational Description: ============ Note: This is to announce that Multiple Sclerosis Surveillance Registry (MSSR) enhancements will be deployed to the production server for national release on 02/01/2016 at 8 p.m. Eastern Technical support staff at Austin Information Technology Center (AITC) will install this patch on the National MSSR server located there using a pre-approved Request for Change Order and Implementation Plan. No effort is required by local sites. User Acceptance Test is by the direction of the MSSR Business Owner and no MOU is required. This patch contains the MSSR Work Items completed during the DME contract period for the production deployment. Patch Components ================ The following describes each component of the MSSR Patch 2.0*1 268032: MSSRE: App enhancements Issue: In response to Congressional legislation, Veteran's Health Administration established two Multiple Sclerosis Centers of Excellence (MSCoE) in 2003. These Centers (East and West) were subsequently made permanent by "The Veteran's Benefits, Healthcare and Information Technology Act of 2006." The MSCoEs were mandated to report on the epidemiology, healthcare use, and costs of the Veteran Multiple Sclerosis (MS) population. A VHA Handbook entitled Multiple Sclerosis System of Care Procedures 1011.06 was released to the field on December 7, 2009. This approved Handbook (which includes reference to the Congressional Mandate for the MSCoE) established policy and procedure for healthcare services for patients with MS and requires ongoing surveillance of this patient population. The Department of Veterans Affairs (VA) established the MSSR (Multiple Sclerosis Surveillance Registry) in 2013 to provide population-specific patient data required to ensure that quality health care services continues to be delivered in a timely manner. In 2013, VA developed MSSR by collecting clinical utilization, demographic, and epidemiologic data. A front end portal was created within the Computerized Patient Record System (CPRS) for the entry of data by clinicians, as well as a back end data storage capability. The portal tool is triggered annually for any patient with an MS diagnosis and provides a user interface for data entry into the database. The tool prompts providers to enter standard demographic and clinical variables important for clinical, quality improvement, and research activities mandated by VHA (which can be found in Appendix C of the VHA Handbook, Multiple Sclerosis System of Care Procedures 1011.06). Data is stored centrally at the enterprise level. The current effort will provide enhancements to MSSR by allowing front end user clinicians to input additional data entry points (e.g. patient death dates and causes on the Multiple Sclerosis Assessment Tool (MSAT)), automate data transmission on a regular schedule for the new patient data sources, creation of data population for the new patient data sources (e.g. utilization and type of prosthetics, pharmaceuticals, labs, radiology, fee based services) and reporting capabilities (e.g. prosthetics, pharmacy average cost per patient) for essential analysis. The enhancements will enable the Multiple Sclerosis Centers of Excellence (MSCoE) to develop initiatives to improve healthcare for veterans with Multiple Sclerosis and related diseases, improve treatment triaging and outcomes, guide research and inform policy. MSSR Version 2.0 enhances the existing MSSR by completing the implementation of initial requirements; ensuring report consistency; ensuring comprehensive data ingestion and accuracy from identified data sources; and deploying a fully functional national release of the registry. MSSR v2.0 is a Web-based intranet registry application, residing within the Converged Registries Solution (CRS) architectural framework. The provider documents MS assessment and enters the data into the Computerized Patient Record System/Veterans Health Information Systems and Technology Architecture (CPRS/VistA). 1) The patient data is securely stored in the Corporate Data Warehouse (CDW). This CDW data is also compiled from feeds from corresponding Regional Data Warehouse (RDW) and Veterans Integrated Service Network (VISN) DataWarehouse (VDW) sources. 2) At regular intervals, the MSSR database (residing within CRS) extracts data specific to the Multiple Sclerosis patient cohort from CDW. The MSSR Dashboard provides MSSR users with quality patient data, including patient details and standard and aggregate. Depending on user permissions, data is available at the national, regional and local levels, allowing providers to evaluate effective treatment, quality care, scheduling, and planning for patients. The enhanced MSSR provides users the ability to view detailed information regarding Pharmacy, prosthetics, Lab, radiology and Fee-based services provided to MS patients and help determine areas of improvement for the timely and quality care of Veterans, and to enhance the VHA's capacity to monitor long-term outcomes of MS patients identified by custom algorithm. Additional Information: --------------------------- Training The MSSR User Guide serves as Training for Users to refer to. The User Guide is located here: http://tspr.vista.domain.ext/warboard/anotebk.asp?proj=1677&Type=Active ADDITIONAL INFORMATION: As a VA intranet Web site, MSSR troubleshooting procedures will usually involve contacting the MSSR network administrators or the NSD. Calls to the NSD should state that the user is working with the Converged Registries Solution and the Multiple Sclerosis Registry. The NSD will then direct the trouble ticket to AITC, who will use established procedures to direct the problem to the CRS sustainment team. Remedy Ticket(s) & Overview --------------------------- There are no Remedy Tickets associated with this patch. Test Sites: ---------- n/a Documentation Retrieval Instructions: ------------------------------------- Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to FTP the files from ftp://download.vista.domain.ext/. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- User Manual HREG_MSSR_User Guide.PDF Binary Patch Installation: The Multiple Sclerosis Surveillance Registry (ROEG) application will use the ROEG namespace. Pre/Post Installation Overview: ------------------------------- There are no pre/post installations instructions associated with this patch. n/a Pre-Installation Instructions: ------------------------------ n/a Installation Instructions: -------------------------- This patch is only for information. Post-Installation Instructions: ------------------------------- n/a Note: Technical support staff at Austin Information Technology Center (AITC) will install this patch on the National MSSR server located there using a pre-approved Request for Change Order and Implementation Plan. No effort is required by local sites. User Acceptance Test is by the direction of the MSSR Business Owner and no MOU is required. This patch contains the MSSR Work Items completed during the DME contract period for the production deployment. Routine Information: ==================== No routines included. ============================================================================= User Information: Entered By : Date Entered : JAN 15, 2016 Completed By: Date Completed: JAN 28, 2016 Released By : Date Released : JAN 28, 2016 ============================================================================= Packman Mail Message: ===================== No routines included