1. VACO Update Informatics Section Kathleen Lysell, Psy.D. May 19, 2007 VA Psychology Leadership Conference

2. Graphical User Interface (GUI) for the Mental Health testing package. Originally released 2002 Provides secure computer environment for patient administered testing Only VistA application currently available that stores survey/self report information as data 2,498,520 assessments using MHA instruments completed in FY06

3. Enhancements, restructuring of associated files, MHA3 Completing beta testing at 4 test sites Significantly strengthens ties to clinical reminders, CPRS Passes progress note to CPRS Creates national testing database

4. MHA3 and Clinical Reminders Clinical Reminders will work with all MHA3 instruments Instrument results, scale scores, or individual item responses from MHA instruments can be used in reminder logic

5. MHA3 and Clinical Reminders What percentage of patients in PTSD program present with binge drinking patterns? What is the severity of depression seen in patients enrolled in the pain clinic? How many patients over the age of 65 endorsed suicidal ideation on depression screen?

6. My Healthe Vet Mental Health Portal Goal: Promote active participation of veterans with mental illness in their health care 3 Major Components in Project: 1)Education and Resource Information for Veterans/Family members/Care Givers 2)Self-Assessment screening tools tied to online educational information 3)Recovery management/self monitoring for patients currently involved in mental health treatment

7. Phase 1: Information & Education Goal: To provide current information to veterans and family members on health, wellness and recovery in a comprehensive but easy to understand web based format as it relates to: Common mental health disorders Successfully coping with psycho-social stressors Partnering with health care providers Taking responsibility for ones own recovery Working with Healthwise to create content library PTSD Materials to be included in My Healthe Vet Memorial Day Release

8. Screening Instruments (Phase 2) Screening for common MH issues: –PTSD –Depression –SUD Accessible at top level No results stored, feedback directly to user Currently deployed

9. DisorderScreening Instrument Post Traumatic Stress DisorderPTSD Checklist (PCL) Depression Patient Health Questionnaire (PHQ-9) Alcohol problems Alcohol Use Disorders Identification Test (AUDIT-C) Drug problemsAlcohol, Smoking, and Substance Involvement Screening Test (ASSIST) MHV Mental Health Screening Tools

11. My Recovery Plan (Phase 3) An online component of My HealtheVet that will help veterans seeking treatment: Take an active, collaborative role in their treatment Take increased responsibility for monitoring and tracking: the type and degree of mental health symptoms, medication adherence and side effects, progress towards recovery goals, as well as relapse triggers & coping plans.

12. My Recovery Plan Activities Current Year Funding Contract for application design for My Recovery Plan 4 existing workgroups, Depression, SUD, Schizophrenia, PTSD Technical contractors meeting with workgroups to map current care processes and desired processes for MRP

14. Create Recovery Plan

15. Sample Domains

16. My Recovery Plan CPRS, Patient 1 My Schedule TODAY is Tuesday January 3rd, 2006 Today, I have been clean and sober for 25 DAYS! My Medications 1 pink round tablet (Acamprosate) 1 white triangular tablet (Lexapro) My Schedule Appointment with CPRS, Provider 1 at 2PM AA Meeting at Trinity Church TODAY at 7PM My Tasks Call Bob (Sponsor) at 555-555-5555 Look at Classified Ads for apartment rental NOTES: Medications, schedule and tasks for TODAY in center box update daily. My Schedule is a link to a detailed monthly calendar. My Goals are links to corresponding pages My Care is a link to that function on the larger MHV website My Messages is link to the secure provider messaging feature My Goals Staying Clean & Sober Housing and Transportation Employment Relationships My Care Prescription refills Schedule an appointment Personal Health Record My Messages Inbox Sent Deleted