1. MHS IM/IT Program The Military Electronic Health Record (EHR) AHLTA Briefing for the TRICARE Data Quality Training Course June 2006

2. MHS IM/IT Program The Military Electronic Health Record (EHR) Objectives  Provide a Brief Overview of AHLTA  Describe the Process of Records Review

3. Military Health System Information Management/Information Technology Program Overview Military Health System Information Management/Information Technology Program Overview

4. DRAFT Military Health System IM/IT Program Force Health Protection MHS is dedicated to support Force Health Protection (FHP)  Healthy and Fit Force  Casualty Prevention  Casualty Care Management FHP is much more than individual health care delivery:  Involves full spectrum of health services  Medical Surveillance is a keystone to support FHP Pillars

5. DRAFT Military Health System IM/IT Program Levels of Care Theater Hospitalization First Responder Enroute Care Forward Resuscitative Surgery Care Outside Theater

6. DRAFT Military Health System IM/IT Program Integrating the Health Record TMIP TRAC 2 ES AHLTA ENROUTE CARE GARRISON THEATER HOSPITALIZATION THEATER FORWARD RESUSCITATIVE SURGERY CLINICAL DATA REPOSITORY INTERIM THEATER DATA REPOSITORY HEALTHY & FIT FORCE TRAINING DEPLOYMENT CASUALTY PREVENTION BATTALION AID ACCESSION CARE OUTSIDE THEATER RESERVISTS

7. DRAFT JTAV Service HQ Military Health System IM/IT Program Wartime Information Flow Joint Staff JMAR GCCS COP Air Force LDB Interim Theater Data Base Clinical Data Repository AHLTA-T AHLTA–T SAMS AHLTA-T Maritime LDB ArmyLDB EIC – Electronic Information Carrier (Personal Medical Information) LDB – Local Data Base On Demand By Permission EIC GCCS - Global Command and Control System COP – Common Operational Picture JMAR – Joint Medical Asset Repository JTAV – Joint Total Asset Visibility

8. DRAFT

9. Screens for Basic Medical Scenario The Military Computer-Based Patient Record (CPR)

10. DRAFT Vitals Military Health System IM/IT Program Patient Encounter Process Physician/Patient Encounter Screening/Wellness Patient Education Patient Check-Out 3Subjective 3Objective 3Assessment 3Plan Patient Check-In 3Pre-/Post- Deployment 3Immunizations 3Screening Tests 3Pre-Deployment Preparation

11. DRAFT

30. What AHLTA Does W Provides 24 X 7 access to complete and legible medical and dental patient records at the point of care — No more lost records!

31. DRAFT What AHLTA Does (cont.) W Documents patient encounter — Use of health history and physical templates — Order entry / summary of care — Collects structured data as by-product of clinical workflow — Populates standard database — Enables viewing and tracking of empanelled patient information

32. DRAFT What AHLTA Does (cont.) W Promotes team approach to health care delivery (enhances the Services’ optimization efforts) — Builds single encounter document out of team effort W Supports health care delivery and management — Standardizes data elements using a robust, industry standard health data dictionary — Standardizes and automatically codes encounters

33. DRAFT What AHLTA Does (cont.) W Provides reminders for prevention measures W Improves quality of care

34. DRAFT What AHLTA Does (cont.) W Tracks medical needs of population W Predicts future appointment needs — Future PAP smear needs — Mammogram demand — Dental recall exams W Predicts and manages resource needs

35. DRAFT AHLTA W Tool for individual and population health improvement — Supports Force Health Protection, Population Health Management, Personnel Readiness, and Medical Surveillance W Tool for health care resource management — Provides data for efficient management of health care delivery within the MHS W Provides clinical functionality for Theater Medical Information Program (CHCS II-T)

36. MHS IM/IT Program Questions?

37. MHS IM/IT Program Back Up Slides

38. DRAFT CHCS II JROC-Approved Requirements CHCS II (AHLTA) Operational Requirements Document September 2000 Military Health System IM/IT Program Requirements Approval Process Joint Staff, Combatant Commanders, Army, Navy, Air Force, Marine Corps, Agencies O-6 Level Review and Comment Joint Staff, Combatant Commanders, Army, Navy, Air Force, Marine Corps, Agencies Flag Level Review and Comment Functional Capabilities Board (FCB) Brief Review Joint Capabilities Board (JCB) Brief Review Joint Requirements Oversight Council Approve Submit requirements to Joint Staff CHCS II (AHLTA) Block 1 Revalidation October 2002 CHCS II (AHLTA) Block 2 Approved April 2004

39. DRAFT Military Health System IM/IT Program Strategic Direction Deployed Forces Sustaining Base Military Medical Readiness Military Medical Readiness