Veterans Health Administration Patient Record Access and Ownership
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1 Veterans Health Administration Patient Record Access and Ownership Neil C. Evans, MD Chief Officer, Office of Connected Care Veterans Health Administration 1
2 Ownership? 2
3 VA s Connected Care Vision Access and the Veteran Experience will be enhanced through information and communication technologies that are effectively integrated into the daily lives of Veterans and VA Staff. 3
4 VA Form a 4
5 My HealtheVet 5
6 Timeline VA Medical Images and Reports Available (April 2018) Expansion of APIs (2018 and beyond) VA Open Notes Available (Jan. 2013) U.S. Postal Service Pilot Launches (Oct. 2017) My HealtheVet Launches (Nov. 2003) VA Blue Button Available (Aug. 2010) 6
7 Timeline Year Milestone 1999 My HealtheVet Pilot at 9 VA Medical Centers 2003 National My HealtheVet Portal deployed 2004 New user registration module deployed Expansion of self-entered data modules 2005 Online Prescription Refill Requests Additional Self-entered Modules 2006 In Person Authentication to Upgrade to Premium Account 2007 Account Activity History Forgot User ID and Password Support Upgraded Health Calendar ForeSee Survey Launched 2008 Secure Messaging Master Veteran Index Synchronization 2009 VA Wellness Reminders 2010 VA Blue Button Feature 2011 VA Appointments VA Allergies VA Chemistry/Hematology Lab Results DoD Military Service Information Display Rx Medication Name in addition to RX Number 2012 Secure Messaging with all VA primary care providers VA Immunizations DS Logon Single Sign on Social media content promotion Year Milestone 2013 Expansion of VA EHR data in VA Blue Button Report (e.g., VA Notes, VA Radiology Reports, Pathology Reports, Microbiology Lab Results, etc.) VA Health Summary (C32) Hold Periods reduced from 7 to 3 calendar days My Goals Ability to Re-assign Secure Messages HealtheLiving Assessment (health risk appraisal) Veterans Health Library 2014 Ability to send Secure Messaging Attachments eroi form for online authentication Cloud Migration for system stability, scalability, and performance Log in Box enhancements SM API Display Medication Images in Pharmacy module 2015 Secure Messaging Workload Credit Rx Refill Shipment Notification Rx Refill API VA Appointment Reminders Save SM Progress Notes to CPRS Subscribe to My HealtheVet Newsletter (+300,000 first year) 2016 Content Management System deployed Incremental Redesign: Homepage Dashboard Session Time out Warning 2017 Enhanced VA Health Summary (CCDA) with Surgical and Clinical Procedure Notes Incremental Redesign: Theme deployment VA Medical Images and Reports Pilot Veterans Benefits Handbook Online Appointment Scheduling 7
8 My HealtheVet 4 th Quarter million active users (32% mobile) (out of 4.2m registrants, 2.5m premium) 3.54 million Secure Messages sent/received 1.39 million Blue Button downloads 5.22 million Prescription refills ~100K new registrations User Satisfaction Jan 2018 CXA survey % of users are 65 or older. 50% also use a community provider In FY2017, compared to FY2016: 20.7% increase in online prescription refills 33.9% increase in Secure Messaging 38.7% increase in use of the VA Blue Button 8
9 VA Open Notes Patients who viewed their notes anticipated considerable benefits from having access to clinical notes similar to the OpenNotes study, including: doing a better job of taking medications as prescribed (80%) being better prepared for clinic visits (89%) feeling more in control of their health care (91%) taking better care of themselves (91%) understanding their conditions better (92%) being better able to remember the plan for their care (92%) Nazi KM, Turvey CL, Klein DM, Hogan TP, Woods SS. VA OpenNotes: exploring the experiences of early patient adopters with access to clinical notes. J Am Med Inform Assoc 2014;0:1 7. 9
10 VA Medical Images and Reports - Just Launched View images online or Download diagnostic grade DICOM files Mammograms (screening and diagnostic) Radiographs (chest x-rays, abdominal x-rays, bone x-ray) Digital radiography (DR), computed radiography (CR) Fluoroscopy (barium swallow, upper GI, barium enema) Ultrasounds CT scans images and nuclear medicine images, may include Magnetic Resonance (MR) in facilities with PET (Positron Emission Tomography)/MR MRI, MR angiography, MR Venography Angiography radiographs and cine loops Interventional Radiology as part of the procedure, may include radiographs, ultrasound, CT, or cine loop 10
11 VA Medical Images and Reports Overview 11
12 VA Medical Images and Reports Overview 12
13 VA Medical Images and Reports Overview 13
14 Timeline VA Medical Images and Reports Available (April 2018) Expansion of APIs (2018 and beyond) VA Open Notes Available (Jan. 2013) U.S. Postal Service Pilot Launches (Oct. 2017) My HealtheVet Launches (Nov. 2003) VA Blue Button Available (Aug. 2010) 14
15 Some Final Thoughts 15
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