Please remember to mute your speakers.

VA Mobile Discussion Series

For audio, please dial in using VANTS: 1-800-767-1750 pc: 43950#

Thank you for joining. We will begin shortly.

How to Implement a VA App

VA Mobile Discussion Series January 25, 2018

Katherine Lawyer, VA Mobile Implementation Deployment Team Cindy Wamsley, VA Mobile Implementation Deployment Team Conor O’Brien, VA Mobile ImplementationD eployment Team

AGENDA

• Software Development Lifecycle • Impactto Deploymentand Implementation

• Continuous Iterations to Improve the Product

• ApplicationSpecificPlanning • National Deployment Planning

• Identifyingthe Audience

• Where Should We Go? Data-Driven Decisions • Field Test Activities • National Release Activities

January 2018 2

Software Development Lifecycle Process

Deciding what the end product will look like

Working with key stakeholders to inform app design

Building the app

Preparing staff and Veterans to use the product

Verifying there are no bugs

Continuously gain feedback on how to improve in a future version

Planning for a national implementation occurs throughout the entire development lifecycle

RequirementGathering

ComplianceReviews

User AcceptanceTesting

(Remediation) Live with the app

Field Test Kickoff

National Release Kickoff

Development& Testing

Business Needs: Development: National Release & Implementation: Post Release Monitoring

SDLC AND IMPLEMENTATION

Software Development Lifecycle

• National deployment planning occurs at the very beginning of the lifecycle and continues throughout the entire process

• Identifying key stakeholders,us e cases for the product andt arget endus ers informs botht he deployment strategy ando verall designo f the app

• Key implementatione fforts occur during FieldT est andN ationR elease

January 2018 4

CONTINUOUS I TERATIONS T O IMPROVE THE PRODUCT

• Many VA apps are released in an iterative model, where products are constantly updatedand improved

• Subsequent versions may be minor enhancements, or significant changes in functionality• As new versions near release, the same core implementation planning approach is taken

Requirements for Next Version

Implementation

Development

Deployment Planning

Align & Plan

Develop • End user feedback and gov’t direction informs new versions• Begin planning for next implementation

• Progress through deployment phase• Collect field feedback to inform next version• Gather “Lessons Learned” to improve deployment approach

Execute PIPS Monthly

Prepare

• Building the next version• Progressing through the Software Development Lifecycle

• Finalize templates, tools, and materials• Identify any process changes that need to happen

January 2018 5

Application-SpecificPlanning

• Everyapplicationfollowsasimilarapproach,thoughthelengthandcomplexityofeachphasemayvaryappbyapp.Phasesinnationaldeploymentinclude:- Defineadoptionstrategies- Plandeployment- Communication/marketingpreparationanddelivery- Deploymentpreparation- Outreach- Sitereadinessandimplementation- Trainingpreparationanddelivery

• Thestrategymaybetailoreddependingon- Targetendusersandstakeholders- Impacttoexistingworkflows(howmuchchangefortheuser)- Technicalrequirements

NATIONAL DEPLOYMENT OVERVIEW

January 2018 7

TYPESOFAPPSANDAUDIENCES

SupportManagingOne’sOwnHealthoraFamilyMember’s

Health

Self-ServiceTransactions

• Self-Scheduling• PrescriptionRefillSelf-ManagementofHealth

• HealthEducationApplications• Self-MonitoringApplications

HealthResourceNavigation

• OnlinePeerSupportNetworks

ImproveCommunicationsforBetterIntegrationofCare

GivingPatientsControloftheirownHealthInformation

• Patient-mediatedDataExchange

ConnectingPatientswiththeirHealthCareTeamsbetweenVisits

• TextMessaging(protocoldriven)

• SecureEmail

ImprovetheEfficiencyofCareDelivery

TelehealthServices

• Case-ManagedHomeMonitoring

• Store&ForwardTechnologies• ClinicalVideoTelehealthMobileHealthCareTeams

• MobileTablets/AppsforClinicalCare

8

InformationfrompresentationbyKathyFrisbee

January 2018

Deploymentstrategies/modelswillbebasedonwhatmakessenseModel DescriptionandLogic

BigBangLight

Theproduct(s)donotrequireworkfloworprocesschangesontheprovider’sside.ThismodelmaybeusedforversionorURLupdatesandrequireslittletrainingandarelativelypassivecommunicationsstrategy.(MostlyusedforsomeVeteran-facingapps)

Waves Phased,high-touchapproachimpactingmanyfacilitiesandrequiringahighdegreeofworkflowchanges,trainingandcommunications.Usersmayneedtobeinvitedtousetheproductorblockedfromusingit.TheWavesmodelrequiressupportfromlocalVAfacilityleadership.

