1. The Military Health Service Population Health Portal (MHSPHP) in Carepoint
Judy Rosen, MSN, RNC
Nurse Informaticist, WT Inc
AFMSA/SG6H

2. Overview Overview Page Patient Management: Medical Home Metrics
Patient detail view
Data entry and exclusions
Notes
Manipulating lists
Medical Home Metrics
Reporting
HELP and Methodology

3. The address of the MHSPHP

4.
Request access on this page: complete the online registration and download the SAAR form to complete electronically. For more information on completing the SAAR, contact your service representative.

5. Application entry page
As additional apps are developed on CarePoint, they will be available from this page.

6. How to re quest Patient Data Access
Select Administration from page menu
Select My Account
Select “Request Additional Access”
Select request functional level access

7. Overview Page

8. Overview Page Contains Summary data Page filter to select data source
Navigation Menu on the left
Charts
Action List counts reflect medical home data
Exclusions take effect instantly
Labs are updated nightly
DEMO:
Select 2 MTFs
expand plus signs
Minimize menu
Add chart

9. Overview Page:
Overview Page: All data updated monthly except…Action list counts will be updated nightly
- Action list counts only visible to functional level users
HQ level users will not see Action List Counts.
Data is refreshed monthly, except for Action List Counts, which are refreshed nightly based on User Entered Date and COHORT data. Exclusions are applied automatically.
Page is filterable by:
- DMIS (if user has access to more than one). User can select multiple locations (if available). System will display aggregate number for all selected.
Provider Group

10. How to switch from Aggregate to Functional
When you click on the functional view you will only see the MTFs you have permission to see patient level information

11. Data Sources Direct Care (most monthly some nightly)
Purchased Care (monthly updates)
Enrollment information (monthly updates)
DEERS enrollment info is the key to all metrics and lists
Only enrolled pts appear on lists
Metrics reflect only data through the enrollment date
User Entered Data (updated nightly)
The key to all data in the MHSPHP is the enrollment data from DEERS. HEDIS metrics are all tied tightly to the enrollment date and therefore anything that occurred after the enrollment date (posted at the top of every page in the MHSPHP) is NOT included in any metric.

12. Why are metrics only updated monthly?
Metrics are tied to enrollment
Enrollment information released from DEERS monthly
Metrics only reflect tests or encounters that occurred prior to that end enrollment date
We don’t know if pt enrolled after that date
Indentifying patients for lists based on encounter/enrollment data up to that end enrollment date

13. Direct Care Data Sources: Nightly Updates
Lab test data updated nightly on action lists and patient charts
A1C, Cholesterol, Paps
Tests are pulled by test name and/or CPT codes
If MTF changes test name, please verify data reaches MHSPHP
Mammograms updated nightly
Tests are pulled by name and/or CPT codes
Colorectal screens updated nightly
Metrics are only run monthly

14. How is data displayed? Portlets!
Boxes of data displayed to meet user’s needs
Tables or graphs
Movable
Exportable
Can remove or add to workspace

15. Overview Page Portlets
Each of these rectangles are called portlets. Inside some portlets are plus and minus icons. The Plus icon indicates that there is more information to be seen. Click on the plus icon to expand.

16. Expanded Portlets
Expanded demographics and action list counts.

17. Navigation Menu
The navigation bar on the left contains menus. The overview menu is for this page only and the default view of this page shows the 4 headings of this menu. Click on the down arrows of the headings for the specific options of portlets for display on this page.

18. Overview – Expanded Navigation Menu
Defaults are circled. Counts are displayed. To see a chart, simply click on it.

19. Adding Portlets

20. New portlets are placed in upper left corner of page
Adding Portlets
New portlets are placed in upper left corner of page
After a several seconds of loading time, the Selected chart is added to page. Any time you select a portlet to be added to the page, it adds to the upper left corner of the page.

21. Closing and Minimizing Portlets
Red box with white X will close the portlet. You can have the re-add the portlet to the screen by using the navigation menu.
Red box with white X closes portlet. Return portlet to screen by using the navigation menu. “Minus” icon minimizes to header only.

22. Maximize by clicking on the rectangle icon.
Minimized portlet
Maximize by clicking on the rectangle icon.
Maximize by clicking on the rectangle.

23. Chart Properties

24. Hiding the Navigation Menu
Hide the Navigation menu by clicking on the thumb tack in the upper right corner of the navigation bar. This will give you a larger display area.

25. Hidden Navigation Bar

26. The Thumbtack pointed to the left means navigation bar is floating—will disappear as move mouse away or if click on X
If you click the thumbtack it will dock the navigation bar menu to remain on screen

27. Other Icons Display print Preview of screen Save Workspace
Return to default workspace of 4 count tables
Delete a saved workspace
Now lets look at other key icons on this page. Opens workspace in the format you last viewed—whether saved or not.

28. Data Options on Overview page

29. Change Data Source: Search
Cannot select provider group or PCM name when multiple locations selected.
Or scroll through list….Press Control key while clicking on DMIS location to select multiple items rolled up
Search by MTF name, location or DMIS
Then Click the looking glass
* Cannot select provider group or PCM name when multiple locations selected.

30. Select Facility from list
Select which Facility then Click Apply to display highlighted location’s data or Clear to return to default location

31. Change from Facility functional data to Aggregate data

32. Select Command

33. Lists Command’s Facilities then Select Apply
HQ level users will not see Action List Counts.
Data is refreshed monthly, except for Action List Counts, which are refreshed nightly based on User Entered Date and COHORT data. Exclusions are applied automatically.
Page is filterable by:
- DMIS (if user has access to more than one). User can select multiple locations (if available). System will display aggregate number for all selected.
Provider Group
PCM Name

34. Aggregate Default View
Aggregate level users will not see Action List Counts.

35. HELP and Methodology

36. HELP ! Documentation tab of menu has HELP!
Contact info—help desk phone and addresses
User Guide-big document reference
FAQs-answers to frequent questions
Quick Guides—targeted reference for password change, fixing dates in Excel
Methodology documents explain each list and metric