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Big Data in the Veterans Health Administration: A Nursing Informatics Perspective.

John Deckro¹, Toni Phillips², Avaretta Davis³

¹Theta-at-Large & Zeta, RN Clinical Information Systems Coordinator and VA Nursing Academic Partnership Faculty, VA Providence Healthcare System & Rhode Island College School of Nursing, Providence, RI, USA.

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing

|March 10, 2021

Summary

This summary is machine-generated.

The U.S. Department of Veterans Affairs (VA) utilizes its electronic health record (EHR), Veterans Health Information Systems and Technology Architecture (VistA), to provide seamless care. This system supports quality improvement and research through aggregated data.

Keywords:

Big data Veterans Health Administration electronic health records systems informatics nursing

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Area of Science:

Healthcare Informatics
Health Information Technology
Big Data Analytics

Background:

The U.S. Department of Veterans Affairs (VA) is one of the largest integrated healthcare systems, serving over 9 million Veterans.
The VA has over 30 years of leadership in healthcare informatics, electronic health records (EHR), and big data analytics.
Nurses have played significant roles in the evolution of these healthcare technologies within the VA.

Purpose of the Study:

To review the missions of the U.S. Department of Veterans Affairs (VA).
To examine the evolution of the Veterans Health Information Systems and Technology Architecture (VistA), the VA's EHR system.
To highlight the role of VistA and its interface in VA healthcare delivery and data management.

Main Methods:

Review of VA missions and the historical development of VistA.
Analysis of the VistA system's architecture and its clinical graphical user interface, the Computerized Patient Record System.
Examination of data aggregation processes for quality improvement and research.

Main Results:

VistA enables seamless access to a Veteran's EHR across all VA facilities nationwide.
Daily data aggregation at a corporate data warehouse supports VA quality improvement initiatives and research.
The Office of Nursing Informatics' Field Alliance, with over 500 nurses, underscores the VA's commitment to nursing informatics.

Conclusions:

The VA demonstrates a strong commitment to advancing nursing informatics through initiatives like the Field Alliance.
Investment in developing nursing informaticists from within the VA staff is a key strategy.
Future directions include integrating EHRs from military service into the VA system for continuous patient care.