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 OverviewofVAData,InformationSystems, NationalDatabasesandResearchUses October1,2012 Presentedby: DeniseM.Hynes,MPH,PhD,RN CenterDirector,VIReC Session Objectives Session  Objectives It d Si • I n t ro d uce S er i es • ProvideBriefOverviewofVADataSources 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 • DifferenttypesofVAdataandinformation systems • Uses of VA data in past research and potentially Uses  of  VA  data  in  past  research  and  pote ntially  newapplications • Limitationsofusingsecondarydatainresearch • 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 ewo f  VA  D ata b ases f or R esearc h VADatabases Processing PlatformsandAccessPortals PoliciesGoverningResearchAccess Wheretogoformorehelp October 1, 2012 5 Topics for Today Topics  for  Today Oi f VA Db f Rh O verv i ewo f  VA  D ata b ases f or R esearc h VADatabases Processing PlatformsandAccessPortals PoliciesGoverningResearchAccess Wheretogoformorehelp October 1, 2012 6 Overview: Many Sources of VA Data Overview:  Many  Sources  of  VA  Data Administration/ Administration/ operationsdata Clinical f h V li Financial Data f romot h er agencies V eteranpopu l at i on surveys October 1, 2012 7 Overview:LevelsofData • Localfacilitydata • VISNleveldata Ct (ti l ) ll • C orpora t e ( na ti ona l )  l eve l October 1, 2012 8 VHACor p orateDatabasesMono g ra p h p gp • Produced by Office of Produced  by  Office  of  InformaticsandAnalytics ( OIA ) ,NationalData () Systems – Includes 139databasesand informationsystems – AvailableonVAIntranet (contactvirec@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 OverviewofVAData,InformationSystems, NationalDatabases and ResearchUses October1,2012 Presentedby: DeniseM.Hynes,MPH,PhD,RN CenterDirector, VIReC Session. Series 2012 2013  VIReC  Database  and  Methods  Cyber  Seminar  Series OverviewofVAData,InformationSystems, NationalDatabases and ResearchUses October1,2012 Presentedby: DeniseM.Hynes,MPH,PhD,RN CenterDirector, VIReC Session