Book Zurman, Inc. has extensive past performance working with federal agencies that include:
Healthcare Efficiency Initiative (MI-15 PMO) (OI&T)
Book Zurman, Inc. (BZI) provided the Department of Veteran Affairs (VA) Office of Information Technology (OIT), Product Development (PD) support as a prime contractor for Program Management Office (PMO) support. BZI as the prime contractor has put in place support for the Health Care Efficiency (HCE) Initiative, MI-15, which focused on reducing operational costs through standardizing program deployments, clinical and business practices, innovations and program delivery models across disparate systems within the Veterans Health Administration (VHA). HCE is comprised of three key project areas: Non-VA Claims Processing (Non-VA Care), Beneficiary Travel (BT) and Real Time Location Systems (RTLS). BZI provided direct programmatic support to the VA Product Development Program Manager, as well as individual project support, short- and long-term planning, executive communications, performance reporting, operational processes and controls, financial management and investment planning, functional and technical analytics, risk and change management support, integrated release planning, strategic planning and business integration.
The HCE projects are combined as Fraud, Waste and Abuse (FWA), with expectations of saving many billions of FWA in the three projects. Two of the three projects are modifications to existing system, and one (RTLS) is a green field deployment.
The BT project enhances features and capabilities, designed to meet regulatory changes of Public Law (PL) 111-163, The Caregivers and Veterans Omnibus Health Services Act of 2010. These enhancements focus on providing more accurate and less burdensome beneficiary travel benefit services to Veterans. In addition, the enhancements update reporting capabilities for the VA and Congress, and reduce potential FWA.
On the Non-VA Care project, the VA is trying to create a central repository for all VA EDI claims that are for Non-VA purchased health care. Once this central repository is created, they can then develop and implement a scoring tool to assess level of risk (to be done on a numerical scale) on these claims. The end goal is to reduce fraud, waste, and abuse on such claim submissions. This project would touch upon HIPAA Transactions and Code Sets, including 837, 835 and NCPDP.
The RTLS project is a new development effort within the VA, designed to provide a wide variety of business and healthcare systematic improvements by obtaining real time data in a wireless environment. VA staff will have the capability of locating and managing assets throughout medical and office facilities. Medical supplies and equipment, especially those for critical patient procedures, will be tracked. Staff, patients and doctors will be monitored as well – so that patients arriving at an Emergency Department can be monitored throughout their stay; post-care analysis will improve upon workflow, delivery care and cost reduction. These enterprise-wide analyses will be performed by a National Data Repository (NDR), which BZI helped deploy.
Business Management System (CFM)
Book Zurman (BZI) has been providing the Department of Veterans Affairs (VA) support as a prime contractor for the Business Management System (BMS) contract. The objective of this project was to established a facility management policy and process management system that allows VA`s employees to have access to VA`s Facility Management Policy and Procedure documents. BZI was responsible for defining the system requirements, testing, and installation and hosting of the system.
BZI also performs all system administration functions, provides Help Desk support to VA`s end-users. BZI has developed a BMS that has allowed the VA to:
•Provide its 10,000 facility management staff access to enterprise wide policies and procedures
•Provide sub-organizations access to make their policies and procedures available to all facility management staff.
•Provide facility management staff the opportunity to offer suggestions, improvements and recommend new policy and procedures to the VA
The BMS has also provided the VA the capability to retrieve data regarding progress made on implementing the Performance Improvement Requests (PIR). This capability allows the VA to determine the age of the request and the status of the request as it makes its way through the process. The BMS has also a training module that can be accessed through the VA Talent Management System. This training module provides guidance to staff in how to access the policies and procedures and submit PIR. BZI also provides Help Desk support to the VA`s end-users on the navigation and use of the BMS.
Health Standards (VHA)
BZI, as a prime to The Standards & Interoperability Office has deployed the General Standards Team which provides subject matter expertise, policy expertise and strategic guidance concerning standards implementation in VHA information technology (IT) systems. General Standards covers the continuum from the development of standards with Federal and private sector standards development organizations (SDO) and standards related organizations (SRO) through communicating clear requirements and tracking of the implementation of standards within VHA and other Federal partners, DoD, NIH, HHS, etc.
Internal/External Collaboration work area include S&I’s collaborative efforts with other government agencies and private sector health care providers, such as DoD, the Department of Health and Human Services (especially the Indian Health Service and Federal Health Architecture) and Kaiser Permanente. Collaborative projects and work groups include Virtual Lifetime Electronic Record (VLER), the Joint Interagency Venture (JIV), the Joint EHR Way Forward, the Health Architecture Interagency Group (HAIG), and the Federal Health Architecture (FHA). As S&I’s liaisons within these project teams and work groups, the General Standards team provides VA’s opinions and subject matter expert (SME) advice.
Collaboration between business owners and standards architects leads to successful, standards based solutions to VA’s needs. The General Standards team’s subject matter experts engage with VA project teams, such as the Medical Device Interoperability Program (MDIP), to validate technical specifications and business requirements to ensure that VA’s needs are met and standards are implemented correctly. The team works with business owners to establish well-defined requirements, select appropriate existing standards, and constrain the standards accordingly. The General Standards team also makes recommendations to VA offices and teams on how to integrate standards information, models, and processes into current and planned activities and provide educational materials and trainings in these areas.
