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202_ My HealtheVet the First Wave of PHR Extracts_ 2008 VHA

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					202 My HealtheVet: the First Wave of
          PHR Extracts
         Margaret M. Wrana R.D.L.D.
    Clinical Information Systems Manager
           VA Boston Healthcare System



                                           1
             Learning Objectives


1. Understand the process the veteran will follow
   when viewing appointments on the
   Appointment and Health Calendar Tabs in My
   HealtheVet
2. Learn how the veteran will set appointment
   viewing preferences
3. Understand the steps the veteran will follow
   when viewing Chemistry and Hematology
   Results

                                                    2
                   Ground Rules
• Please write any questions on the 3x5 cards
  provided

  – Room assistants will collect the cards and we will
    attempt to respond as time permits to all questions

  – If we run out of time your questions and answers will
    be posted on the VEHU website




                                                            3
               Incredible Journey

My HealtheVet was launched on Veterans Day,
                November 11, 2003

  • Trusted health information


  • Links to Federal and VA benefits

  • Daily News Updates

  •   On-Line Prescription Refill
                                          4
     Incredible Journey
      Veterans Day 2008




Veteran Personal Health Record
          Is Growing



                                 5
Log into www.myhealth.va.gov




                               6
           My HealtheVet Statistics


• Over 18 Million Visits to My HealtheVet
        11/11/2003-5/16/2008


• Over 595,445 Registrants
       11/10/2004-5/24/2008

• 71% of Registrants are VA Patients



                                            7
              Tier One Access
Non registered visitors to My HealtheVet can
  access information from the home page:
• VA Health Benefits and Services
• VA Benefits
• VHA Organizations and Programs
• Facility Locator
• VA Jobs
• Public Affairs Bulletins
• Congressional Affairs
• Daily News Updates
                                               8
Tier One Access




                  9
                Tier Two Access
Registered users can:

• Refill VA prescriptions online

      Over 6.1 Million Prescription Refills
       8/31/2005-5/29/2008




                                              10
               Tier Two Access
• Keep Track of Personal Health Information

     - Emergency contacts
     - Treatment providers
     - Insurance carriers
     - Other health care information


• Self-enter comprehensive personal and family
  health histories

                                                 11
                  Tier Two Access

• Record important events from military service

• Track illnesses, accidents, or other events by
  logging their date, treatments prescribed and
  comments

• Keep track of medications, allergies,
  immunizations, tests, food intake and daily
  exercise activities events in health journals


                                                   12
                  Tier Two Access
• Monitor readings for common health metrics

  - blood pressure

  - blood sugar

  - cholesterol

  - body temperature/weight

  - heart rate and pulse oximetry
                                               13
              Tier Three Access

Veterans who are registered My HealtheVet users
and have been In Person Authenticated can view
medication names when refilling their VA
prescriptions and will soon be able to view their
appointments and chemistry and hematology lab
results on My HealtheVet




                                                14
            In Person Authentication
• In-Person Authentication (IPA) is a process used
  to verify a My HealtheVet (MHV) user's identity

• Before In Person Authentication can occur,
  several requirements must be met:

  – The user must be registered as a VA patient in their
    My HealtheVet account
  – The user must view the MHV Orientation Video
  – The user must download, read and sign the VA Form
    10-5345a (PDF)
  – The user must present a form of government issued
    photo identification to a qualified VA staff member at
    their VA facility to be physically proofed

                                                         15
               Tier Three Access
           Over 70,000 Veterans IPA'd
                   1/1/2007-5/30/2008

      VA Patients who are authenticated can:

• View medication names when refilling their VA
  prescriptions

• Obtain a blended view of self entered and
  extracted medication information from their Vista
  record
                                                  16
       Requested Additional Services
October 2007- May 2008 Survey of Veterans




                                            17
       Personal Health Record Extracts


            Extracted Information

                     from

           Veteran’s VistA Records

                 APPOINTMENTS
                                     MEDICATION
LABS                                   NAMES



                                                  18
Test Sites


  Boston

  Detroit

Long Beach

Richmond

Washington
             19
Log into www.myhealth.va.gov




                               20
Get Care Tab




               21
Appointment Tab




                  22
            Appointments Tab View
• View display message
• Refresh information
• View Appointment
     - Appointment Date/Time
     - Clinic Name
     - Location
• View Appointment Details
     - Appointment Date/Time
     - Location of Appointment
     - Clinic and Clinic Phone Number
     - Status of the Appointment (future, past )
                                                   23
Appointment Tab: Display Message




