MHS GENESIS Transforming the Military Health System

Transcription

1 AMSUS 2018 MHS GENESIS Transforming the Military Health System Maj Gen Lee Payne, USAF, MC, CFS Assistant Director-Combat Support & MHS Functional Champion 28 Nov 2018 National Harbor MD

2 Disclosures Presenter has no interests to disclose. 2

3 Learning Objectives At the conclusion of this activity, the participant will be able to: 1. Describe the difficulties facing the Military Health System (MHS) and how MHS GENESIS is addressing these problems 2. Identify how MHS GENESIS is improving the MHS 3. Examine the implications of an Electronic Health Record (EHR) for MTF providers and commanders 4. Recognize the utility in analyzing patient data to improve care 5. Discuss future applications of an EHR at the MTF level and across the MHS enterprise 3

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5 Change is Hard 5

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8 MHS GENESIS Guiding Principles Standardize clinical and business processes across the Services and the MHS Design a patient-centric system focusing on quality, safety and patient outcomes that meet readiness objectives Flexible and open, single enterprise solution that addresses both garrison and operational healthcare Clinical business process reengineering, adoption, and implementation over technology Configure not customize Decisions shall be based on doing what is best for the MHS as a whole not a single individual area Decision-making and design will be driven by frontline care delivery professionals Drive toward rapid decision making to keep the program on time and on budget Provide timely and complete communication, training, and tools to ensure a successful deployment Build collaborative partnerships outside the MHS to advance national interoperability Enable full patient engagement in their health 8

9 MHS GENESIS Deployment Timeline Phases Complete Initial Deployment Inpatient Deployment Full Deployment February 2017 Summer Target 2023 Initial Operating Capability (IOC) deployment commenced at Fairchild Air Force Base IOC deployment at inpatient facilities in the Pacific Northwest: Naval Health Clinic Oak Harbor Naval Hospital Bremerton Madigan Army Medical Center Wave 1 deployment begins Enterprise wide wave deployment to all MTFs and Dental Treatment Facilities 9

10 Lessons Learned from IOC Sites Technical Readiness Ensure close coordination between DISA, J6, and the DHMSM PMO to get MED-COI deployed, tested, and ready for the site Resolve Medical Device Interfaces Training Methodology Improve the training approach and content, and tie it more closely to workflows Improve subject matter expertise across the enterprise on MHS GENESIS Change Management Study user role assignments and permissions at the enterprise level Communicate workflows, bridging knowledge gaps from old to new processes, early in the transition Maintain continuous leadership communication and buy-in Issue Resolution Prioritize issues (safety, readiness) and sort by Solution Owner (technical, functional) Communicate to end users the status of tickets 10

11 Word from the Western Front 11

12 ARMY MEDICINE One Team One Purpose Conserving the Fighting Strength Since 1775 Positive Aspects After using AHLTA during this deployment I miss MHS GENESIS MAJ Grubish Collaborative culture Inter-service Collaboration / Informal Consortium Breaking down department level barriers Integrated Health Record Inpatient / outpatient / ED / All Sites (SCMH/PCMH/EBH) Safety / Capability Increases Hard stops for safety checks Timely alerts Computerized Physician Order Entry Blood administration application Barcode medication administration Lab Application (reduced transcription error) Collaborative documentation platform Clinical Areas of Success Emergency Department Orthopedics Slide 4 of 8 1 NOV

13 Slide 5 of 8 1 NOV 2018 ARMY MEDICINE One Team One Purpose Conserving the Fighting Strength Since 1775 IOT&E Results Current State: Identify actionable deficiencies within the 388 incident reports. Next Step: Collaborative review with OCHIO to identify appropriate action. Roles and Workflow Switching roles multiple times Scheduling/Appointing/Referrals Complex appointment order Dental Multiple system performance issues Content Issue Specialty standardized documentation content Clinical Documentation - Coding Difficult to find / Absent Diagnosis Data Reporting Inaccurate and unreliable data Limited to no access to quality measure data Patient Transition Process Inpatient / Outpatient movement Referral Management Safety and transition of care gaps caused by message-based system 13

14 Way Ahead 14

15 MHS GENESIS Updates MHS GENESIS contract includes continuous upgrades for the life cycle of the system. SAaB April 2018 August 2018 September 2018 October 2018 November 2018 December 2018 April Simple Content and Configurations Items 126 Cerner Update Packages.23 Millennium Upgrade Password Reset Tool Bridge Upgrade Rhapsody 6.3 Upgrade Business Object 4.2 Upgrade Clairvia Dentrix.257 Upgrade MPages 6.9 Upgrade CEP Upgrade Millennium Upgrade 15

16 Way Ahead Revamped Training (Initial, Sustainment, Peer Expert) Stabile Infrastructure (MEDCOI & MDI) Robust Change Management (Pre, Go-Live, Post) Effective Strategic Communications Focused Sprints 16

17 Questions? EHR Functional Champion Mailbox

18 CE/CME Credit If you would like to receive continuing education credit for this activity, please visit: Hurry, CE Certificates will only be available for 30 DAYS after this event!