In addition to transforming VA s business processes and modernizing the supporting IT systems, VA understands the critical need to provide a reliable, secure, efficient, and cost effective IT infrastructure that will support the Veterans Health Administration (VHA) in meeting its day to day operational demands and future business functions.
The Medical IT Support investment delivers reliable, secure and responsive IT services used by VHA to provide a broad range of primary/specialized care, medical/social support services, health care education/training, and advances in medical research and development. Sustaining ongoing operations for the stack of installed infrastructure (desktops, mobile computing/communicating equipment, help desk operations, servers and file storage, security infrastructure, voice/data/video connectivity, and data centers) is the purpose of VA's Medical IT Support O&M budget. This stack of infrastructure is deployed in over 300 major facilities and 1,100 other points of care/service. Also supported is sustainment of legacy and enterprise systems including Decision Support System, Enrollment operations, Allocation Resource Center, Health Research Center; VistA and VistA Imaging systems, Nuance, Bed Management systems, Veteran kiosks, Health Registries, etc. This investment also supports the build-out of IT support space, and IT infrastructure as part of major/minor facility construction projects, Community Based Outpatient Clinics and non-recurring maintenance at VHA facilities.
IT Infrastructure provides the backbone necessary for daily operational needs of VA medical centers, Veteran facing systems, and all other IT systems supporting the Department's mission. Proper operation and maintenance of this enterprise requires sustainment of production system activities, refreshment of existing equipment that reaches the end of its lifecycle, and infrastructure upgrades as systems and IT platforms outlive their ability to support the rapidly changing technology environment. The funding requested provides IT availability and performance according to service level agreements, supports lines of business within the Department, maintains high availability and quality of service to our Veterans, and assures continuity of operations and disaster recovery to minimize disruptions. It also helps ensure an infrastructure capable of accepting the new products and systems that meet the emerging needs of both VHA customers and employees.
Business case ID
Department of Veterans Affairs
Summary of performance gap
IPT charter date
Summary of funding start year
Summary of funding end year
Explanation of change to PY or CY funding
The total costs for PY and CY in the summary of funding table have been adjusted to reflect the revised operating budget.
No EVM explanation
These contracts support operations and maintenance activities and do not require EVMS per OMB Circular A-11 and VA Directive 6061. OMB Circular A-11 and VA Directive 6061 require the use of post implementation reviews and operational analysis on operations and maintenance efforts to promote more effective management oversight.
EA and innovation
Medical IT Support's return on investment includes hard cost savings realized by investing in a reliable and secure Medical IT infrastructure. Specific cost savings/benefits result from less work interruption, efficient IT operations, fewer patient safety incidents, cost avoidance of emergency repairs and replacement, consolidation of contracts and support services. In addition to quantifiable cost savings, soft benefits are also realized in terms of customer satisfaction, quality of patient care, increased employee retention and job performance, and improvements in service levels to customers and stakeholders. Benefits that are internal to the government are those that directly impact veterans, employees, and government agencies, and include quality of care, accessibility of systems and services, reliability of the Medical IT infrastructure, security of systems, and facilitated integration, sharing, and exchange of information between agencies and/or systems. Benefits that are external to the government include cost savings and efficient use of tax dollars, incentive benefits to support the armed forces (and a strong military), innovations in external health care communities associated with Veterans Affairs medical systems, facilities, and research. The benefits of the Medical IT support investment are far reaching and multifaceted. Investment in Medical IT Infrastructure and careful management of the investment ensures that benefits outweigh the costs and return on investment is optimized.
CIO evaluation comments
April 2016 financial and metric performance impacted overall rating. Only about a fifth of planned spending was obligated due to de-franchising of organizational unit, and hardware spending obligated less than planned.