defense health agency - afcea international · pdf file“medically ready forceready...

“Medically Ready Force…Ready Medical Force”

Defense Health Agency

Military Health IT in 2017

VADM (Dr) Raquel BonoDirector, Defense Health Agency

October 12, 2016


MHS GENESISThe DHA’s Role

• DHA is coordinating the MHS GENESIS launch in the Pacific Northwest in the spring of 2017• Overseeing clinical and business workflows

to ensure standardization • Ensuring interoperability

• Building infrastructure

• Purging system of programs that don’t meet IA requirements

• Training Users

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“Medically Ready Force…Ready Medical Force” 3

Health Bank or PHR

Support Organization

Community #1Community Health

Centers

Community #2

CDCVA

CMS

DoD

SSA

State and Local Governments

Labs

Pharmacies

The Internet

Standards, Specifications and Agreements for Secure Connections

A Modernized EHR Greater Interoperability

• Drive interoperability with federal and civilian partners

• Improve interoperability within DoD

• Enhance readiness on a global scale...


A Global Capability1,200+ care locations, 140,000 providers across globe

Health Bank or PHR

Support OrganizationCommunity #1

Community

Health

Centers

Community #2

CD

CVA

CM

S

DoD

SSA

State and Local Governments

Labs

Pharmacie

sThe InternetStandards, Specifications and Agreements for Secure Connections

4


MHS GENESIS Initial Deployment

• Schedule for initial deployment of MHS GENESIS was aggressive and leveraged commercial practices to accelerate deployment

• Issues identified during test that require resolution • DoD leadership decision to delay initial deployment will ensure we are

providing the best possible user experience to our beneficiaries and healthcare providers from day one

• Significant progresso Configuration and Integration test initiated July 2016 o Hosting Solution on contract and risk management assessment completedo Cybersecurity improvements are underwayo Computer based training is complete; available to initial deployment site personnel

• Full deployment of MHS GENESIS remains on trackPatient safety remains top priority


MHS GENESIS: New Timelines

• Quality, safe patient care is primary• Investments in time will ensure a more robust and fully

functional product on Day One• New timelines were developed in close coordination with

our functional community; user adoption and satisfaction are critical measures of success

• Current plan• Fairchild Clinic – February 2017• Remainder of Pacific Northwest – Early as June 2017

• Worldwide deployment remains on track -- 20226


The MHS Functional Champion

Build consensus

Identify and fill gaps

Act as single voice of the customerAgile – Collaborative – Data Driven – Transparent

Enable success

Lead transformation

Champion clinical concerns within leadership across

DHA/ Services / PEO

Clear roadblocks

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The Innovation Imperative

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“Medically Ready Force…Ready Medical Force” 9

DHA Transformation – The WaysForthcoming App Development Projects

Changes in

How We

Work

95% of information

workers use at least

one self-purchased device

for work

Nearly 80% of workers

spend at least some portion

of their time working out of

the office

MTFTRICARE Online

DML-ES Pill Pal Pregnancy App

“Work on the Go”Consumerization


Enabling Patients’ Full Engagement in their Health

“We need to recognize that computers don’t simply replace my doctor’s scrawl with Helvetica 12…Instead, they transform the work, the people who do it, and their relationships with each other and with patients…”

-Bob Wachter, M.D.

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Transparency in Military Medicine

• Ensure EHR does not create physical or mental barriers in the provider-patient relationship (“Design Thinking”)

• Include Patient Education in EHR Roll-Out

• Encourage familiarity with existing online tools and resources

• Expand the concept of transparency – appointing, messaging, referrals, refills, quality, safety, pricing, notes

• Support shared decision-making in healthcare

Patient-Centric CareHow Health IT Can Better Enable Engagement

Patient

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Health IT Can Draw the Patient Further into Improving Safety and Health

“Patients are increasingly being asked to report on adverse events and…donate health data to

trials….Fortunately, the belief that it’s dangerous to allow patients access to health data is slowly

dissolving.”

“Time for a Patient-Driven Health Information Economy?”January 21, 2016

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• Deploy a next generation Electronic Health Record that supports our readiness, quality, safety and access objectives

• Advance patient-centered tools and processes that allow the MHS to provide virtual care when appropriate

• Expand interoperability capability that allows the MHS to interact with all of our federal and private sector partners

• Invite proven innovators to the table – public and private13

Current Health ITOpportunities and Challenges


Defense Health Agency

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