November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS:...

48
November 2, 2015 Linda Kok, MA Technical & Privacy Liaison 1

Transcript of November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS:...

Page 1: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

November 2 2015

Linda Kok MA

Technical amp Privacy Liaison

1

22

Will be able to determine whether a project is a research or quality improvement (QI)

Know where to find information about the correct data request process for data needed in your project

Be familiar with standard research documents and research and QI data request forms

33

Is it research or is it quality improvement

General Requirements for Data Access

Data request requirements

Research

Quality improvement

Using the VHA Data Portal to identify request processes

Research Access including DART forms

Operational Access

44

OROrsquos VHA Handbook 105805 VHA Operations Activities That May Constitute Research

OROrsquos PowerPoint presentation October 28 2011

NDS and DART data request processing teams

Patient Care Services data request manager

Pharmacy Benefits Management data request manager

IRB ndash Institutional Review Board RampD Committee ndash Research and Development Committee ACOS-R ndash Associate Chief of Staff for Research ORD ndash Office of Research and Development ORO ndash Office of Research Oversight QI ndash Quality Improvement QA ndash Quality Assurance

PI ndash Performance Improvement PE ndash Program Evaluation DTA ndash Data Transfer Agreement

NDS ndash National Data Systems DART ndash Data Access Request Tracker MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) CAPRI ndash Compensation and Pension Record Interface

VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA CUPS POC ndash Customer User Provisioning System Point of Contact (often your facility ISO)

5

CDW Corporate Data Warehouse domain data MedSAS Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) PCS Patient Care Services data

CAPRI ndash Compensation and Pension Record Interface VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA

6

What are your roles in VA research or operations data use Check all that apply

Research investigator

Quality improvement investigator

Project coordinator data manager data analyst

IRB Chair or ACOS-R

Other ndash please describe via the QampA function

7

8

We do systematic investigations

9

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 2: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

22

Will be able to determine whether a project is a research or quality improvement (QI)

Know where to find information about the correct data request process for data needed in your project

Be familiar with standard research documents and research and QI data request forms

33

Is it research or is it quality improvement

General Requirements for Data Access

Data request requirements

Research

Quality improvement

Using the VHA Data Portal to identify request processes

Research Access including DART forms

Operational Access

44

OROrsquos VHA Handbook 105805 VHA Operations Activities That May Constitute Research

OROrsquos PowerPoint presentation October 28 2011

NDS and DART data request processing teams

Patient Care Services data request manager

Pharmacy Benefits Management data request manager

IRB ndash Institutional Review Board RampD Committee ndash Research and Development Committee ACOS-R ndash Associate Chief of Staff for Research ORD ndash Office of Research and Development ORO ndash Office of Research Oversight QI ndash Quality Improvement QA ndash Quality Assurance

PI ndash Performance Improvement PE ndash Program Evaluation DTA ndash Data Transfer Agreement

NDS ndash National Data Systems DART ndash Data Access Request Tracker MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) CAPRI ndash Compensation and Pension Record Interface

VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA CUPS POC ndash Customer User Provisioning System Point of Contact (often your facility ISO)

5

CDW Corporate Data Warehouse domain data MedSAS Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) PCS Patient Care Services data

CAPRI ndash Compensation and Pension Record Interface VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA

6

What are your roles in VA research or operations data use Check all that apply

Research investigator

Quality improvement investigator

Project coordinator data manager data analyst

IRB Chair or ACOS-R

Other ndash please describe via the QampA function

7

8

We do systematic investigations

9

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 3: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

33

Is it research or is it quality improvement

General Requirements for Data Access

Data request requirements

Research

Quality improvement

Using the VHA Data Portal to identify request processes

Research Access including DART forms

Operational Access

44

OROrsquos VHA Handbook 105805 VHA Operations Activities That May Constitute Research

OROrsquos PowerPoint presentation October 28 2011

NDS and DART data request processing teams

Patient Care Services data request manager

Pharmacy Benefits Management data request manager

IRB ndash Institutional Review Board RampD Committee ndash Research and Development Committee ACOS-R ndash Associate Chief of Staff for Research ORD ndash Office of Research and Development ORO ndash Office of Research Oversight QI ndash Quality Improvement QA ndash Quality Assurance

PI ndash Performance Improvement PE ndash Program Evaluation DTA ndash Data Transfer Agreement

