Elevating How VA Delivers Health Care to Veterans

  • Customer Story
  • Agile Transformation
  • Veteran & Enterprise Technology

Background

The Department of Veterans Affairs (VA) health care system has over nine million veterans enrolled and serves more than 6.5 million unique patients across 150+ million appointments each year. These veterans have complex and evolving mental and physical health needs that require effective care regardless of where they live, the impacts of a global pandemic, supply chain interruptions, or clinical and technology capacity limitations.

VA’s Office of Information & Technology (OIT) is driving an IT transformation focused on improving customer experience and delivering the highest quality of care to all veterans. This includes expanding tele-health and overall access to care, delivering joint DoD-VA electronic health records, offering a seamless supply chain, and eliminating barriers to timely and high-quality care. At the center of this transformation is OIT’s Health Services Portfolio (HSP), which manages the full spectrum of Health IT (HIT) products that deliver digital and clinical point of care service for veterans.

Understanding the Need

To shepherd OIT’s transformation, HSP must create and sustain modern, integrated solutions that improve customer service, expand interoperability with VA and community care providers, and enable the continual delivery of secure, cost-effective healthcare to veterans. HSP needed a partner that could:

  • Implement and maintain a constant stream of new products and enhancements.
  • Address foundational challenges such as standardizing modern platforms and automation for products, optimizing OKRs, improving the use of data to inform decisions, and developing a realistic technology roadmap based on the product archetype.
  • Help adopt and improve modern DevSecOps (DSO), Product Line Management, and platform and factory solutions.
  • Create trusted business partner relationships with VHA, DHA, DoD, and HHS when there are significant differences in organizational construct, budget rules, and governance.
$2M
Saved annually for HSP.
30+
Strategic initiatives implemented.
330+
Health IT products supported.

Our Solution

Since 2018, GovCIO has provided PMO and strategic services across the HSP’s nine product lines, which comprise 330+ products. Our team takes an enterprise approach to PMO support that incorporates a tailored Lean-Agile framework and cross-functional processes, tools, data repositories, communications, and knowledge management. This allows us to address the complexity of individual product lines and products, engage the breadth of stakeholders, and maintain a continuous focus while driving high-quality tactical performance.

In the years since the contract started, the needs of Veteran healthcare have drastically changed – from the MISSION Act of 2018, to Cerner platform adoption and VistA phase out, to the COVID-19 pandemic and need for virtual healthcare (telehealth), to the maturation of various technologies and management practices, such as DevSecOps and Product Line Management (PLM). However, GovCIO’s approach has continued to help HSP navigate these initiatives proactively and effectively, building a support model that stresses Veteran impact and empowers leaders to act and solve problems within VA’s delivery environment.

Focusing on HSP’s overall mission, GovCIO helped craft a clear strategic vision and translates this vision into tactical engagements that drive mission success. From the time any GovCIO team is stood-up, we work closely with VA PMs to coordinate current team efforts, tasking, and upcoming shifts in priorities. In 2020, we enhanced our existing process with a customized utilization tool that helps identify workload and/or resource trends while providing visibility into potential environmental risks; this tool has saved HSP an estimated $2M annually. Overall, GovCIO has completed 30+ strategic initiatives and developed a robust backlog to continue this momentum in achieving the HSP’s goals.

Results

Through our technical and strategic services, GovCIO has considerably impacted how the HSP executes work- improving the quality, reliability, and speed of its services and products.

An Agile, Product-Centric Organization

Improved Veteran Access to Care During COVID-19

DevSecOps Adoption

Advanced EHRM and Other Interoperability Efforts