MHS GENESIS: EHR Modernization for Business Transformation Session 101, Tuesday, February 21, 2017

Transcription

1 MHS GENESIS: EHR Modernization for Business Transformation Session 101, Tuesday, February 21, 2017 Ms. Stacy Cummings, Program Executive Officer, Program Executive Office, Defense Healthcare Management Systems Dr. Paul R. Cordts, Electronic Health Record Functional Champion Military Health System Richard N. Terry, Colonel, USAF, Acting Military Health System Chief Information Officer, Defense Health Agency 1

2 Speaker Introduction Ms. Stacy Cummings, SES Program Executive Officer Program Executive Office Defense Healthcare Management Systems Speaker Introduction: Ms. Stacy Cummings is the Program Executive Officer for the Program Executive Office, Defense Healthcare Management Systems. As Program Executive Officer, Ms. Cummings oversees the Department of Defense electronic health record modernization including the operational, data exchange, interoperability initiatives, and provides direction to three program management offices. 2

3 Speaker Introduction Dr. Paul R. Cordts, SES Electronic Health Record (EHR) Functional Champion Military Health System (MHS) Speaker Introduction: Dr. Paul Cordts is the MHS EHR Functional Champion and serves as the senior functional liaison among the clinical, business, information technology, and readiness communities across the MHS. 3

4 Speaker Introduction Richard N. Terry, Colonel, USAF, MSC Acting Military Health System (MHS) Chief Information Officer (CIO) Acting Director, Health Information Technology (HIT), Defense Health Agency (DHA) Speaker Introduction: Colonel Richard Terry is the Acting MHS CIO and Acting Director, J6 - HIT, DHA. DHA HIT is an $11B combat support directorate responsible for cyber security, emerging technologies, functional integration, health informatics, applications, and management of IT infrastructure to operate MHS clinical/business practices at 699 Military Treatment Facilities (MTFs) worldwide. 4

5 Conflict of Interest Ms. Stacy Cummings has no real or apparent conflicts of interest to report. Dr. Paul Cordts has no real or apparent conflicts of interest to report. Richard N. Terry, Colonel, USAF has no real or apparent conflicts of interest to report. 5

6 Agenda MHS GENESIS Scope Business Transformation Underway Impact of Functional Communities Infrastructure at Initial Deployment Sites MHS GENESIS Initial Deployment 6

7 Learning Objectives Demonstrate that the MHS GENESIS provides an integrated medical and dental record that connects patient information across Garrison and Theatre environments Recognize that MHS Leadership is actively partnering to lead the transformation effort Illustrate that while MHS GENESIS is a large and complex business transformation, it is an accomplishable endeavor 7

8 An Introduction of How Benefits Were Realized for the Value of Health IT The deployment and implementation of MHS GENESIS is a complex business transformation requiring joint effort across the services and will enable the MHS to meet the needs of these large and highly mobile communities through: Better health record completeness Improved interoperability Reduced redundancies and cost Similar and safe transitions of care Easier access to health records for both providers and beneficiaries 8

9 What is MHS GENESIS? MODERN SECURE CONNECTED inpatient and outpatient EHR to replace select DoD legacy healthcare systems health data across the DoD, Department of Veterans Affairs and commercial providers with select legacy systems to meet the unique needs of the military LEGACY MILITARY SYSTEMS DoD MEDICAL INFORMATION EXCHANGE MHS GENESIS is a trademark of the Department of Defense, Defense Health Agency. All rights reserved. 9

10 MHS GENESIS Scope Worldwide Deployment Many Stakeholders First Major Upgrade in > a Decade 50 Systems 50+ legacy systems to 1 10

11 MHS by the Numbers A Year in the Life of the MHS 128 MILLION Prescriptions filled in Military and Network Pharmacies and Home Delivery 70.5 MILLION Outpatient Visits 1 MILLION+ Inpatient Admissions 119,000 Births 11 MHS by the Numbers 205,000+ Healthcare Professionals and Support Staff 9.4 Million Eligible Beneficiaries 55 Military Medical Centers and Inpatient Hospitals 373 Health Clinics 245 Dental Clinics 5 Theater Hospitals 199 Forward Deployed Sites 141 Army 11 Air Force 45 Navy 2 Marine Corps 300 US Navy Ships 2 Hospital Ships

12 MHS GENESIS Guiding Principles Standardize clinical and business processes across the Services and the MHS Design a patient-centric system focusing on quality, safety and patient outcomes that meet readiness objectives Flexible and open, single enterprise solution that addresses both garrison and operational healthcare Clinical business process reengineering, adoption, and implementation over technology Configure not customize 12 Decisions shall be based on doing what is best for the MHS as a whole not a single individual area Decision-making and design will be driven by frontline care delivery professionals Drive toward rapid decision making to keep the program on time and on budget Provide timely and complete communication, training, and tools to ensure a successful deployment Build collaborative partnerships outside the MHS to advance national interoperability Enable full patient engagement in their health

13 Business Transformation Underway Individual ownership of the success of MHS GENESIS Leadership alignment among Army, Navy, Air Force, and DHA Adopt a Power of One mindset regarding how we work Functional support in the design and rollout of MHS GENESIS 13

14 Impact of Functional Communities 800+ Tri-Service Subject Matter Experts (SMEs) are the voice of the functional communities providing input on various aspects of MHS GENESIS Workflow Design Training Material Review Fall 2014 Process Redesign Testing Standardization Issue Resolution Ongoing 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 300 content sets 14

15 Infrastructure at IOC Sites NETWORK SECURITY MANAGEMENT SERVICE Primary and secondary circuits at product data centers are fully functional DIRECTORY SERVICES / ENTERPRISE MANAGEMENT All IOC sites are on Med-COI and all IOC site customers are on DHA Directory Services COMPUTE AND STORAGE MANAGEMENT SERVICE Local Core Infrastructure is deployed at all IOC sites - work continues to improve performance of the published desktop GLOBAL SERVICE CENTER Transition to the Global Service Center is complete for IOC sites 15

16 MHS GENESIS Initial Deployment Initial IOC Deployment February 2017 As early as June 2017 Target 2022 Initial deployment of MHS GENESIS commenced at Fairchild Air Force Base Inpatient IOC Deployment Deployment at remaining inpatient facilities in the Pacific Northwest Training and Change Management Activities Full Deployment Enterprise wide wave deployment to all Military Treatment Facilities and Dental Treatment Facilities 16

17 A Summary of How Benefits Were Realized for the Value of Health IT Key Takeaways MHS GENESIS provides an integrated medical and dental record that connects patient information across Garrison and Theatre environments While MHS GENESIS is a large and complex business transformation, it is an accomplishable endeavor MHS Leadership is actively partnering to lead the business transformation effort 17

18 Questions Dr. Paul Cordts o Electronic Health Record Functional Champion Military Health System o dha.ncr.specproj.mbx.ehrfunctionalchampion@mail.mil Ms. Stacy Cummings o Program Executive Officer, Program Executive Office, Defense Healthcare Management Systems o dha.dhmscomms@mail.mil MHS GENESIS Guiding Principles o Col Richard Terry o Acting MHS CIO and Acting Director DHA HIT Directorate Defense Health Agency o dha.ncr.health-it.mbx.directorworkflow@mail.mil Topics/Technology/Military-Electronic- Health-Record/EHR-Modernization- Interoperability/EHR-Guiding-Principles Please remember to complete your online session evaluation 18