                                   24
Appointment Summary




                      25
Appointment Details




                      26
Health Calendar Tab




                      27
Health Calendar Tab: Display Message




                                       28
Calendar View




                29
Calendar View: Day




                     30
Calendar View: Week




                      31
Calendar View: Month




                       32
Appointment Details




                      33
Calendar View: List View




                           34
              Showing Event Types



-   Federal Holidays (Observed)
-   Holidays
-   National VA Events
-   VISN/Regional VA Events
-   Local VA Events
-   Personal Events
-   VA Appointments

                                    35
Showing Event Types




                      36
View/Change Preferences




                          37
Preferred Calendar View




                          38
Edit Zip/Postal Code




                       39
Subscribe to Email Reminders




                               40
Subscribe to Email Reminders




                               41
Subscribe to Email Reminders




                               42
                 E Mail Reminders

• Initial E mail Information – 14 Days
                          E mail Content




                                           43
              E Mail Reminders
• Final E mail Reminder
                 E mail Content




                                  44
               E Mail Reminders


• Appointment Details

 - Appointment Date and Time

 - Facility Name

 - User Name (Last Name M. First Name)



                                         45
               E Mail Reminders
• Disclaimer




                                  46
 Available Appointments


2 years Historical Appointments



1 year Future Appointments




                                  47
  Sources of Appointment Information



          Appointment Letter




   My                      Reminder
HealtheVet                 Phone Call


                                        48
Chemistry and Hematology Results




                                   49
                Seven Day Delay
All Chemistry/Hematology Lab Results will be on a
seven day delay starting with the day that the lab
test was completed and results were reported.
During the seven day delay, providers can review
results with patients prior to the information being
made available on My HealtheVet




                                                   50
Track Health Tab




                   51
Lab & Tests




              52
Labs & Tests




               53
Chemistry/Hematology: Display Message




                                        54
Chemistry/Hematology Summary View




                                    55
Chemistry/Hematology Details




                               56
Result Comments




                  57
Chemistry/Hematology Details




                               58
         FOIA/Privacy Act Reporting
• The first time a veteran signs in and requests
  labs it will be logged as a Freedom of
  Information Act Request
• Subsequent times when the veteran signs in it
  will be logged as a Privacy Act Request
• All Privacy Officers and HIMS managers will be
  able to view FOIA/Privacy Act reports.
• The reports are intended to validate what is
  going on with local users.
• Reporting for the national FOIA report will be
  done from a national level.
• National,VISN local reports can be obtained
                                                   59
FOIA/Privacy Act Reporting




                             60
                 Technical Points


• Appointments and Chemistry/Hematology
  results will be available with the release of
                     MHV 8.1.2



• The My HealtheVet Flag will appear on the
  toolbar of the coversheet of authenticated
  veterans with this release. This is the MPI Sync
  aspect of In Person Authentication

                                                  61
              My HealtheVet Flag
• When a veteran is authenticated in My
  HealtheVet, MHV sends an HL7 message to the
  MPI indicating the patient has a new Treating
  Facility- My HealtheVet.

• This message is sent after the veteran is
  authenticated in the In Person Authentication
  Admin Portal, resulting in the flag displaying




                                                   62
                  Data Parity



• The National HIMS organization is working with
  the My HealtheVet team on a policy to address
  dirty data

     Example: Wrong patient data is entered into
     My HealtheVet E-Vault




                                                   63
         Additional 2008 Releases



• Secure Messaging

• Wellness Reminders

• Learning Management System




                                    64
      Projected 2009 Extract Releases


• Allergies, Immunizations, Family Health History
  Enhancements



• Admissions, Vitals, Demographics



• Microbiology, Microscopy, Co-Pay Balances


                                                    65
      Projected 2009 Extract Releases


• Pathology (non anatomic), ECG, Cytology



• Problem List, Radiology



• Discharge Summaries, Progress Notes



                                            66
      Projected 2009 Extract Releases


• Content Management System

• Metrics and Reporting Infrastructure

• My Recovery Plan

• CPRS View of Veteran Self-Entered Data



                                           67
QUESTIONS?


             68

				
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