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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
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Speaker Introduction
Ms. Stacy Cummings, SESProgram 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.
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Speaker Introduction
Dr. Paul R. Cordts, SESElectronic 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.
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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.
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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.
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Agenda
• MHS GENESIS Scope
• Business Transformation Underway
• Impact of Functional Communities
• Infrastructure at Initial Deployment Sites
• MHS GENESIS Initial Deployment
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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
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An Introduction of How Benefits Were Realized for the Value of Health ITThe 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
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What is MHS GENESIS?
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.
MODERN SECURE CONNECTED
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MHS GENESIS Scope
Worldwide
Deployment
Many Stakeholders First Major Upgrade
in > a Decade
50 Systems
50+ legacy systems to 1
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MHS by the Numbers
128 MILLIONPrescriptions filled in Military and Network Pharmacies and Home Delivery
70.5 MILLION Outpatient Visits
1 MILLION+ Inpatient Admissions
119,000 Births
A Year in the Life of the MHS 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
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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
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
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Functional support in
the design and rollout
of MHS GENESIS
Individual ownership of
the success of MHS
GENESIS
Adopt a “Power of One”
mindset regarding how
we work
Leadership alignment
among Army, Navy, Air
Force, and DHA
Business Transformation Underway
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Impact of Functional Communities
Workflow
Design
Process
Redesign
Standardization
Training
Material
Review
Testing Issue
Resolution
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
800+ Tri-Service Subject Matter Experts (SMEs)
are the voice of the functional communities providing
input on various aspects of MHS GENESIS
Fall 2014 Ongoing
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Primary and secondary circuits at
product data centers are fully
functional
NETWORK SECURITY MANAGEMENT SERVICE
All IOC sites are on Med-COI and all
IOC site customers are on DHA
Directory Services
DIRECTORY SERVICES / ENTERPRISE MANAGEMENT
Local Core Infrastructure is deployed
at all IOC sites - work continues to
improve performance of the
published desktop
COMPUTE AND STORAGE MANAGEMENT SERVICE
Transition to the Global Service
Center is complete for IOC sites
GLOBAL SERVICE CENTER
Infrastructure at IOC Sites
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MHS GENESIS Initial Deployment
February 2017 As early as June 2017 Target 2022
Initial deployment of
MHS GENESIS
commenced at
Fairchild Air Force
Base
Deployment at
remaining inpatient
facilities in the Pacific
Northwest
Enterprise wide wave
deployment to all
Military Treatment
Facilities and Dental
Treatment Facilities
Initial IOC
Deployment
Inpatient IOC
Deployment
Full Deployment
Training and Change Management Activities
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A Summary of How Benefits Were Realized for the Value of Health IT
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
Key Takeaways
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Questions
Please remember to complete your online session evaluation
• Dr. Paul Cordtso Electronic Health Record Functional
Champion Military Health System
• Col Richard Terryo Acting MHS CIO and Acting Director
DHA HIT Directorate Defense Health Agency
• Ms. Stacy Cummingso Program Executive Officer, Program
Executive Office, Defense Healthcare Management Systems
• MHS GENESIS Guiding Principleso http://www.health.mil/Military-Health-
Topics/Technology/Military-Electronic-Health-Record/EHR-Modernization-Interoperability/EHR-Guiding-Principles
