# Appendices

## Appendix A - IHS IT Strategic Goals & Objectives Mapped to ISAC Priorities and key IHS IT initiatives

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  IHS IT Strategic Goals & Objectives    ISAC Priority      IHS Initiative
  -------------------------------------- ------------------ ------------------
  Goal 1: Enhance the quality, accuracy,                    
  availability, and delivery of clinical                    
  information and applications to                           
  improve care of patients and                              
  communities.                                              

  1.1 Develop, deploy and support                           Clinical Reporting
  clinical applications with                                System (CRS),
  demonstrated positive impact on                           Uniform Data
  quality of care                                           System (UDS),
                                                            iCARE (Case
                                                            Management)

  1.2 Continue progress towards          **3** Electronic   Electronic Health
  deployment of an electronic medical    Health Record      Record (EHR),
  record.                                                   Electronic Dental
                                                            Record (EDR)

  1.3 Offer VHA VistA Imaging program as **8** Telemedicine VistA Imaging,
  multimedia component of IHS EHR.       Coordination       Electronic Health
                                                            Record (EHR)

  1.4 Implement clinically effective     **8** Telemedicine VistaWeb,
  Telehealth tools to enhance access to  Coordination       Cache/Ensemble
  quality care, improve chronic illness                     National
  management, and extend training                           Deployment,
  opportunities.                                            Nationwide Health
                                                            Information
                                                            Network (NHIN)

  1.5 Implement the first iteration of   **6** Data         National Patient
  the National Patient Information       Quality/ Accuracy  Information
  Reporting System's new National Data                      Reporting System
  Warehouse system and then, based upon                     
  clinical program needs and priorities,                    
  progressively enhance it to include                       
  additional data, improve its                              
  reduplication methods and data quality                    
  and tracking reports, and develop an                      
  archiving system for the less-used NDW                    
  data and for legacy NPIRS data.                           

  1.6 Improve the ability to securely    **4**              Cache/Ensemble
  share information with patients and    Infrastructure/    National
  appropriate healthcare partners.       Architecture/      Deployment,
                                         Interoperability   Nationwide Health
                                                            Information
                                                            Network (NHIN),
                                                            Enterprise Master
                                                            Person Index
                                                            (EMPI), VistaWeb

  1.7 Improve the availability and                          Nationwide Health
  dissemination of information in                           Information
  preparation for, or in response to,                       Network (NHIN)
  local and national public health                          
  emergencies.                                              

  1.8 Improve documentation of I/T/U     **6** Data         
  Public Health activities.              Quality/ Accuracy  

  1.9 Make clinical decision support     **7** Decision     VistaWeb,
  tools universally accessible to        Support System     Nationwide Health
  providers.                                                Information
                                                            Network (NHIN)

  1.10 Enhance the IHS health            **5** Training     
  information application training       (User Support)     
  program, emphasizing                                      
  cost-effectiveness.                                       

  1.11 Develop and deploy patient safety                    Patient Safety
  measurement system.                                       System

  1.12 Identify, test, and implement an  **2** Enterprise   Enterprise Master
  agency-wide Master Patient Index       Master Person      Person Index
  solution, in support of clinical care  Index              (EMPI)
  and data warehouse needs.                                 

  Goal 2: Enhance the administrative                        
  information and applications to                           
  optimize our business and health care                     
  operations.                                               

  2.1 Achieve maximum possible           **4**              Ongoing
  coordination and implementation of     Infrastructure/    
  IHS' IT planning and investments with  Architecture/      
  the PMA e-Gov and HHS enterprise       Interoperability   
  projects.                                                 

  2.2 Continue to maintain and develop   **4**              Ongoing
  new technologies to complement IHS     Infrastructure/    
  business re-engineering efforts, to    Architecture/      
  increase productivity, and to improve  Interoperability   
  information delivery to the public.                       

  2.3 Provide a quality billing and      **1** Billing      Business Office
  accounts receivable system to enhance  (Revenue           Alternative COTS,
  revenue generation and collection.     Generation, Cost   Third Party
                                         Avoidance)         Billing, Accounts
                                                            Receivable

  2.4 Establish a cost accounting system **9** Cost         Accounts
  that is integrated into the IHS'       Accounting         Receivable, UFMS
  health and financial information                          
  systems.                                                  

  2.5 Provide the IT infrastructure to                      
  improve Contract Health Services.                         

  2.6 Make management decision support                      
  tools universally accessible to I/T/U                     
  managers.                                                 

  2.7 Leverage web services to conduct   **4**              VistaWeb,
  business securely with customers and   Infrastructure/    Nationwide Health
  stakeholders.                          Architecture/      Information
                                         Interoperability   Network (NHIN)

  2.8 Ensure the availability and                           Nationwide Health
  dissemination of information in                           Information
  preparation of or in response to local                    Network (NHIN)
  and national emergencies or other                         
  significant business disruptions.                         

