Using the Personal Health Record to

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Using the Personal Health Record to Support the
Chronic Care Model Approach to Substance Abuse
Treatment Ken Weingardt, Ph.D. Department
of Veterans Affairs Stanford University School of
Medicine April 11, 2007
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Acknowledgements

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VAs Electronic Health Record

• Computerized Patient Record System (CPRS)
• CPRS is currently in used in all 154 medical
  centers, 875 ambulatory care and community-based
  outpatient clinics, 136 nursing homes, 43
  residential rehabilitation treatment programs,
  and 88 comprehensive home-care programs
• Utilization of VA's EHR has yielded tremendous
  benefits to clinical care and permits VA to
  capture data for virtually every clinical
  performance measure.

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CPRS Functions

• Appointments
• Ready retrieval of prior progress notes
• Note templates
• Consultation requests/ results
• Order Entry
• Medications
• Interactions/Alerts
• Lab results

• Graphs
• X-ray reports
• Images
• Reminders
• Online informationclinical and patient education

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VAs Electronic Health Record

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CPRS Benefits

• Increased efficiency
• Promoting patient safety and reducing medical
  errors
• Promoting evidence-based practices using clinical
  Reminders
• Promoting continuity of care
• Facilitates performance measurement
• Facilitates research and program evaluation

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Computerized Clinical Reminders
Display of Reminders Due on Patients Cover Sheet
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F/U to a Positive Screen
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Customization of Templates
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Graphic Displays
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Reports Tab
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Graphic Displays
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Graphic Displays
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Personal Health Record
www.myhealth.va.gov
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Current MHV functionality
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MHV Mental Health Initiative
Phase I Information and Education Phase II
Assessment Screening
Disorder Screening Instrument Posttraumatic
Stress Disorder PTSD Checklist (PCL).
Depression PHQ Depression screen (PHQ Brief
Ques.1) Alcohol problems AUDIT Drug
problems ASSIST Panic Disorders PHQ
questions 3-4 Generalized Anxiety Disorder PHQ
question 5
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MHV Mental Health Initiative Phase III My
Recovery Plan Mission Statement To create an
interactive set of web-based tools that will
allow veterans who have behavioral or mental
health concerns to track important aspects of
their self-care and professional care.
  Audience Veterans who are currently in, or
have recently completed, an episode of VA Mental
Health or Substance Use Disorder treatment will
be empowered to take responsibility for their own
recovery.
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My Recovery Plan Welcome back Anthony P. Veteran!
My Schedule
My Care Prescription refills Schedule an
appointment Personal Health Record
My Messages Inbox Sent Deleted
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Common language to discuss provider and veteran
care processes
Intervention Aftercare
C. MRP supports aftercare, case management
A. MRP supports clinicians delivering treatment
Provider
B. MRP supports veterans receiving treatment
D. MRP supports veterans in recovery
Veteran