1. Technology is the Easy Part - A Shared DoD/VA Electronic Health Record
Dr. Paul Cordts
Dr. Ashwini Zenooz
Functional Champion
Chief Medical Officer
Defense Health Agency
EHRM Program Executive Office
AMSUS Annual Meeting
November 29, 2017

2. Disclosures Presenters have no interest to disclose.
AMSUS 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. Acquisitions and Contractual Authority Disclaimer
Acquisitions and contractual commitments can only be made by Government officials having expressed authority to enter into such agreements on behalf of the United States Government. The only Government officials with such authority are warranted Contracting Officers. Any discussions of procurement requirements do not constitute contractual direction or authorization of any kind. Future contractual directions, if any, shall only come from the cognizant warranted Contracting Officer.

4. At the conclusion of this activity, the participant will be able to:
Purpose
At the conclusion of this activity, the participant will be able to:
Describe DoD/MHS and VHA Enterprises
Understand functional considerations for EHR implementation
Organization
Processes
Understand DoD/VA collaboration strategies

5. Agenda
Agencies’ Priorities and Principles
Advantages of Modernization
Impact of Clinical Communities
Joint Efforts
Q & A

6. DoD Guiding Principles

7. VA Priorities Modernizing facilities and systems
More efficient use of resources
Quicker responses on appeals and disability claims and improved access to care
Suicide prevention
Allowing patients greater choice in when and how they see caregivers

8. What is Electronic Health Records Modernization (EHRM)?
Provides service members and Veterans with a complete, accurate health record in a single common system for high quality integrated care and benefits, improved patient safety, and seamless care coordination
Eliminates the manual or electronic exchange and reconciliation of data between current systems
Allows patient data to be available when service members transition on day one

9. Why Modernize Our Electronic Health Record?
SHARED

10. Complexities by the Numbers
DoD VA
1,233 health care facilities
168 Medical Centers
9 Combatant Commands
18 VISNs
3 Services
1200 Care Locations
~300 Mobile Units and Support Centers
Numerous COTS Products
200,000 Providers
1053 Out-Patient Clinics
Air, Land, Sea
50 Legacy Systems
9.4 Million Beneficiaries
8.9 Million Patients

11. CMO Keys to Success – Patient/ Provider Focus
~200 SMEs
18 VA WAGs
High-level Functional Requirements
Developed
Comprised of
Quality, Safety, Value, Data
Population Health, Applied Informatics Institute
Transformation
Strategy
Training, VHA Engagement, Organizational Alignment
VA Workflow Advisory Groups (VAWAG) Requirements, Acceptance
Change Management
Clinical and Business Transformation
Zenooz:
Communications
Clinical Process and Content
EHRM transformation is based on Quality, Safety, and Value – A value-based care strategy focuses on the Patients and Providers

12. Impact of the Functional Community
800+ Tri-Service Subject Matter Experts (SMEs) are the voice of the functional communities providing input on various aspects of MHS GENESIS
Informed test script development by developing MHS current state scenarios
Developed 680 future state enterprise-wide standardized workflows and made 2,500 design recommendations
Provided input in the design of 450 order sets and content sets
Workflow Design
Process Redesign
Standardization
Training Material Review
Testing
Issue Resolution

13. Workflow Advisory Groups
DoD/VA
Analytics and Data Management
Behavioral Health
DoD VA
Clinical Support Services
Dentistry
Pediatrics
Geriatrics and Long Term Care
Emergency Medicine
Operational Medicine
Eye Care
Health Information Exchange
Musculo-skeletal and Rehab
Patient Engagement
Inpatient
Medicine
Public / Occupational Health
Women’s Health
Workforce Management
Research
Revenue Cycle
Surgery

14. DoD-VA Clinical Practice Guidelines
Chronic Disease in Primary Care
Mental Health
Military Related
Pain
Rehabilitation
Women’s Health
Asthma
Chronic Kidney Disease (CKD)
Chronic Obstructive Pulmonary Disease (COPD)
Diabetes Mellitus (DM)
The Non-Surgical Management of Hip & Knee Osteoarthritis (OA)
Dyslipidemia (LIPIDS)
Hypertension (HTN)
Obesity and Overweight (OBE)
Assessment and Management of Patients at Risk for Suicide
Major Depressive Disorder (MDD)
Posttraumatic Stress Disorder (PTSD)
Substance Use Disorder (SUD)
Nuclear, Chemical and Biological Illness (NBC)
Management of Chronic Multi-symptom Illness (CMI)
Formerly known as Medically Unexplained Symptoms (MUS)
Opioid Therapy (OT) for Chronic Pain
Lower Back Pain (LBP)
Concussion-mTBI
Lower Limb Amputation Stroke Rehabilitation
The Management of Upper Extremity Amputation Rehabilitation (UEAR)
Pregnancy

15. Questions

16.
@DoD_EHR