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Veterans Integrated Services Networks (VISN), Markets, Submarkets, Sectors and Counties by Geographic Location
www.datahub.va.gov | Last Updated 2024-02-15T19:42:03.000ZThe Department of Veterans Affairs (VA) provides healthcare services to its veterans across the USA including territories and possessions. Healthcare services are delivered through 18 geographically divided administrative areas called Veterans Integrated Services Networks (VISN). Each VISN is divided into healthcare areas called Markets and Submarkets. Each Submarket is divided into Sectors and each Sector comprises one or more counties. In 1995 a process was created to coordinate and review the realignment of the Heath Care Networks. The Capital Asset Realignment for Enhanced Services (CARES) process established VISN 'subsets' called Markets, Submarkets and Sectors which, being smaller than VISNs, allowed for more precise analyses for greater access measurement to health care. The County layer is the base geographic unit of the VISN-Market-Submarket-Sector-County hierarchy. The key attribute in this data set is the FIPS which is defined as a string of 5 characters with unique alphanumeric combinations for each site. The first 2 are the State FIPS code and the next 3 designate the County FIPS code. Example: '01031' is the FIPS for Coffee County, Alabama. A Sector is a cluster of geographically adjacent counties within a VA Submarket. The process of aggregating counties into sectors uses a combination of automated algorithms and manual inspection of maps. The key attribute in this data set is the SECTOR which is defined as a string of eight characters broken down into four parts in the order of VISN (2-char), Market (1-char), Submarket (1-char), and Sector(1-char) connected by a hyphen. For example, Sector 12-a-3-A indicates VISN 12, Market a, Submarket 3 and Sector A. Sub-markets reflect a clustering of the enrollee population within a market and are an aggregation of Sectors. The key attribute in this data set is the SUBMARKET which is defined as a string of six characters broken down in three parts in the order of VISN (2-char), Market (1-char), and Submarket (1-char) connected by a hyphen. For example, Submarket 12-a-3 indicates VISN 12, Market a, and Submarket 3. CARES defines Markets as "an aggregated geographic area having a sufficient population and geographic size to both benefit from the coordination and planning of health care services and to support a full healthcare delivery system (i.e. primary care, mental health care, inpatient care, tertiary care, and long term care)". Each Market is built from Submarkets. The key attribute in this data set is the MARKET which is defined as a string of four characters broken down in two parts in the order of HCN (2-char) and Market (1-char) connected by a hyphen. For example, Market 12-a indicates VISN 12 and Market a. The key attribute in the VISN data set is defined as a string of two characters from 01-23, excluding 3, 11, 13, 14 and 18; a VISN also has an officially recognized VA title. For example, VISN 06 is the Mid-Atlantic Health Care Network. VISNs can span across neighboring countries to include areas that are not contiguous. For example, VISN 08 includes Florida and Puerto Rico in addition to most of Florida and southern Georgia, and VISN 20 includes Alaska and parts of the northwest conterminous United States. Each VISN is built from Markets, Submarkets, Sectors and Counties derived from Census (2010) County data. Because VISNs are composed of VHA markets, VISN boundaries align with the outer edges of their constituent markets’ boundaries. Markets cross state borders wherever it is necessary to keep outpatient clinics (e.g. Community-Based Outpatient Clinics(CBOCs)) and their catchment areas in the same market as their parent medical centers. Thus, VISN boundaries also cross state borders. In 2016 senior leadership considered the challenge of conforming VISN boundaries to MyVA Districts, which coincide with state boundaries. It was agreed that VHA would not separate outpatient clinics from their parent medical centers due to added complexity. Many outpat
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Department of Veterans Affairs - Monthly Report to Congress of Data Incidents (May 2014)
www.datahub.va.gov | Last Updated 2020-05-15T22:13:11.000Z<p>This is a monthly report that the VA Office of Information Technology provides to congress about data incidents that took place during the month (May 2014). The report contains details about and total numbers of mis-handling incidents; mis-mailed incidents; mis-mailed CMOP incidents; IT equipment inventory incidents; missing stolen PC incidents; missing/stolen laptop incident; lost blackberry incidents; and lost non-blackberry mobile devices (tablets, iPhones, androids, etc.) incidents.</p>
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Department of Veterans Affairs - Monthly Report to Congress of Data Incidents (June 2014)
www.datahub.va.gov | Last Updated 2020-05-15T22:08:16.000Z<p>This is a monthly report that the VA Office of Information Technology provides to congress about data incidents that took place during the month (June 2014). The report contains details about and total numbers of mis-handling incidents; mis-mailed incidents; mis-mailed CMOP incidents; IT equipment inventory incidents; missing stolen PC incidents; missing/stolen laptop incident; lost blackberry incidents; and lost non-blackberry mobile devices (tablets, iPhones, androids, etc.) incidents.</p>
