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202 My HealtheVet: the First Wave of PHR Extracts

2. Learning Objectives. Understand the process the veteran will follow when viewing appointments on the Appointment and Health Calendar Tabs in My HealtheVetLearn how the veteran will set appointment viewing preferences3. Understand the steps the veteran will follow when viewing Chemistry and

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202 My HealtheVet: the First Wave of PHR Extracts

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    1. 1 202 My HealtheVet: the First Wave of PHR Extracts Margaret M. Wrana R.D.L.D. Clinical Information Systems Manager VA Boston Healthcare System

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

    3. 3 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

    4. 4 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

    5. 5 Incredible Journey Veterans Day 2008 Veteran Personal Health Record Is Growing

    6. 6 Log into www.myhealth.va.gov

    7. 7 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

    8. 8 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

    9. 9 Tier One Access

    10. 10 Tier Two Access Registered users can: Refill VA prescriptions online Over 6.1 Million Prescription Refills          8/31/2005-5/29/2008

    11. 11 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

    12. 12 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

    13. 13 Tier Two Access Monitor readings for common health metrics - blood pressure - blood sugar - cholesterol - body temperature/weight - heart rate and pulse oximetry

    14. 14 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

    15. 15 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

    16. 16 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

    17. 17 Requested Additional Services October 2007- May 2008 Survey of Veterans

    18. 18 Personal Health Record Extracts Extracted Information from Veteran’s VistA Records

    19. 19 Test Sites Boston Detroit Long Beach Richmond Washington

    20. 20 Log into www.myhealth.va.gov

    21. 21 Get Care Tab

    22. 22 Appointment Tab

    23. 23 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 )

    24. 24 Appointment Tab: Display Message

    25. 25 Appointment Summary

    26. 26 Appointment Details

    27. 27 Health Calendar Tab

    28. 28 Health Calendar Tab: Display Message

    29. 29 Calendar View

    30. 30 Calendar View: Day

    31. 31 Calendar View: Week

    32. 32 Calendar View: Month

    33. 33 Appointment Details

    34. 34 Calendar View: List View

    35. 35 Showing Event Types Federal Holidays (Observed) Holidays National VA Events - VISN/Regional VA Events - Local VA Events Personal Events VA Appointments

    36. 36 Showing Event Types

    37. 37 View/Change Preferences

    38. 38 Preferred Calendar View

    39. 39 Edit Zip/Postal Code

    40. 40 Subscribe to Email Reminders

    41. 41 Subscribe to Email Reminders

    42. 42 Subscribe to Email Reminders

    43. 43 E Mail Reminders Initial E mail Information – 14 Days E mail Content

    44. 44 E Mail Reminders Final E mail Reminder E mail Content

    45. 45 E Mail Reminders Appointment Details - Appointment Date and Time - Facility Name - User Name (Last Name M. First Name)

    46. 46 E Mail Reminders Disclaimer

    47. 47 Available Appointments 2 years Historical Appointments 1 year Future Appointments

    48. 48 Sources of Appointment Information

    49. 49 Chemistry and Hematology Results

    50. 50 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

    51. 51 Track Health Tab

    52. 52 Lab & Tests

    53. 53 Labs & Tests

    54. 54 Chemistry/Hematology: Display Message

    55. 55 Chemistry/Hematology Summary View

    56. 56 Chemistry/Hematology Details

    57. 57 Result Comments

    58. 58 Chemistry/Hematology Details

    59. 59 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

    60. 60 FOIA/Privacy Act Reporting

    61. 61 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

    62. 62 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

    63. 63 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

    64. 64 Additional 2008 Releases Secure Messaging Wellness Reminders Learning Management System

    65. 65 Projected 2009 Extract Releases Allergies, Immunizations, Family Health History Enhancements Admissions, Vitals, Demographics Microbiology, Microscopy, Co-Pay Balances

    66. 66 Projected 2009 Extract Releases Pathology (non anatomic), ECG, Cytology Problem List, Radiology Discharge Summaries, Progress Notes

    67. 67 Projected 2009 Extract Releases Content Management System Metrics and Reporting Infrastructure My Recovery Plan CPRS View of Veteran Self-Entered Data

    68. 68 QUESTIONS?

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