The General Standards team collaborates with VA partners such as the Office of Information and Technology (OI&T) and external partners such as the Federal Health Information Model and Standards (FHIMS) program under the Federal Health Architecture (FHA). The General Standards team promotes open source tools and processes for standards implementation in internal and external partnership. For example, the General Standards team uses existing open source tools, such as MDHT, and will develop new tools, as needed, to support initiatives such as Meaningful Use and VLER.
The General Standards team also provides standards modeling. The General Standards team manages the production of VHA models in support of standards work and coordinates S&I and VHA OI participation in the production of the models. The General Standards team uses unified modeling language (UML) to produce the models that support the generation and implementation of extensible mark-up language (XML) template. The team develops the models using an iterative process producing successive versions, working with S&CA team members and customers to develop, document and maintain the contents of the models. The General Standards team provides technical support for tools that support UML modeling initiatives in VHA. The General Standards team works with the S&I team to establish and support tools and processes for users to request information regarding the standards related models developed for VHA and to provide updates to the information. The information is posted to the VHA website and Groove collaboration site.
The General Standards team also developed and manages the VA Standards Roadmap that identifies the strategy, priorities and objectives for Health IT standards engagement and provides objective alignment criteria for all standards engagements activities including stakeholders, focus areas and additional VA Standards Development Organizations.
Payer Outreach (CBO)
Veterans' Health Administration (VHA), Chief Business Office (CBO) has invested considerable time and effort over the past several years implementing multiple electronic data interchange (EDI) initiatives and resolving the business rule conflicts between the VA and the payer community. This effort continues as Veterans Health Administration (VHA) expands its data exchange reach to include additional payers and transaction types. In addition, the HIPAA standards committees are forecasting the mandate of additional transaction sets, otherwise known as electronic data format standards. When implemented, the collective body of HIPAA transactions would give VHA a more robust business product and make VHA a more viable business partner in the e-Business community.
Veterans Health Administration (VHA) is modifying its VA VistA software and business processes to comply with Health Insurance Portability and Accountability Act of 1996 (HIPAA). BZI, as the prime, supports the Veterans Health Administration (VHA) Chief Business Office (CBO) e-initiatives by providing technical and EDI healthcare revenue cycle processing subject matter expertise, analysis, research and business issue resolution services.
Federal Health Architecture Integrated Consulting Services Support Project
BZI provides collaborative support of mandated interoperability requirements between the Department of Veterans Affairs (VA) and the Department of Defense (DoD), ensuring they are in compliance with the National Defense Authorization Act (NDAA) for Fiscal Year 2014. The NDAA requires that the electronic health record systems of DoD and the VA be interoperable with an integrated display of data, or a single electronic health record that complies with the national standards and architectural requirements identified by the Interagency Program Office of the Departments, in collaboration with the Office of the National Coordinator for Health Information Technology. Our Team:
• Assist federal partners identify in the use of and contribute to the Meaningful Use standards.
• Assist federal partners in aligning with and contributing to Nationwide Health Information Network (NHIN) standards and specifications.
• Assist and ensure federal partners participate in data exchanges utilizing the NHIN specifications and standards.
• Support the federal partner adoption of standards and specifications produced through the S&I framework.
• Provide coordination and guidance on policies, standards, specifications, and validation. This includes, but is not limited to the Interoperability Roadmap, FHIM, FHIR, Interoperability Standards Advisory (ISA), and C-CDA.
• Support federal partners in implementing CONNECT releases. Support CONNECT as a distributed development model.
• Develop a comprehensive strategy and plan for data exchange and interoperability initiatives across agencies and private industry. Align data exchange and interoperability initiatives with the S&I Framework.
• Develop a comprehensive strategy and plan to initiate collaborative efforts in priority areas identified by the FHA Governing Board. These areas include, but are not limited to: Directed Exchange, Healthcare Directory, Patient Consent & Authorization, and Development of Shared Services.
• Initiate an effort to facilitate and encourage the use of modular architecture and openly available models of information, data dictionaries, and standardized vocabularies.
• Participate in the identification of common services that can be shared across federal partners, such as: Healthcare Directory, Eligibility Determinations, Patient Matching, Clinical information sharing, etc.
• Enhance FHA to help external users (agencies and others) understand how to take advantage of FHA products, support architecture development, and support FHA Governing bodies.
• Model strategic and business federal health information for dissemination to federal partners.
• Support a roadmap that enables sharing of services, alignment of exchanges with national standards, and new opportunities to use health data to improve the quality and cost-effectiveness of care.
• Support Business Process Modeling in support of the FHA Strategic Plan and integrate key FHIM elements into the overall architecture.
• Maintain an FHA Repository and build-out the architecture model in the FHA Repository in small iterations.
• Serve as a liaison in the Model Driven Architecture (MDA) process guides and model terminologies and value sets for those information domains required to support the generation of two additional information exchange (IE) implementation standards.
• Generate health information exchange implementation standards using MDA process, and the FHIM, associated terminology models/value sets and the Model Driven Health Tools (MDHT).