NDS ndash National Data Systems DART ndash Data Access Request Tracker MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) CAPRI ndash Compensation and Pension Record Interface

VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA CUPS POC ndash Customer User Provisioning System Point of Contact (often your facility ISO)

5

CDW Corporate Data Warehouse domain data MedSAS Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) PCS Patient Care Services data

CAPRI ndash Compensation and Pension Record Interface VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA

6

What are your roles in VA research or operations data use Check all that apply

Research investigator

Quality improvement investigator

Project coordinator data manager data analyst

IRB Chair or ACOS-R

Other ndash please describe via the QampA function

7

8

We do systematic investigations

9

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 4: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

44

OROrsquos VHA Handbook 105805 VHA Operations Activities That May Constitute Research

OROrsquos PowerPoint presentation October 28 2011

NDS and DART data request processing teams

Patient Care Services data request manager

Pharmacy Benefits Management data request manager

IRB ndash Institutional Review Board RampD Committee ndash Research and Development Committee ACOS-R ndash Associate Chief of Staff for Research ORD ndash Office of Research and Development ORO ndash Office of Research Oversight QI ndash Quality Improvement QA ndash Quality Assurance

PI ndash Performance Improvement PE ndash Program Evaluation DTA ndash Data Transfer Agreement

NDS ndash National Data Systems DART ndash Data Access Request Tracker MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) CAPRI ndash Compensation and Pension Record Interface

VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA CUPS POC ndash Customer User Provisioning System Point of Contact (often your facility ISO)

5

CDW Corporate Data Warehouse domain data MedSAS Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) PCS Patient Care Services data

CAPRI ndash Compensation and Pension Record Interface VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA

6

What are your roles in VA research or operations data use Check all that apply

Research investigator

Quality improvement investigator

Project coordinator data manager data analyst

IRB Chair or ACOS-R

Other ndash please describe via the QampA function

7

8

We do systematic investigations

9

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 5: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

IRB ndash Institutional Review Board RampD Committee ndash Research and Development Committee ACOS-R ndash Associate Chief of Staff for Research ORD ndash Office of Research and Development ORO ndash Office of Research Oversight QI ndash Quality Improvement QA ndash Quality Assurance

PI ndash Performance Improvement PE ndash Program Evaluation DTA ndash Data Transfer Agreement

NDS ndash National Data Systems DART ndash Data Access Request Tracker MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) CAPRI ndash Compensation and Pension Record Interface

VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA CUPS POC ndash Customer User Provisioning System Point of Contact (often your facility ISO)

5

CDW Corporate Data Warehouse domain data MedSAS Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) PCS Patient Care Services data

CAPRI ndash Compensation and Pension Record Interface VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA

6

What are your roles in VA research or operations data use Check all that apply

Research investigator

Quality improvement investigator

Project coordinator data manager data analyst

IRB Chair or ACOS-R

Other ndash please describe via the QampA function

7

8

We do systematic investigations

9

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 6: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

CDW Corporate Data Warehouse domain data MedSAS Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision Support System (DSS) data) PCS Patient Care Services data

CAPRI ndash Compensation and Pension Record Interface VACMS Data ndash Data from the Centers for Medicare and Medicaid Services used in the VHA

6

What are your roles in VA research or operations data use Check all that apply

Research investigator

Quality improvement investigator

Project coordinator data manager data analyst

IRB Chair or ACOS-R

Other ndash please describe via the QampA function

7

8

We do systematic investigations

9

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 7: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

What are your roles in VA research or operations data use Check all that apply

Research investigator

Quality improvement investigator

Project coordinator data manager data analyst

IRB Chair or ACOS-R

Other ndash please describe via the QampA function

7

8

We do systematic investigations

9

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 8: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

8

We do systematic investigations

9

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 9: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

We do systematic investigations

9

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 10: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Research is a systematic investigation

10

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 11: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Quality improvement studies can also be systematic investigations

11

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 12: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

1212

Designed to develop or contribute to

generalizable knowledge

Designed to produce information to expand the

knowledge base of a scientific discipline or

scholarly field of study

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 13: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Projects funded or supported as research by ORD

or any other entity

Clinical investigations - as defined under Food and Drug Administration (FDA) regulations

Office of Research Oversight presentation October 28 2011

13

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 14: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Double blind interventions

