1. MyHealthatVanderbilt

2. Contents (Click on the  to navigate to the desired topic)
What is MyHealthatVanderbilt 
Provider and clinic benefits 
Patient benefits 
Features 
Limited and Full Access 
Sign-up process (remote) 
In clinic sign up ( Screen savers / KIOSK) 
What patients have message capability to message
Increase access level 
Increase access level in StarPanel 
Messaging 
Initiating messages 
Receiving messages 
Future reminders 
Patient notification 
Bounce back feature 
Patient letter 
Test results available for patients 
Lab view for patients 
Graph Labs for patients 
Radiology results view for patients 
Future enhancements 
Comments or questions 

3. What is MyHealthatVanderbilt
is a web-based patient portal that:
Allows patients and their doctor’s offices to communicate
Allows patients to access their test results
Allows patients to research and learn about their health conditions
Allows patients to check schedules
Allows patients to pay bills online
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4. Provider and Health Care System Goals/Benefits
Decrease burden on phone system
Optimize staff resources by eliminating manual processes
Electronic log of patient’s communications in their chart
Secure electronic information exchange with patients
Monitor patient conditions remotely
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5. Patients Benefits
Patients will be involved in managing their own health
Health information available through MyHealthatVanderbilt can be readily accessed from anywhere
Patients can communicate remotely across a secure portal
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6. My HealthatVanderbilt
This new service called “MyHealthatVanderbilt”
will offer patients the following features
Message provider practices with whom the patients have had, or are scheduled to have, an appointment.
Request prescription refills
Request non-urgent appointments
View test results online
View appointments, past and future
Pay bills on-line
Patient specific educational material customized based on individual demographics, past medical problems, medications and seasonality.
Complete patient history forms in advance of annual physicals or new patient appointments.
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7. Sign-up
Patients can sign up themselves for Limited Access (messaging only—no access to privileged health information):
Patients are able to sign up remotely for level I access by going to
They can be anywhere—they do not have to be at Vanderbilt to sign up for this service 
The signup program will ask them to enter information about themselves and will then match their information and identify their medical record number 
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8. Increase Access Level Converting from limited to full access
Once patients have Limited Access, they are able to message but do not have access to personal information or the ability to pay bills
Patients will need to show proper identification in the clinic to obtain Full Access
Posters will be placed strategically throughout the clinics inviting them to sign up for limited access before they leave and to request full access
Before they leave the staff are able to confirm their identity and then bump up their level of access to Full Access in StarPanel
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9. Increase Access Level
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10. Screensaver / KIOSK Sign-up
My HealthatVanderbilt will be advertised on clinical workstations in each of the exam rooms allowing patients to sign up while waiting without any staff having to log them on
This is complete autopilot signup!
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11. Who Can Message
The computer looks at their past and future appointments and identifies the providers throughout VUMC that the patients have seen or are scheduled to see
The patients will then immediately have access to message only those doctors with whom they have a relationship
Since this has been in the pilot mode there have been very few clinics participating
We are now in the process of rolling out to all of the Medical Center
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12. They do not go directly to the doctor’s basket
Messaging
It is very important that you understand how patient messaging works because it is a little different than regular messaging
Patients are able to log on to My HealthatVanderbilt remotely and send a message to their provider’s office
These messages always go to a designated message basket (secretary or nurse’s basket) , mimicking what would happen if they had called on the telephone, and should be handled in the same way
They do not go directly to the doctor’s basket
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13. Message From Patient Saved to chart To Doctor To Nurse To Secretary
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14. Initiating messages
Patient messages should be handled as you would handle ANY other message 
Be sure to save them when complete, just like you would any other message 
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15. Initiating messages
The only part of a message that the patient will see is when you intentionally hit the green button.  Then it ONLY sends what is currently in the text box, nothing prior to it 
The provider can dialogue back and forth with the nurse about an issue and the patient is not able to see anything until it is finally typed into a message to the patient and sent with the green The button . Then, only the most recent message that you type into the text box goes to the patient
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16. Initiating messages
At any point when you open up a new message on a patient who has signed up for My Health at Vanderbilt you will be able to see the familiar green link on the right side of the message, indicating that this is a patient you can message, and allowing you to send a message to them
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17. Messaging
When you send a message to the patient, the message is now saved to the chart right away
Messages in the same thread are grouped by date in the All view.  For example, if you send 4 messages to a patient using the same thread in one day, there will only be one entry in the All view
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18. Messaging
Though you may save a message to the chart, the patient can later add to the message and it will reappear in the designated message basket with the old text and whatever new the patient typed
Please remember that every time the patient sends a message to us, even if they are responding to a question, the message goes to a designated message basket.  This prevents messages from being lost in a basket that is not being covered if, for instance, the physician is out of town.
