my healthevet- veterans personal health record

My HealtheVet-Veterans Personal Health Record

March 2013

VETERANS HEALTH ADMINISTRATION

Introduction

• Brian Vetter R.D.

– Degree in Dietetics from St. Johns University– Clinical dietitian at the St. Cloud VA for 6 years– Communication Specialist in 2010– VISN 23 Communication Specialist/My HealtheVet

Coordinator in January 2013

– Caveat: I have not had any official IT education

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VA Virtual Care• Telehealth

– CVT- Clinical Video Telehealth• Screen-to-screen real time visit

– SFT- Store and Forward• Image is taken, saved and forwarded to a specialist for review at a later time

– HT- Home Telehealth• Chronic disease management• Equipment placed in home and data is transmitted for review by RN or RD

• Telephone Care– f/u visits– Unusually completed by RN

• My HealtheVet/Secure Messaging– Web-based modality

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My HealtheVet

• Gives Veterans more access to their health care

• Major tool for Veterans to be more active members of their health care teams

• Helps to keep Veterans in their homes

• Great asset for rural Veterans

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MHV Registration Process

• 3-Step Registration Process– Registering: Veteran must log onto www.myhealth.va.gov

and create an account

– IPA: Veteran must sign In-Person Authentication form and show photo ID at any VA clinic

– Optin: Veteran must accept the terms and conditions of the Secure Messaging feature and open Secure Messaging

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History of MHV

• Nov ‘03- My HealtheVet website launched• Aug ‘05- Medication refills added (by Rx Number)• Dec ‘06- Admin portal released and IPA’s started• Jan ‘08- Self-entered information available• Dec ‘08- Secure Messaging Launched (test facilities)• Mar ‘09- Wellness Reminders added

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History of MHV Cont’d

• Aug ‘10- Blue Button launched (limited to self-entered data)

• Jan ‘11- VA Appointments released• Apr ‘11- VA Allergies released• Jul ‘11- VA Chemistry/Hematology Labs released• Dec ‘11- Partial DOD info Released through Blue

Button• Jan ‘12- Blue Button explodes (added VA-entered

data)7


Features of MHVVA-Entered

• Prescription Refill• Secure Messaging• VA Appointments• Appointment Reminders• VA Lab results• VA Demographics• VA problem List• VA Admission/Discharge Summaries• VA Notes (signed 1/01/13 or after)• VA Vital Signs• VA Pathology Reports• VA Radiology Reports• VA EKG dates• Wellness Reminders• VA Continuity of Care Document

Self-Entered• Research Health• Self Reported Vitals (BG, BP, Wt, Pulse…)• Food Journals• Activity Journals• Health Calendars• List of care providers• Self Entered Health History• Military Specific Health Conditions• *Health Library coming soon

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Future of MHV

• E-visits• Mobile apps • Single sign (MHV, SM, E-benefits and other virtual

media)• Upgrades to Rx refill • Cloud Environment– Will allow an unlimited number of concurrent users

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MHV Stats

National• Registered: 1,672,936• IPA’s: 1,072,242• Opted In: 591,175• Med refills: 37 million

VISN 23• Registered: 94,454• IPA’d: 60,269• Opted In: 24,691

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Lessons LearnedHealth Care Facility

• Provider Engagement– Concern/Reluctance with each

new feature

• Communication– Need well organized

implementations

• System IT issues– System failures– System down time

Veterans• Simplify Registration Progress

– Need to offer assistance with Registration

• More engagement if HCT promotes– Multiple contacts to register

• Lack of access to Internet/computer• Baby Boomers biggest users• Communication-need to have well

done publications• Be sure the system can handle the

users

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Site Tour

• www.myhealth.va.gov

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Benefits to You

• Improved communication• Improved co-managed care• Patient Empowerment• Patient satisfaction• Convenience of mobile

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Thank You

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Contact Information

Brian Vetter RDSt. Cloud My HealtheVet CoordinatorVISN 23 My HealtheVet Coordinator

[email protected] x7335

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my healthevet- veterans personal health record

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