1. Group Presentation Bobby Hamilton (CHCS System) – Naval Hospital Camp Lejeune Caitlin Barnum (Intercom Plus) – Pharmacy, Walgreens, Swansborro Karlene Trudell – Pharmacy, Johnson’s Drugs, Jacksonville

2. Electronic Health Record Clinical Information Systems CHCS – Outpatient/In Patient/Coding AHLTA – Out Patient ESSENTRIS – In Patient BHIE- VA/DOD Share (Read Only)

3. CHCS (Composite Health Care System) CHCS serves as the foundation for the Department of Defense's electronic health record Out Patient / In Patient / Medical Coding Patient appointments Laboratory tests Prescribe medications. Allows medical records tracking

6. AHLTA a clinical information system that generates, maintains, stores and provides secure electronic access to comprehensive patient records. Allows for health history modules to always be present for viewing Supports care of ill or injured service members Clinical Deposit Repository

8. ESSENTRIS Shares data with ALTHA and VistA via the Bidirectional Health Information Exchange Enhances the provision of care to ill and injured service members Enhances the delivery of patient care interoperability with the VA Ensures continuity of care to ill and injured service members Global Data Repository

10. BHIE (BIDIRECTIONAL HEALTH INFORMATION EXCHANGE) a joint information technology data exchange initiative between the DOD and VA, allowing clinicians from both agencies to view electronic health care data from each other's systems Allows access to Essentris, the military's inpatient documentation solution Shares clinical data documented in Theater facilities

12. CHCS PROSCONS  Users only allowed access to information they need to perform their jobs, so patient’s private information is not available to unauthorized personnel  Easy access to patient medical information throughout the entire DOD system  E-script capability for prescriptions  Not as easy to use as other systems  Since there are three different systems that work together and all are owned by different companies it is more expensive to update than a single system

13. Intercom Plus The patient, drug, and prescriber information is entered into the system and double checked. Leaflets are made and placed on appropriately sized bottle. You can also use Intercom Plus to refill prescriptions and lookup patient records from any Walgreens nationwide. A great feature about this system is that you can note the customers allergies in the system and when they have a prescription (new or old) it will automatically check it to make sure it will not affect the customer, it also makes sure that no prescriptions counter act with each other.

14. Intercom Plus Pre-Scribe- electronic prescriptions. With Pre-Scribe a physician, via online, can send over a prescription to the pharmacy and it is automatically entered into the system all they have to do is check and fill it. Pre-Scribe cuts down on a lot of errors made from misreading the physicians handwriting.

15. Intercom Plus PROSCONS  Simple to use  Well integrated – everything is in one system  Alerts pharmacist to patient allergies or current prescriptions that may interact with new prescriptions  Good tech support and frequent updates  E-script capability for prescriptions  Web-based so information is not accessible if there is a server failure

16. MedAct Used for durable medical equipment (DME) Windows-based system Information accessed from the menu ribbon or by icons at the top of the screen. Linked databases Equipment inventory Rental tracking Patient information Insurance information Provider information CPT and HCPCS codes

17. MedAct (cont.) Linked databases Equipment inventory Rental tracking Patient information Insurance information Provider information CPT and HCPCS codes Work orders Billing and statement

18. MedAct PROSCONS  Easy to use  Well integrated- everything in one system  Good tech support and frequent updates  No E-script capability  Reports are not customizable

19. Our Choice for the Best System CHCS Patient privacy protected by access restrictions. Integration of all aspects of a patient’s medical record including physician care, laboratory tests, and hospital records. Shared electronic healthcare records among all providers using the system. This system may implement Obamacare.