2_use_case_name: Identify access to genetic testing in Veterans with breast cancer. 
3_agency: Department of Veterans Affairs
3_abr: VA
4_bureau: VHA: Veterans Health Administration
8_topic_area: Health & Medical
10_commercial_ai: Searching for information using AI.
11_purpose_benefits: Stakeholders in the National Oncology Program that are required to understand quality of standard of care access provided by VA to Veterans with cancer to germline genetic testing. Veterans who have not been provided standard of care access may be provided additional support in the form of care coordination services to ensure they receive standard of care access. 
The AI use case is intended to help the Stakeholders in the National Oncology Program understand quality of standard of care access provided by VA to Veterans with cancer to germline genetic testing.
This will help stakeholders be able to identify which veterans have not been provided with germline genetic testing access more efficiently and at almost real time, thus being able to provide additional support in the form of care coordination services to ensure they receive standard of care access. 
   We do not anticipate this AI to be either safety impacting or rights impacting. The output does not serve as a principal basis for a decision. Coordinators are expected to review the output and corroborate its veracity using source information obtained from the EHR. The system resides completely within approved VA IT boundaries that are fully compliant with FISMA and HIPAA rules with availability and reliability set by OI&T. The information that the algorithm uses for input and its output relates to patient , disease features, and whether genetic testing is offered are related to cancer diagnoses and therefore are unlikely to perpetuate inequalities related to protected characteristics. They are unrelated to educational benefits, housing grants, loans, risk assessment for insurance, job training programs, employment services, vocational rehabilitation, or hiring. It does not impact claims and benefits processing.
While the system is envisioned to increase the efficiency of coordinators identifying information elements related the Veteran’s cancer diagnoses, and whether standard of care access to genetic testing was offered to Veterans, these elements are not envisioned to be related to race, nor creating or promoting disparities. On the contrary, by improving coordinator efficiency and awareness of whether Veterans received the care adherent to VA NOP guidelines, we believe the system will allow more Veterans to be supported in adherence with NOP guidelines; decreasing any existing inequities. It will also allow Coordinators be spend less time gathering information and more time interacting with Veterans, improving their ability to connect with the Veteran, learn about them, and provide Veteran-centric support, including facilitating access to genetic testing per NOP guidelines. The system will make it easier for Coordinators to locate information about Veterans related to their diagnoses, however it will not be used for diagnosing disease, recommending treatment plans nor as a tool to monitor a patient’s health. It will not be used for health assessments or interventions, manage or dispense medications, or to automate labs. It will not make any decisions for the provider but will make it easier for the provider to identify information elements of interest in the course of supporting Veterans. The system will also be entirely redundant, meaning Coordinators will still use information from the EHR to perform their workflows, both to find information about Veterans and to document their interactions. Coordinators will be able to fall back to EHR workflows should the system is unavailable for any reason.  


12_outputs: Binary output of Yes or no on if the patients have access to germline genetic testing, and the reason of the output. This will be highlighted in the original context and output along with the original context for nurse coordinators to review.
16_dev_stage: Acquisition and/or Development
17_impact_type: Neither