Jennee Evans, PhD Informatics Educator Office of Mental Health Services AVAPL 2012
The MHS is Windows-based Graphic User Interface (GUI) application for creating Mental Health Treatment Plans developed for VHA by DSS, Inc. It has its roots in the work of VHA Mental Health providers who developed treatment planning templates that later became the MHS. Has the feel and look of MS Office and existing CPRS GUI programs that are familiar to users. Includes tools and follows a template format, allowing point-and-click data entry and navigation, that saves time, improves efficiency and make it easier to complete high h quality treatment plans. MHS functions outside of CPRS, but interfaces with CPRS for patient selection and passes the completed plan to CPRS in the form of a progress note.
Currently, many treatment plans may be written from scratch or using cut & paste. Some may have developed MS Word or CPRS templates, at different levels of sophistication While some of these may have helped at some level, they often have significant drawbacks: Are often too cumbersome and static. May not promote individualized, recovery oriented treatment plans Do not facilitate tracking of problems and goals through the treatment process, e.g., at updates or renewal of the treatment plan Not allowing for the treatment plan to fully capture the level of interdisciplinary treatment planning that is or should be occurring Does not allow for a unified treatment plan that captures the complexity of the Veteran s MH treatment across clinical programs
Promotes a Recovery Oriented approach to MH treatment planning, such as allowing for documentation of Veteran and family collaboration and the Veteran s strengths and abilities. It has functionality that supports full interdisciplinary team input with features that: Allows all providers to contribute to the treatment plan. Allows providers to communicate through an alert/notification system. Allows for additional signers to the final note. Can capture all the Veteran s MH problems, goals, objectives and interventions in one unified treatment plan.
Makes treatment planning easier by allowing clinical programs to customize the MHS default selections and still have the ability to individualize the treatment plan for the Veteran. The treatment plan in the MHS is a living document - it can be easily saved, sorted, reviewed and updated by all treatment team members across time. Allows for documentation of biopsychosocial information, which informs the development of the treatment plan. It facilitates full and seamless CPRS Progress Note integration, transferring the treatment plan to CPRS/VistA in the form of a progress note to document the treatment plan process. Plans are consistent with JCAHO and CARF standards. d
Draft MHS Guidance Memo some highlights: As part of the Secretary s T21 Improving Veterans Mental Health Initiative, the Office of Mental Health Services (OMHS) secured a National License and deployed the MHS software for use in documenting the treatment plan for Veteran s receiving mental health care. The MHS software tool is to be used in documenting the Veteran s care plan anytime the Veteran is receiving treatment in mental health programs. The use of the MHS software facilitates a unified mental health treatment plan that follows the Veteran through the course of their VA mental health care. Veterans receiving specialty mental health care are to have one overall mental health care plan that is updated at significant care transitions... Care plans for new patients in mental health are to be completed with the MHS software by the beginning i of fiscal year (FY) 2012 and care plans for current Veterans seen in mental health are to be phased in by the end of FY12. Facility reporting regarding implementation
MHS Clinical Champions Local MHS Workgroup Key stakeholders: MHS Clinical Champions, Program Supervisors/Leads, Superusers Review and adapt MHS Content Suggestions from SharePoint Easing the transition: Don t throw the baby out with the bath water! Incorporating good content from existing templates Support for making administrative changes Staff Trainings i live and TMS
Helpful Tips Create cheat sheets Pilot with a team that is interdisciplinary Share/Import PGOI from other programs/facilities Implementation Support Monthly Clinical Champion calls MHS email group MHS SharePoint Facility and/or VISN consultation
MHS contacts: Dr. Manny Garcia (Manuel.Garcia@va.gov) Dr. Jennee Evans (Jennifer.Evans4@va.gov) Monthly MHS Clinical Champions Call: 4 th Tuesday of the Month at 3:00 EST VANTs 1-800-767-1750; AC=#27371 MHS SharePoint: http://vaww.sps.lrn.va.gov/workspaces/mentalheal thsuitetraining/default.aspxaspx
Kathleen Lysell, Psy.D. N ti National l MH Di Director t ffor IInformatics f ti Office of Mental Health Services AVAPL 2012
My Goals is: A new feature of the My HealtheVet Personal Health Record (www.myhealth.va.gov) A new feature of the My HealtheVet Personal Health Record (www.myhealth.va.gov) Veterans may share their progress and collaborate on their goals with their Health Care Team Complements the goal setting process for the Complements the goal setting process for the Mental Health Suite
Identify Goals in a secure online My HealtheVet account Set Goals from a resource of sample Goals, in collaboration with your provider or create one in your own words Identify obstacles or barriers that keep you from reaching your Goal Create tasks or a To Do list of things to overcome each obstacle and achieve your Goal Identify strengths that will help achieve your goals Set up email reminders for tasks and goals P i t G l i f ti f di i ith H lth Print your Goal information for discussion with Health Care Team Members, caregivers, or others
BY IDENTIFYING OBSTACLES AND LISTING THE TASKS NEEDED TO OVERCOME EACH OBSTACLE 16
EXAMPLE OF A GOAL 19
Kellie Condon, Ph.D. My Recovery Plan National Coordinator Kellie.condon@va.gov Ken Weingardt, Ph.D. National Mental Health Web Services Director Kenneth.weingardt@va.gov Katy Lysell, Psy.D. National Mental Health Director for Informatics Kathleen.lysell@va.gov