Connie Lee, MPH, FACHE BD-STEP Director October 16, 2017
Department of Veterans Affairs Functional Organization Manual Version 3.1, Department of Veterans Affairs VA Mission: To care for him who shall have borne the battle, and for his widow, and his orphan by serving and honoring the men and women who are America s Veterans.
Veterans Health Administration (VHA) VHA is the largest integrated health care system in the United States, providing care at 1,243 health care facilities, including 170 VA Medical Centers and 1,063 outpatient sites of care of varying complexity (VHA outpatient clinics), serving more than 9 million enrolled Veterans each year. VHA Mission: Honor America s Veterans by providing exceptional health care that improves their health and well-being. VHA Vision: VHA will continue to be the benchmark of excellence and value in health care and benefits by providing exemplary services that are both patient centered and evidence based. This care will be delivered by engaged, collaborative teams in an integrated environment that supports learning, discovery and continuous improvement. It will emphasize prevention and population health and contribute to the nation s well-being through education, research and service in National emergencies. 3
4
My GHATP Experience (2006-2007) 5
Bridging the Gap: leveraging data Clinical Delivery Research Data 6
BD-STEP journey RFP Released May 2015 First Cohort launched October 2015 Third Cohort launched October 2017 BD-STEP version 1 1 1 1.5 1.5 2 Ongoing research & training activities; ongoing recruitment efforts 6 Pilot sites selected July 2015 Second Cohort launched October 2016 Recompete RFP December 2017 7
BD-STEP Framework (version 1.0) Data sources CDW Precision Oncology Program Cancer Data Registry Development of Data Scientists - Top universities - Skilled & trained physical scientists - Exposure to, and understanding of the clinical setting - Increased collaboration with Academic partners - Collaboration with NCI Meaningful translation of data to patients Improved health outcomes and delivery of care to patients 8
BD-STEP curriculum (version 1.5 - currently focused in Cancer) Introductory training and activities Annual Kick-off meeting boot camp activity managed by BD-STEP sites to introduce fellows/trainees to on-site resources and VA environment Research and operational projects 80% of time spent on research projects; 20% of time is spent on operational projects (to include rotational opportunities within the clinical environment) Regular check-ins Monthly trainee calls Monthly journal club calls Annual face-to-face meeting Annual Hackathon* End of year virtual graduation *in coordination, projected for Spring 2018 9
FY 18 Program requirements During your year with us, we will expect you actively engage in all aspects of the BD-STEP program (to include, but not limited to the following items below): Quarterly progress reports with you VA/Academic mentor team; timely submission of progress reports to BD-STEP Director Fellow/Trainee monthly call: 2 nd Wednesday, 3:00 PM 4:30 PM EST Monthly Journal club: 3 rd Thursday, 3 PM EST Recommended trainings will be shared periodically with all fellows/trainees: VINCI happy hour : 3 rd Wednesday, 3 PM 4 PM EST BD2K sessions Seminars, lecture series and invited guest speakers For November: Opportunity to meet face-to-face with all other BD-STEP fellows and trainees November 8, 2017 at the NIH main campus after the AMIA conference (dial-in will be available for those with special travel restrictions) Journal club will be held on Thursday, November 16 th at 3PM ET 10
Creating a Learning Healthcare System for Oncology BD-STEP version 2.0 11
Make this year count! Potentially, BD-STEP can redefine care delivery by training clinical data scientists to understand and interpret the rapidly increasing amount of data generated in clinical settings and to utilize the data to directly impact decisions in clinical care. Under Secretary for Health, Dr. David Shulkin, (March 2016)