Focused/Targeted

Targetsaspecificaudiencewithspecialcharacteristics(e.g.,specialtycare,conditiontypes,treatments)andmayimpactfewerthanhalfofallsites.Technicallimitations,suchasdevicelimitations,alackofiPadsorVistAconfigurations,mayalsoneedtobeconsidered.

BigBangHeavy

Requiresalotofupfrontworkbeforeitcanbereleased.Indepthtrainingandactivecommunicationsareneededbecauseworkflowandprocesschangesarerequired.SomeoftheseappsmaybeVeteranFacingapplicationswithdependenciesonotherapplicationsorProviderengagement.

DEPLOYMENT STRATEGIES AND MODELS

January 2018 9

FIELD TEST ACTIVITIES

PLANNING&OUTREACH SITEREADINESS CONDUCTFIELDTEST

• Hostmeetingswithidentifiedprogramofficestodiscussbusinessprocessneeds

• Communicatelevelofeffortandtechnicalrequirements toidentifiedPOCs

• Validatefieldtestmaterials• Hostkickoff&townhallactivities

• RecruitstaffVeteranstotest

• Hostcheck-incalls• Prioritizedefects

TNE

MNREV

OG

• Distributeoutreachmaterials• Develop&finalizefieldtestimplementationsteps

• Identifyprocess&businessrulechanges

• Identifyfieldtesters• Coordinatewithhelpdesk

• Providetechnicalrequirementstofieldtesters

• Createkickoff&townhallmaterials

• Preptasksspecifictoeachsiteincludingconfigurationandtrainingasneeded

• Developcontentforcheck-incalls

• Documentlessonslearned• Adjustnationalrelease/deploymentplanperlessonslearned,ifnecessary

MTEA

RELEAS

E

• Providehelpdesktechnicalinformationandtraining

• Providedevstatusupdates• Providetechnicalfunctionalityandrequirements

• Providetestscripts

• Assistwithtechnicaltroubleshooting

• Remediate/test/installinproduction

• Providetechnicalsupportduringtesting

• Trackandremediatedefects

TEAM

DEV

January 2018 10

NATIONAL DEPLOYMENT ACTIVITIES

PLANNING&OUTREACH SITEREADINESS CONDUCTRELEASE

GOVE

RNMEN

T • Hostmeetingswithidentifiedprogramofficestodiscussbusinessprocessneeds

• Communicatelevelofeffortandtechnicalrequirements toidentifiedPOCs

• Validatefieldtestmaterials• Hostkickoff&townhallactivities

• RecruitstaffVeteranstotest

• Hostcheck-incalls• Prioritizefeedbackfornextiteration

• Distributeoutreachmaterials• Develop&finalizereleaseimplementationsteps

• Identifyprocess&businessrulechanges

• Coordinatewithhelpdesk

• Providetechnicalrequirementstofacilitiestesters

• Createkickoff&townhallmaterials

• Preptasksspecifictoeachsite• Holdanytrainingsessions

• Developcontentforcheck-incalls

• Gatherfeedbackandlessonslearned

• Adjustnationaldeploymentplanperforfutureversions

MAETESAELRE

• Providehelpdesktechnicalinformationandtraining

• InformReleaseTeamofchangesinschedule

• Providetechnicalfunctionalityandrequirements

• Assistwithtechnicaltroubleshooting

• Providetechnicalsupportoncereleased

• Trackandremediatedefects

• Begindevelopmentofnewversionsbasedonfeedbackandgovernmentprioritization

MAETV

DE

January 2018 11

12

EXAMPLE IMPLEMENTATION STAGES FOR COMPLEX APPS

SiteKickOff:Complete Stage1 Stage2 Stage3 Stage4 Stage5

Stage 4:AppValidationTesting

Stage 2:Implementation

Planning

SuperUserandStaffTraining(ifapplicable)Veteran training and outreach should occur after the app’s Go-Live date at sites

Staff training can be completed on an ongoing basis but should be completed prior to the app going live at sites VeteranTraining

andOutreach

Go-Live

VistA PatchInstallation(Ifapplicable)

VistA patches will be released through OI&T at a national level

Stage1:DetermineLocal Team

Stage 3:Implementation

Execution

Site Kickoff (with VISN/Site POCs)

You are at this Site Implementation Stage

January 2018

THANK YOU

Whatfuturetopicswouldyouliketodiscuss?

Letusknowbyprovidingfeedbackatthislink:https://www.surveymonkey.com/r/S5LGMSQ

13