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Department of Veterans Affairs - Monthly Report to Congress of Data Incidents (April 2014)
www.datahub.va.gov | Last Updated 2020-05-15T21:45:53.000Z<p>This is a monthly report that the VA Office of Information Technology provides to congress about data incidents that took place during the month (April 2014). The report contains details about and total numbers of mis-handling incidents; mis-mailed incidents; mis-mailed CMOP incidents; IT equipment inventory incidents; missing stolen PC incidents; missing/stolen laptop incident; lost blackberry incidents; and lost non-blackberry mobile devices (tablets, iPhones, androids, etc.) incidents.</p>
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VA National Bed Control System
www.datahub.va.gov | Last Updated 2020-12-01T23:19:32.000Z<p>The VA National Bed Control System records the levels of operating, unavailable and authorized beds at each VAMC, and it tracks requests for changes in these levels. For changes in operating, unavailable and authorized bed levels, the Director of a Medical Center or his/her authorized delegate enters a bed change request into the Bed Control Database. A Bed Control Database trigger automatically notifies the respective Veterans Integrated Support Network (VISN) director. The VISN director's designated staff reviews the request and either approves, disapproves, or cancels it through the Bed Control Database. If a medical center request is approved by the VISN director, a Bed Control Database trigger notifies staff in the Assistant Deputy Under Secretary for Health for Operations and Management (10N) to review and take action, followed by the appropriate VHA Program Office and then the Under Secretary for Health. Once a request has been approved, cancelled, or disapproved by either the Deputy Under Secretary for Health for Operations and Management, VHA Program Office, or the Under Secretary for Health, the medical center director and the appropriate VISN director are automatically notified of the action. The approval process is tracked and visible to the authorized user of the system. When changes are approved, the database updates its bed level information accordingly. Pertinent justification and documents associated with each bed change request are stored in the database.</p>
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Nuclear Medicine National Headquarter System
www.datahub.va.gov | Last Updated 2020-12-01T23:21:55.000Z<p>The Nuclear Medicine National HQ System database is a series of MS Excel spreadsheets and Access Database Tables by fiscal year. They consist of information from all Veterans Affairs Medical Centers (VAMCs) performing or contracting nuclear medicine services in Veterans Affairs medical facilities. The medical centers are required to complete questionnaires annually (RCS 10-0010-Nuclear Medicine Service Annual Report). The information is then manually entered into the Access Tables, which includes: * Distribution and cost of in-house VA - Contract Physician Services, whether contracted services are made via sharing agreement (with another VA medical facility or other government medical providers) or with private providers. * Workload data for the performance and/or purchase of PET/CT studies. * Organizational structure of services. * Updated changes in key imaging service personnel (chiefs, chief technicians, radiation safety officers). * Workload data on the number and type of studies (scans) performed, including Medicare Relative Value Units (RVUs), also referred to as Weighted Work Units (WWUs). WWUs are a workload measure calculated as the product of a study's Current Procedural Terminology (CPT) code, which consists of total work costs (the cost of physician medical expertise and time), and total practice costs (the costs of running a practice, such as equipment, supplies, salaries, utilities etc). Medicare combines WWUs together with one other parameter to derive RVUs, a workload measure widely used in the health care industry. WWUs allow Nuclear Medicine to account for the complexity of each study in assessing workload, that some studies are more time consuming and require higher levels of expertise. This gives a more accurate picture of workload; productivity etc than using just 'total studies' would yield. * A detailed Full-Time Equivalent Employee (FTEE) grid, and staffing distributions of FTEEs across nuclear medicine services. * Information on Radiation Safety Committees and Radiation Safety Officers (RSOs). Beginning in 2011 this will include data collection on part-time and non VA (contract) RSOs; other affiliations they may have and if so to whom they report (supervision) at their VA medical center.<em>Collection of data on nuclear medicine services' progress in meeting the special needs of our female veterans.</em> Revolving documentation of all major VA-owned gamma cameras (by type) and computer systems, their specifications and ages. * Revolving data collection for PET/CT cameras owned or leased by VA; and the numbers and types of PET/CT studies performed on VA patients whether produced on-site, via mobile PET/CT contract or from non-VA providers in the community.* Types of educational training/certification programs available at VA sites * Ongoing funded research projects by Nuclear Medicine (NM) staff, identified by source of funding and research purpose. * Data on physician-specific quality indicators at each nuclear medicine service.