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Boise VA Medical Center

Boise VA Medical Center. Veteran Service Organization ‘Officers Day’ December 3, 2010. My Health e Vet. Features of MyHealtheVet. Personal Information (contacts, providers, etc.) Personal Family and Military Health History Personal Health Summary

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Boise VA Medical Center

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  1. Boise VA Medical Center Veteran Service Organization ‘Officers Day’ December 3, 2010 MyHealtheVet

  2. Features of MyHealtheVet • Personal Information (contacts, providers, etc.) • Personal Family and Military Health History • Personal Health Summary • Health e-Logs (blood pressure, weight, etc.) • Medications (over the counter drugs, herbals, etc.) • Allergies and Immunizations • Medical Events • Food and Activity Journals • Online VA Prescription Refills, VA Prescription History • My Complete Medications (printable summary) • Wallet Health Information Card • Calendar • Trusted Health Education Information • Self-Assessment Tools, Wellness Reminders • Mental Health Resources (including online courses) • Secure Messaging (currently at 8 VA sites)

  3. MyHealtheVetPersonal Health Record • 3-Tier Access Model • Visitors • Registrants • In Person Authentication (IPA) veterans

  4. “The laying on of hands will increasingly include the pressing of keys. This emerging model will improve the practice of medicine but will also bring new challenges.” -JH Stone Communications between physicians and patients in the era of e-medicine. New England Journal of Medicine, 2007

  5. Complementary Tools EHR & PHR • Comprehensive record • At all care sites • Decision support • Clinical reminders • Patient Safety VA Electronic Health Record (EHR) MyHealtheVet Personal Health Record (PHR) • Secure web-based portal • Patient & family centered • Information and services • Multiple levels of access • Increasing offerings over time

  6. Internet Use in the U.S. - 2008 • 74% of adults in U.S. • 87% ages 18-29; 72% ages 50-64 • 41% age 65 and older • 64% living in rural areas • 77% white, 64% black, 58% Hispanic • 57% if < $30,000 per year Pew Internet & American Life Project www.pewinternet.org

  7. Our veterans and their families are increasingly online and engaged in their own health and care.

  8. MyHealtheVet Use (Feb. 2010) • 956,500 Registered • 179,427 Authenticated • Requires In-Person Authentication • Required to use Secure Messaging • Over 14 million RX refills processed • Averaging 111,000 refills weekly in 2010

  9. Authenticated Users Can: • Refill Prescriptions • View Medications • Research Health Information • Get Wellness Reminders • Track and Graph Veteran Metrics • Use Health Journals • Use Self-Assessment • See Wellness Calendar • Access e-benefits

  10. Manage Medications

  11. Track Health Data

  12. Hypertension Influenza Vaccine Pneumococcal Vaccine Colorectal Cancer Screening Lipid Measurement LDL Target Body Mass Index (BMI)>25.0 Diabetes Foot Exam Diabetes Hemoglobin A1C Diabetes Retinal Exam Mammography Screening Cervical Cancer Screening

  13. MyHealtheVet Web Survey • 96% login from home • 1 out of 2 login monthly • 1 out of 4 login weekly or more • 3 out of 4 login for Rx refills • 64% would like to securely email their provider American Customer Satisfaction Survey (ASCI) October 2007 – October 2009

  14. Appointments • Viewing Appointments via MyHealtheVet

  15. Appointment Summary Display Veteran view of their VA Appointments

  16. VA Appointment Detail Display Veteran view of a VA Appointment Detail

  17. VA Appointment Display in Health Calendar Click on calendar appointment to view details

  18. Appointment Email Reminders • Veteran may chose to have email reminders sent two weeks prior to appointment • Reminder is sent to email address on file in the veterans MHV account

  19. Appointment Request through Secure Messaging • MyHealtheVet is introducing Secure Messaging as a means for the patient to electronically communicate with their participating provider. • Templates are available to allow the patient to request an appointment through Secure Messaging

  20. Veteran-Provider Interaction with MyHealtheVet Secure Messaging US Army veteran Devin Nuszbaum David M. Douglas, MD

  21. Dreaded Phone Tree

  22. How long do I have to listen to this music???

  23. I am out of refills. Now what?

  24. Hmm, maybe Secure Messaging?

  25. “Doc I am out of refills”

  26. Meanwhile back at the clinic…

  27. De-Identified Notification

  28. Same Username and Password

  29. The Secure Message

  30. The Doctor Replies

  31. The Veterans De-Identified Notification

  32. “No problem, your Rx is on the way.”

  33. Questions?

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