1. Veteran Service Organization ‘Officers Day’ December 3, 2010 MyHealtheVet

2. 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)

3. MyHealtheVet Personal Health Record 3-Tier Access Model Visitors Registrants In Person Authentication (IPA) veterans

4. “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

5. 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

6. Internet Use in the U.S. - 2008 74% of adults in U.S. 87% ages 18-29; 72% ages 50-64 41% 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 www.pewinternet.org www.pewinternet.org

8. Our veterans and their families are increasingly online and engaged in their own health and care.

10. 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

11. 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

12. Manage Medications

13. Track Health Data

14. 1.Hypertension 2.Influenza Vaccine 3.Pneumococcal Vaccine 4.Colorectal Cancer Screening 5.Lipid Measurement 6.LDL Target 7.Body Mass Index (BMI)>25.0 8.Diabetes Foot Exam 9.Diabetes Hemoglobin A1C 10.Diabetes Retinal Exam 11.Mammography Screening 12.Cervical Cancer Screening

15. 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 email their provider American Customer Satisfaction Survey (ASCI) October 2007 – October 2009

16. Appointments Viewing Appointments via MyHealtheVet

17. Appointment Summary Display Veteran view of their VA Appointments

18. VA Appointment Detail Display Veteran view of a VA Appointment Detail

19. VA Appointment Display in Health Calendar Click on calendar appointment to view details

20. Appointment Email Reminders Veteran may chose to have email reminders sent two weeks prior to appointment Reminder is sent to email address on file in the veterans MHV account

21. 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

22. Veteran-Provider Interaction with MyHealtheVet Secure Messaging US Army veteran Devin Nuszbaum David M. Douglas, MD

23. Dreaded Phone Tree

24. How long do I have to listen to this music???

25. I am out of refills. Now what?

26. Hmm, maybe Secure Messaging?

27. “Doc I am out of refills”

28. Meanwhile back at the clinic…

29. De-Identified Notification

30. Same Username and Password

31. The Secure Message

32. The Doctor Replies

33. The Veterans De-Identified Notification

34. “No problem, your Rx is on the way.”

35. Questions?