* Academic achievements by NM staff, including published books/chapters, journals and abstracts. * Information from polling field sites re: relevant issues and programs Headquarters needs to address. * Results of a Congressionally mandated contracted quality assessment exercise, also known as a Proficiency study. Study results are analyzed for comparison within VA facilities (for example by mission or size), and against participating private sector health care groups. * Information collected on current issues in nuclear medicine as they arise. Radiation Safety Committee structures and membership, Radiation Safety Officer information and information on how nuclear medicine services provided for female Veterans are examples of current issues.The database is now stored completely within MS Access Database Tables with output still presented in the form of Excel graphs and tables.</p>
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Plan Library Information and Retrieval System (PLIARS)
www.datahub.va.gov | Last Updated 2020-12-01T23:22:13.000Z<p>The Plan Library Information and Retrieval System (PLIARS) is an electronic catalogue of microfilmed Contract and As-Built drawings of VA building plans and cemeteries. It is a single flat file list of the more than 500,000 aperture cards stored at the Veterans Affairs Central Office (VACO). Each record contains an entry for Veterans Affairs Medical Center (VAMC) station number, date, building number, a code representing the discipline, project number, floor, and wing. Disciplines include architectural, electrical, mechanical, structural, etc. Hard copy of the plans are stored at each VAMC. The plans are microfilmed at the National Archives and aperture cards are produced for both Contract and As-Built stages of the contract. An original copy of each aperture card is kept at the National Archives, with copies to VACO and the VAMC. The Program Planning and Management Office enters a record into PLIARS for each new card the VACO receives. They are also responsible for maintaining the database. Primary users of the PLIARS database are contractors hired to do work. In-house technical staff and the Engineering offices at the VAMC's. Users of PLIARS can request aperture cards for the buildings, disciplines, projects and medical centers as needed. Staff pull the aperture cards from the files and make either half or full size blow-ups of the drawings.</p>
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Automated Safety Incident Surveillance and Tracking System (ASISTS)
www.datahub.va.gov | Last Updated 2020-12-01T23:19:29.000Z<p>The Automated Safety Incident Surveillance and Tracking System (ASISTS) is a repository of Veterans Health Administration (VHA) employee accident data. Many types of accidents are captured, but the primary focus of the ASISTS database is to track and to report on employee exposures to blood borne pathogens through needlesticks, sharps and body fluids. Accident data is captured locally at medical centers using the Veterans Health Information Systems and Technology Architecture (VistA) ASISTS package. Federal Employee Compensation claims are transmitted electronically in order to provide efficient and timely submission to the Department of Labor, Office of Workers' Compensation Programs; and to ensure that the Occupational Safety and Health Administration's (OSHA) Log of Work-Related Injuries and Illnesses is maintained. On a daily basis the Federal Employee Compensation claims are transmitted by Electronic Data Interchange extraction. A weekly download of the accident reports are sent to the national database using MailMan messages. On a monthly basis, extracts are sent to the ASISTS central repository located at the Austin Information Technology Center. The VHA Support Service Center (VSSC) provides multiple customized reports on the VSSC Web portal available on the VA Intranet. The primary users of ASISTS include OSHA, VA Headquarters, the VISN Directors, and occupational safety and health professionals located at each VA medical facility.</p>
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VIERS Electronic Form Submission Service (EFSS)
www.datahub.va.gov | Last Updated 2020-05-15T21:33:15.000Z<p>The D2D EFSS (Inc 1 and 2) provides a common access point to standardize, centralize, and integrate the universal collection of Benefit Claim Forms and supporting evidence data to produce a streamlined paperless Veteran/Service member centric claims process. Allow VSOs to submit claims and documents digitially to the VA system, enable the claim to be automatically established, automatically upload the associated dcument and evidence to the Veterans eFolder or document storage repository, notifying the correct Station of Jurisdiction(SOJ) that a claim folder or eFolder is available to be worked, and notify the VSO of successful submissions and errors experienced, if applicble during submittal. This service provides claims profile data functionality.D2D. Electronic Post Office (formerly D2D Service) MSTI SR 52. Enables exteranal systems to submit (through VLER) structured official VA Forms with/without attachment documents and orchestrates temporary storage, virus checking and message durability. When complete, submits form to appropriate Form Submission Service for orchestration This service is not nationally published as of June 2014</p>
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COIN 0017 CARS AGE PROFILE REPORT JAN 2015
www.datahub.va.gov | Last Updated 2020-11-03T03:55:06.000Z<p>COIN 0017 CARS AGE PROFILE REPORT JAN 2015</p>