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19. Initiating messages to be sent in the future
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20. Initiating a future message
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21. Initiating a reminder Back to Contents
Future messages in the same thread can be seen when you open the past message from the All view.  For example, if there are 2 messages in the same thread, one sent last week, and one sent today, there will be 2 entries of that thread in the All view.  If you click on the last week message, you'll see a button that says "Click to see all messages in this thread". 
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22. Future Messages
Future messages in the same thread can be seen when you open the past message from the All view
For example, if there are 2 messages in the same thread, one sent last week, and one sent today, there will be 2 entries of that thread in the All view
If you click on the last week message, you'll see a button that says
"Click to see all messages in this thread". 
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23. Patient Notification
Every time you send a message to the patient through their My HealthatVanderbilt account, an will be sent to their regular account, notifying them that they have a message from their provider and allowing them to click on a link that takes them to My HealthatVanderbilt home page 
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24. No email address listed
You will receive a message notifying you if the patient does not have an address listed
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25. Bounce Back Feature
In the event that the patient does not check their or if they have not opened the message in five (5) days, the message will “bounce back” to you notifying you of this
Then you can mail them or call them as you normally would have done before My HealthatVanderbilt
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26. Sending a Patient Letter
Yes, there is also the ability for providers who use Patient Letter to directly send these letters to patients by the web interface with a click of the button instead of mailing. This should reduce phone calls and typing.
It is important to understand how the system works, as you will increasingly begin receiving patient messages into the PSR or nurse baskets, and patients will be signing up for this service and may ask you questions.
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27. Lab Test For Patient View
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28. Test Results Available For Patient View
Laboratory and radiology results are organized into three groups:
Group A consists of a limited group of tests with results that have high value for immediate patient viewing with low risk of untoward reaction to the information (cholesterol, diabetes tests, and glucose results)
Group B consists of the largest number of lab and x-ray result- labs will have a 7 day delay, x-rays will have a 14 day delay allowing for the provider to confirm the accuracy and communicate the result to the patient
Group C consists of labs and x-rays that will not be released through MyHealthatVanderbilt (e.g. HIV results, cancer pathology results, urine drug)
 Labs immediately and never available
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29. Graph Labs For Patient View
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30. Radiology Results For Patients View
All radiology reports will have a 14 day delay to allow for the provider to confirm accuracy and relay explanation of test results to patients
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31. Future Enhancements Coming soon… Surrogate and delegate accounts
Accounts for minors
Surrogate and delegate accounts
Online forms for patients to fill out before visit
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32. Special acknowledgement is extended to the following members of the team for their hard work, dedication and innovative performance
In Alphabetical Order
Julie Beauregard, Health Information Analyst
Eric Boehme, Manager, Application Development Projects
Jason Coles, Creative Web Developer
Susan Conner, Manager, Health Information Systems Projects
Jonathan Dees, Web Applications Designer
Josh Denny, Clinical Fellow, Dept Biomedical Informatics
Fern FitzHenry , Information Services Consultant
Dario Giuse, System Architect
Susan Hannasch, University Counsel
Jim Jirjis, Chair
Mark Johnson, Chief Information Security Officer
Jonquil Kelley, Patient Representative, Patient Accounting
Taneya Koonce, Assistant Director, Eskind Library
Jun Kunavut, Health System Analyst Programmer
Julia Morris, Deputy General Counsel
Irish Park, Editor
Shannon Potter, Librarian
Sue Muse, Project Coordinator
Gaye Smith, Privacy Official
Terry Smith, Director VUMC Web Development
Chenchal Subraveti, Health System Software Engineer
Michele Toungette, Marketing Manager
Jim Weaver, Project Manager
Ellen Yan, Health System Software Engineer
Questions or Comments Contact
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