Patient Self Management Using My HealtheVet

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Patient Self Management Using My HealtheVet

• VEHU 2007 Class 128

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Speakers

• James Halloran
• Dr. Nichol
• Dr. Rosendale

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Class Objectives

• Demonstrate power of My HealtheVet and how it
  enhances the clinician/patient partnership
• Showcase the powerful tools available
• Show the ease of incorporating into clinic visit
• Reveal to providers how they can maximize My
  HealtheVet to provide the highest quality of care
  to our veterans.

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Why another MHV Session?

• Providers are entitled to know what is ahead
• Providers deserve to be heard
• Technical staff needs input from providers
• Your presenters are among the converted and cant
  pass up a chance to proselytize
• All the above

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What Is My HealtheVet (MHV)?

• My HealtheVet is a VHAs eHealth Web Portal for
  veterans.

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MHV ready or not

• Next step in EMR development
• More and more patients expect it
• Can make care delivery easier/more comprehensive
  IF understood and used
• Will be a source of frustration if ignored

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USH Priorities and Vision

• Emphasis on health promotion and disease
  prevention
• From safety net to longitudinal health care
  system
• Patient centric accountability
• Change locus of care, integrate, anticipate needs
• Focus on
• Safety, Effectiveness, Efficiency, Compassion
• Anywhere Care
• Industrial age gtgtgtgtgtgt information age
• Personal health record and remote monitoring

John Perlin, MD MHV Clinical Advisory Board
1/2006
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MHV overview

• Major functions
• Accessing info (provider, patients)
• Communication
• Available NOW

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MHV Usage Info OUT

• About Health Information
• Medline Plus, Healthwise and VA Health Library
• They are downloading
• 200 increase over August
• Download include
• Checklist
• Planners
• diaries

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MHV Usage Info IN

• They are entering information into their Personal
  Health Records
• blood sugar, blood pressure, heart rate and body
  weight.
• pain levels, allergies and immunizations.
• health care providers, health insurance and
  military health history.

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MHV Present Functionality

• Self entered information
• Contact information
• Emergency contacts
• Health Care Providers
• Health Insurance

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MHV Present Functionality

• Self entered information
• Medical Information
• Meds, OTCs, Herbals
• Allergies
• Tests
• Medical Events
• Food Journal
• Activity Journal

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MHV Present Functionality

• Self entered information
• Medical Information
• HealtheLog
• BP, heart rate
• Blood Sugar
• Cholesterol
• Body Temperature
• Body Weight
• Pain
• Pulse Oximetry

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MHV Present Functionality

• Self entered information
• Medical Information
• HealtheLog
• In person authentication (IPA)

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MHV Present Functionality

• Self entered information
• Medical Information
• HealtheLog
• In person authentication (IPA)
• Rx Refill / Medication List

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MHV Present Functionality

• Self entered information
• Medical Information
• HealtheLog
• In person authentication (IPA)
• Rx Refill/ Medication List
• Military Health History

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MHV Present Functionality

• Self entered information
• Medical Information
• HealtheLog
• In person authentication (IPA)
• Rx Refill/ Medication List
• Military Health History
• Mental Health Portal/Surveys

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MHV Present Functionality

• Self entered information
• Medical Information
• HealtheLog
• In person authentication (IPA)
• Rx Refill/ Medication List
• Military Health History
• Mental Health Portal/Surveys
• Emergency contact wallet card

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MHV Potential Users
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Example / Demo

• Examples of clinical interactions using current
  MHV capabilities (pt logs, prints out and brings
  to appt)
• Hypertension - VS entry
• Diabetes BS logs
• ?Other?
• Ideal Pt visit video (6 min)

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eRx Pad
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How Can MHV Support ACA?

• Improve access to care
• Empower veterans to partner with their health
  care providers by sharing health information
• Give veterans and their caregivers/families more
  tools to help them more actively manage many
  aspects of their own care scheduling,
  medication renewal/refills, etc
• Provide health care providers with a tool to
  communicate with veterans
• Provide time saving alternatives to in-person
  patient encounters

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How Can MHV Support ACA?

• Improve access by reducing the number of patients
  presenting with non-urgent problems
• Patients who take a more active role in their
  health care have been found to have improved
  clinical outcomes and treatment adherence, which
  reduces unnecessary clinic visits

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Future directions

• SMS
• After visit summary (analogous to discharge
  instructions for inpatients currently in use
  can create after OP visit note in CPRS now, in
  future want to be able to send digitally and
  include hot links)

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Future File

• Tool Kit
• Delegation
• MHV button on CPRS for authenticated MHV users
  (lets provider know he or she can use MHV to work
  with pt if not lit, provider can encourage pt
  to get authenticated)
• Health Info Exchange

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Veterans Clinicians as Partners

• Partner with veterans by increasing levels of
  shared health care decision making
• Provide educational materials and preventative
  and specific chronic disease wellness reminders
  to veterans

• Encourage veterans to keep health journals and to
  learn more about health and wellness
• Have access to a more comprehensive online health
  record
• Gain a more complete understanding of the
  veterans health status
• Evaluate veterans self-entered health information

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Tipping point for adoption?

• A. Use of information prescriptions
• B. Improved medication reconciliation
• C. Enhanced chronic disease management
• D. Meeting advanced clinic access goals
• E. Implementing secure messaging
• F. All of the above?
• H. Other?

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What can you do now?

• Sign on to My HealtheVet browse, and become
  familiar with capabilities and content
• Identify features you can use today
• Encourage patients to sign on and establish an
  account
• Begin to incorporate into clinic processes
  review personal health record, Infoscripts,
  other?
• Give us feedback on your ideas and suggestions
  for enhancing MHV through your POC

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Future Directions

• Would you like to help get it right?
• You can volunteer to serve as a Subject Matter
  Expert, Local Champion, Tester, etc.
• No formal job description, time commitment varies
  based on task
• You get to be among the first to know what is
  coming next

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Check it out

• My HealtheVet National Demo Account
• www.myhealth.va.gov
• Username mhvuser
• Password mhvdemo1
• My HealtheVet Pilot
• http//www.health-evet.va.gov/
• Username demouserb
• Password password_1

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Other Resources

• My HealtheVet Product Site vaww.va.gov/MyHealtheV
  et/
• My HealtheVet Training Site vaww.vistau.med.va.go
  v/vistau/mhv

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The future has already arrived. Its just not
evenly distributed, yetWilliam Gibson