Veteran Service Organization ‘Officers Day’ December 3, 2010 MyHealtheVet
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)
MyHealtheVet Personal Health Record 3-Tier Access Model Visitors Registrants In Person Authentication (IPA) veterans
“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
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
Internet Use in the U.S % of adults in U.S. 87% ages 18-29; 72% ages % 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
Our veterans and their families are increasingly online and engaged in their own health and care.
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
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
Manage Medications
Track Health Data
1.Hypertension 2.Influenza Vaccine 3.Pneumococcal Vaccine 4.Colorectal Cancer Screening 5.Lipid Measurement 6.LDL Target 7.Body Mass Index (BMI)> Diabetes Foot Exam 9.Diabetes Hemoglobin A1C 10.Diabetes Retinal Exam 11.Mammography Screening 12.Cervical Cancer Screening
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 their provider American Customer Satisfaction Survey (ASCI) October 2007 – October 2009
Appointments Viewing Appointments via MyHealtheVet
Appointment Summary Display Veteran view of their VA Appointments
VA Appointment Detail Display Veteran view of a VA Appointment Detail
VA Appointment Display in Health Calendar Click on calendar appointment to view details
Appointment Reminders Veteran may chose to have reminders sent two weeks prior to appointment Reminder is sent to address on file in the veterans MHV account
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
Veteran-Provider Interaction with MyHealtheVet Secure Messaging US Army veteran Devin Nuszbaum David M. Douglas, MD
Dreaded Phone Tree
How long do I have to listen to this music???
I am out of refills. Now what?
Hmm, maybe Secure Messaging?
“Doc I am out of refills”
Meanwhile back at the clinic…
De-Identified Notification
Same Username and Password
The Secure Message
The Doctor Replies
The Veterans De-Identified Notification
“No problem, your Rx is on the way.”
Questions?