JHASIR

What is JHASIR?

A Congressional mandate under the National Defense Authorization Act for Fiscal Year 2009

(Section 721), directed the Department of Defense (DoD) Hearing Center of Excellence (HCE) collaborate with the Services and the Department of Veterans Affairs (VA) to develop the Joint Hearing Loss and Auditory System Injury Registry (JHASIR).

JHASIR combines clinical episodes of care from both DoD and VA audiograms, demographic, deployment, theatre trauma, and non-trauma data. All information is in computable fields to promote analysis, research, performance improvement, and continuity of care.

JHASIR Capabilities

• Identifies/tracks all Service members and Veterans with service-related hearing loss and auditory and vestibular system injuries from 2001 to present.
• Supports medical readiness by monitoring comprehensive hearing health programs.
• Provides, enables, and allows bidirectional data sharing capability between DoD and VA.
• Supports clinical providers by delivering longitudinal data.
• Improves Service member transition to VA by providing health data enabling continuity of care.
• Measures program effectiveness by outlining, monitoring, and reporting on hearing health initiatives and best practices.

Who is in the Registry?

Active-duty Service members, Reserve Components (Reserves and National Guard), & Veterans (2001 to present).  As of 22 Oct 2019, there are 968k+ patients in JHASIR.

JHASIR Data Sources

• Direct Care (Outpatient and Inpatient)
• Purchased Care (Outpatient and Inpatient)
• Ancillary Services – Pharmacy, Laboratory, and Radiology
• DOEHRS - HC – Defense Occupational & Environmental Health Readiness System - Hearing Conservation
• ECAA - Enterprise Clinical Audiology Application
• DoDTR - Department of Defense Trauma Registry
• DMDC - Defense Manpower Data Center
• VA CDW – Veteran Affairs Corporate Data Warehouse*
• VA NAR – Veteran Affairs National Audiometric Registry*
• TMDS - Theatre Medical Data Store (future data source)

*VA data sources are incorporated through DoD & VA Infrastructure for Clinical Intelligence (DAVINCI)

Benefits of JHASIR

JHASIR will provide longitudinal hearing loss and auditory-vestibular system injury data. It will facilitate research and best practice development through bidirectional data to advance solutions and eliminate gaps in hearing health. The registry will ultimately enhance the hearing health of our Service members and Veterans leading to optimal operational performance, medical readiness, and quality of life.

When will JHASIR become available?

Estimated targeted availability is January 2020. Users will be able to request access to JHASIR via the CarePoint Portal, which is a Defense Health Agency Enterprise Solution within the MHS Information Platform. Training is required prior to receiving access to JHASIR. Once JHASIR has reached full operational capability, a training schedule will be provided and JHASIR access request instructions will be available.

Contact the HCE Information Management Branch at dha.ncr.j-9.list.hce-im@mail.mil