Placebo controls

Prospective patient-level randomization to clinical interventions not tailored to individual patient benefit

Office of Research Oversight presentation October 28 2011

14

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 15: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

1515

Data collected for non-research operations may subsequently be accessed and used for research

VHA Handbook 105805

VHA Operations Activities That May Constitute Research

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 16: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

161

6

Studies in which findings are intended ltONLYgt to be used by and within VA or by entities responsible for overseeing VA

Office of Research Oversight presentation October 28 2011

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 17: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

1717

VA All Employee Survey (AES) Voice of VA Survey etc

Cardiac Assessment Reporting and Tracking System (CART)

External Peer Review Program (EPRP)

Home and Community Based Quality Care Initiative

Inpatient Evaluation Center (IPEC)

Mental Health Program Evaluation Centers

October 28 2011

VA Surgical Quality Improvement Program (VASQIP)

Office of Research Oversight presentation

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 18: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Determine which components are QI and which are research

Establish separate document folders

Understand compliance requirements for both

As you undertake each activity determine whether you have on your research hat or your operations hat

And keep your hat on ndash the right hat

18

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 19: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

19

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 20: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Facility IRB

Facility Research amp Development Committee

Program Office supervisingsponsoring the project

Office of Research amp Development (ORD)

Office of Research Oversight (ORO)

20

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 21: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

21

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 22: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

22

Employment status

Proposed use

Data Steward requirements

Sensitivity of data

Physical location of data

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 23: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Description of data needed

Access form(s) for specific data source(s)

Research approval documents

Protocol

IRB approval letter

RampD approval letter

Informed Consent documents

HIPAA documents

Real SSN Access Request (where applicable)

More often via DART

23

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 24: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

24

Local

Management

Oversight

Data Steward

Requirements

Regulatory

Compliance

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 25: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

25

Health Information Management (HIMS)

CPRS

CUPS Point of Contact or ISO

National MedSAS data with scrambled SSNs

On the AITC Mainframe

MedSAS - real SSN for local facility

MCA amp VSSC Web Reports - scrambled SSN

CUPS = Customer User Provisioning System

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 26: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

VACMS data

National Data Systems (NDS)

CDW

MedSAS data with real SSNs

HERC data

Many others

Patient Care Services

Specialty Medicine custom extracts

Pharmacy Benefits Management data

VIReC

26

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 27: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

VHA Privacy Office

VHA Security Liaison Office

27

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 28: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

28

Description of data needed

Justification for data use

Signature of supervisor and ISO

Specific access forms vary by resource examples

VHA NDS Healthcare Operations Form

More often via ePAS

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 29: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Data containing Protected Health Information (PHI) is

Collaborate with a VA Researcher

Obtain permission from

VA Under Secretary for Health

Obtain HIPAA authorization from Veterans to use

their data

29

restricted to VA researchers

Pathways are

limited

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 30: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

30

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 31: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Have you visited the VHA Data Portal for information about data access

Yes frequently

Browsed a little

No never

Not surenot applicable

31

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 32: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

32

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 33: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

33

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 34: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

34

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 35: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

35

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 36: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Data source list

36

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 37: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

37

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 38: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

1

543

Example Research Request Process Table for Medical SAS datasets

38

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 39: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

39

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 40: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Research Request Memo CDW Data Domain Checklist

CAPRI Special User Access Real SSN Access Requests

Vital Status File Rules of Behavior

40

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 41: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

41

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 42: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

42

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 43: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Healthcare Operational Request Forms CAPRIVistAWeb Access Request

HAIISS Data Access Form VSF Rules of Behavior

43

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 44: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

Operations

44

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 45: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

45

Note For operations projects (PI QI QA) use these instructions

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 46: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

46

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 47: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

4747

VHA Data Portal

httpvawwvhadataportalmedvagov

VIReC Website

httpvawwvirecresearchvagovIndexhtm

VIReC HelpDesk

VIReCvagov

708-202-2413

VIReC Real SSN Review Help Desk

VIReCRealSSNDatavagov

VINCI Concierge Service ndash CDW data specialists

VINCIvagov

48

Contact Information

virecvagov

Page 48: November 2, 2015 Linda Kok, MA Technical & Privacy Liaison...Data Warehouse domain data MedSAS: Medical SAS datasets MCA (DSS) Managerial Cost Accounting System data (formerly Decision

48

Contact Information

virecvagov