1. Enabling MHS GENESIS Agility
Ms. Wolford-Connors, Army EHR Lead and Chair Tri-Service Functional Advisory Council, U.S. Army
CAPT Johnson, Deputy Functional Champion, Navy Bureau of Medicine
Col William R. E. Báez, Chief Medical Information Officer, Air Force Surgeon General
November 29, 2017

2. Disclosures Presenters have no interest to disclose.
AMUS and PESG staff have no interest to disclose.
This continuing education activity is managed and accredited by Professional Education Services Group in cooperation with AMSUS. PESG, AMSUS, planning committee members and all accrediting organizations do not support or endorse any product or service mentioned in this activity.

3. Agenda
Learning from our past: prior MHS electronic health record (EHR) implementations
Large-scale technology implementation at MHS today
MHS GENESIS functional community engagement
Post-Deployment Preview

4. Learning Objectives
At the conclusion of this activity, the participant will be able to:
Explain how the MHS GENESIS deployment differs from previous deployments (AHLTA and Essentris)
Identify potential site and/or role-related risks and potential strategies for mitigating them
Differentiate various means by which the MHS functional community has participated in the rollout of MHS GENESIS

5. Prior MHS Clinical HER Implementations
AHLTA
Essentris
Outpatient EHR
Inpatient EHR
Deployed in JAN 2004
Deployed in the early 1990s
Implementation Lessons Learned
Leadership engagement and the need for a Functional Champion
Streamline governance and make decisions at lowest possible level
Engagement of frontline care professionals in decision-making
Increase on the ground support for communications and training
Increase post-go live support
Extract benefits of using a COTS product

6. Current MHS EHR Implementations
Integrated commercial off the shelf EHR, called MHS GENESIS
Going from 50+ legacy systems to 1
Joint Legacy Viewer (JLV)
Web-based, integrated system to access legacy data, and allow a read-only view of data from the Department of Defense (DoD) and Veteran Affairs (VA) systems
2017
2022

7. MHS GENESIS Guiding Principles
Standardize clinical and business processes across the Services and the MHS
Design a patient-centric system focusing on quality, safety and patient outcomes that meet readiness objectives
Flexible and open, single enterprise solution that addresses both garrison and operational healthcare
Clinical business process reengineering, adoption, and implementation over technology
Configure not customize
Decisions shall be based on doing what is best for the MHS as a whole – not a single individual area
Decision-making and design will be driven by frontline care delivery professionals
Drive toward rapid decision making to keep the program on time and on budget
Provide timely and complete communication, training, and tools to ensure a successful deployment
Build collaborative partnerships outside the MHS to advance national interoperability
Enable full patient engagement in their health
The MHS GENESIS Guiding Principles were approved by the Surgeon General and are critical to enabling agility

8. MHS GENESIS Functional Community Engagement
850 + Tri-Service Subject Matter Experts (SMEs) are the voice of the functional communities providing expertise in 6 key areas
Workflow Design
Process Redesign
Standardization
Training Material Review
Testing
Issue Resolution
Primary focal areas of involvement:
Requirements generation
Enterprise design decisions
Issue Resolution and governance

9. Functionally Driven
Functional Champions Leadership Group (FCLG) and Functional Advisory Council (FAC)
Serve in senior governance role for decision-making
Make decisions raised to them by representatives of the functional community working on the design of MHS GENESIS
Tri-Service Workflow Advisory Groups (TSWAGS)
19 lines of business across 6 branches:
Health Care Operations
Ambulatory Care / Readiness
Inpatient & Hospital Based Outpatient Care
Specialty Care
Clinical Support
Revenue Cycle

10. Enterprise Issue Solution
Development involved 60+ stakeholders from across the MHS:
Services
PEO / PMO, Functional Community, DHA Heath IT
DHA Information Management
Leidos Partnership for Defense Health

11. Post-deployment Preview
The First 90 Days
Post Day 90
Program Office assets remain on the ground for support
Major Players:
Change Champions
Adoption coaches
Super Users
Site User Role Assignment Coordinator
Site Point of Contacts (POCs)
Site assumes responsibility for the system
Major Players:
Change Champions
Super Users
System Administrators
Local Site Trainer

12. Visit booth ??? for live MHS GENESIS and JLV demonstrations
Key Takeaways
Lessons learned from AHLTA and Essentris EHR deployments highlight the need for MHS GENESIS deployment to focus on:
Explain how the MHS GENESIS deployment differs from previous deployments (AHLTA and Essentris)
Identify potential site and/or role-related risks and potential strategies for mitigating them
Differentiate various means by which the MHS functional community has participated in the rollout of MHS GENESIS
Following the MHS GENESIS Guiding Principles facilitates it’s agile deployment
The functional community has made major contributions to the design and rollout of MHS GENESIS as evidenced by the Enterprise Issue Resolution Process
Perceptions and behaviors related to the MHS GENESIS will vary depending on the stage of the implementation (i.e., pre/post 90 days
Visit booth ??? for live MHS GENESIS and JLV demonstrations

13. Questions? FACx: dha.ncr.dir-support.mbx.facexec@mail.mil
If we do not get to all your questions, feel free to contact us:
FACx:
Ms. Ann Wolford-Connors, Army EHR Lead and Chair, Tri-Service Functional Advisory Council (FAC)
CAPT Scott Johnson, Deputy Functional Champion, Navy BUMED
Col William R. E. Báez, Chief Medical Information Officer, Air Force Surgeon General

14. CE/CME Credit
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