  2.9 Provide technologies enabling      **4**              Network
  I/T/U employees to work                Infrastructure/    Enhancements,
  collaboratively and share knowledge.   Architecture/      Sharepoint
                                         Interoperability   

  Goal 3: Implement an enterprise                           
  approach to information technology                        
  infrastructure that will foster                           
  innovation, collaboration, and                            
  interoperability.                                         

  3.1 Establish a basis for consolidated **4**              Nationwide Health
  infrastructure to achieve              Infrastructure/    Information
  interoperability and communication     Architecture/      Network (NHIN),
  across the IHS, HHS, and with external Interoperability   Network
  entities.                                                 Enhancements, IPv6

  3.2 Improve the performance of IHS'    **4**              IPv6, Network
  communication/network resources.       Infrastructure/    Enhancements
                                         Architecture/      
                                         Interoperability   

  3.3 Pursue the unification and         **4**              Ongoing
  simplification of similar IT business  Infrastructure/    
  processes and services across the IHS, Architecture/      
  HHS, and with external entities.       Interoperability   

  3.4 Implement e-Gov initiatives and    **4**              Ongoing
  consolidated administrative systems    Infrastructure/    
  including UFMS, GovTrip, and           Architecture/      
  Enterprise e-Mail.                     Interoperability   

  3.5 Leverage IT tools developed in the **4**              Ongoing
  VA and other federal agencies to       Infrastructure/    
  enhance IT system capability for       Architecture/      
  Indian health care.                    Interoperability   

  3.6 Maximize the value of technology                      
  investments through enterprise-wide                       
  procurement and licensing.                                

  3.7 Develop, establish, implement, and **4**              Ongoing
  maintain IT Standards.                 Infrastructure/    
                                         Architecture/      
                                         Interoperability   

  3.8 Participate in the Office of the   **4**              Ongoing
  National Coordinator for Health        Infrastructure/    
  Information Technology initiatives.    Architecture/      
                                         Interoperability   

  Goal 4: Achieve excellence in IT                          
  management practices.                                     

  4.1 Strengthen IHS enterprise-wide                        
  processes for collaborative IT                            
  strategic planning, capital planning,                     
  and investment control.                                   

  4.2 Apply strong project management                       Enterprise
  and performance measurements processes                    Performance Life
  to critical IT projects to achieve                        Cycle (EPLC)
  project success.                                          

  4.3 Develop an IT human capital plan                      
  to guide the recruitment, retention,                      
  and skill development of staff.                           

  4.4 Establish and maintain IT policies                    
  and SOPs to ensure compliance with                        
  evolving Federal legislation and OMB                      
  regulations, and HHS directives.                          

  Goal 5: Improve the overall                               
  information security posture to                           
  adequately assure the confidentiality,                    
  integrity, and availability of                            
  information and information resources.                    

  5.1 Establish and maintain consistent  **10** Security    
  agency-wide policies and procedures to and Regulatory     
  protect IHS' information and           Compliance         
  information systems.                                      

  5.2 Support integration of information **10** Security    
  security into IHS lines of business.   and Regulatory     
                                         Compliance         

  5.3 Create an environment where all    **10** Security    
  employees' actions reflect the         and Regulatory     
  importance of information security.    Compliance         

  5.4 Implement minimum-security         **10** Security    
  standards agency-wide consistent with  and Regulatory     
  Federal guidelines and best practices. Compliance         

  5.5 Establish program metrics to       **10** Security    
  measure information security program   and Regulatory     
  performance.                           Compliance         

  5.6 Define measurable program results  **10** Security    
  and establish metrics.                 and Regulatory     
                                         Compliance         

  5.7 Periodically apply metrics to      **10** Security    
  determine progress.                    and Regulatory     
                                         Compliance         

  5.8 Develop or modify, and implement   **10** Security    
  action plans according to progress     and Regulatory     
  results.                               Compliance         
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