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Patient Care Systems Integration Platform (PCSIP)
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1. Utilize AI and ML proven techniques to reduce the time clinical staff spends to develop tailored treatment plans including orders, scheduling, treatment plan development and auto generation of notes and quality reports.
2. Deployment of the Varian TrueBeam linear accelerator and associated software in complete FISMA compliance.
3. Overcome disparity of systems integration and management to avoid erosion at the necessary
Preventive Maintenance (PM) and CSP Management required.
Origin:
February 2025, Samuel S. Stratton Department of Veterans Affairs Medical Center (Albany, New York)
Adoptions:
1 in-progress
Partners:
Radiation Oncology
Recent Updates
Overview
Problem
The Department of Veterans Affairs must support Food and Drug Administration (FDA) approved clinical technologies without sacrificing its Veterans Affairs Operational Network Enterprise (VA-ONE) Cyber Security Posture (CSP) where all technologies must be FISMA compliant. This is required so that the FDA approved Information Systems (IS) are not isolated and
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The Department of Veterans Affairs must support Food and Drug Administration (FDA) approved clinical technologies without sacrificing its Veterans Affairs Operational Network Enterprise (VA-ONE) Cyber Security Posture (CSP) where all technologies must be FISMA compliant. This is required so that the FDA approved Information Systems (IS) are not isolated and prevented from performing IO functions in the live network. Currently, Varian Radiation Oncology FDA approved devices are placed in an isolated network behind MDIA restricting the utility of devices and making them cumbersome for use by VA staff increasing the waiting time required for veterans to get care.
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Solution
The PCSIP solution prevents disparity of systems integration and management and avoid eroding at the necessary Preventive Maintenance (PM) and CSP Management required to sustain these systems throughout their expected life cycles while operating on the VA-ONE. PCSIP is a VA OIT approved Systems Integration Tool use to remedy all the currently found dispariti
...
The PCSIP solution prevents disparity of systems integration and management and avoid eroding at the necessary Preventive Maintenance (PM) and CSP Management required to sustain these systems throughout their expected life cycles while operating on the VA-ONE. PCSIP is a VA OIT approved Systems Integration Tool use to remedy all the currently found disparities in dealing with FDA approved potentially networked technologies including patch management and backups. PCSIP brings the Varian provided technologies into a full CSP management framework to ensure they are in a full oversight, monitoring and CSP as all other approved systems on the VA-ONE. PCSIP uses technology capable of operating in the live network architecture with all the prominent and valid CSP framework and authorizations expected of technology operating in the VA OIT managed enterprise network architecture. PCSIP converges the various monitoring, data backups and PM management systems to ensure old or newly acquired systems are appropriately networked and managed under a comprehensive lifecycle replacement framework. PCSIP enables VA to perform workflow customizations for radiation oncology, perform integrations with Varian (Aria, Eclipse, Velocity), VistA (Patient Record, Imaging, Scheduling), Nuvolo/ServiceNow, PACS/DICOM, PIV and SSOi integration.
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Results
PCSIP provides five major outcomes
1. Modernization and Optimization of Workflows including EHR Modernization, Multiple AI Engine Support for Optimization, Reduced administrative burden, and Improved patient care
2. Seamless Integration for Comprehensive Care in Radiation Oncology with Integration of Patient Data Across VA Systems, Vista Data Migration fro ... PCSIP provides five major outcomes
1. Modernization and Optimization of Workflows including EHR Modernization, Multiple AI Engine Support for Optimization, Reduced administrative burden, and Improved patient care
2. Seamless Integration for Comprehensive Care in Radiation Oncology with Integration of Patient Data Across VA Systems, Vista Data Migration from Aria and Vista to Cerner, Single Sign-On and Dual Authentication.
3. Patient Engagement and Standardization to Empower patients with knowledge and tools, VA-Wide Standardization of Charting and Standardized Reporting
4. Advanced Telehealth and Analytics including Integrated Telehealth Infrastructure, Extensive Analytics Capabilities. And Enabling HIMSS Stage 7 EHR Requirements
5. Agency Outcomes include Improved Access to Care, Speed to Care and Highest Quality of Care See more
1. Modernization and Optimization of Workflows including EHR Modernization, Multiple AI Engine Support for Optimization, Reduced administrative burden, and Improved patient care
2. Seamless Integration for Comprehensive Care in Radiation Oncology with Integration of Patient Data Across VA Systems, Vista Data Migration fro ... PCSIP provides five major outcomes
1. Modernization and Optimization of Workflows including EHR Modernization, Multiple AI Engine Support for Optimization, Reduced administrative burden, and Improved patient care
2. Seamless Integration for Comprehensive Care in Radiation Oncology with Integration of Patient Data Across VA Systems, Vista Data Migration from Aria and Vista to Cerner, Single Sign-On and Dual Authentication.
3. Patient Engagement and Standardization to Empower patients with knowledge and tools, VA-Wide Standardization of Charting and Standardized Reporting
4. Advanced Telehealth and Analytics including Integrated Telehealth Infrastructure, Extensive Analytics Capabilities. And Enabling HIMSS Stage 7 EHR Requirements
5. Agency Outcomes include Improved Access to Care, Speed to Care and Highest Quality of Care See more
Metrics
- The solution enables Varian radiation oncology equipment to be directly connected and in full operation without the need for isolation (MDIA) to the VA OIT managed ONE.network.
Diffusion tracker
Does not include Clinical Resource Hubs (CRH)
Implementation
Timeline
-
3 months
PCSIP setup and customization with integration to existing VA systems.
Departments
- Radiation oncology
Core Resources
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About
Origin story
PCSIP was successfully piloted to establish interfaces necessary in Emergency Department at Albany Stratton VA Medical Center in 2023. Prior to that, PCSIP was piloted in Surgery at John H Whelan Salt Lake City Healthcare System and Washington DC VA Medical Center. PCSIP received Authority to Operate (ATO) from VA OIT in 2021, 2022, 2023 and 2024-2027 to pro
...
PCSIP was successfully piloted to establish interfaces necessary in Emergency Department at Albany Stratton VA Medical Center in 2023. Prior to that, PCSIP was piloted in Surgery at John H Whelan Salt Lake City Healthcare System and Washington DC VA Medical Center. PCSIP received Authority to Operate (ATO) from VA OIT in 2021, 2022, 2023 and 2024-2027 to provide the functionality of integrating systems at Authentication, Authorization, Content Read and Write (to Vista, Cerner, PACS, ECG and Bed side monitors). The same was extended to Radiation Oncology as part of this innovation.
Original team
Richard.Loubriel@va.gov
Associate Director
Nicole Melius
Chief Radiation Therapist
Caitlin Merrow
Physicist
Chandra Tekwani
Technical Architect Advisor
Comment
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