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The Military Electronic Health Record (EHR)

The Military Electronic Health Record (EHR). AHLTA Briefing for the TRICARE Data Quality Training Course June 2006. The Military Electronic Health Record (EHR). Objectives Provide a Brief Overview of AHLTA Describe the Process of Records Review.

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The Military Electronic Health Record (EHR)

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  1. The Military Electronic Health Record (EHR) AHLTA Briefing for the TRICARE Data Quality Training Course June 2006

  2. The Military Electronic Health Record (EHR) Objectives Provide a Brief Overview of AHLTA Describe the Process of Records Review

  3. Military Health System Information Management/Information Technology Program Overview

  4. Military Health System IM/IT ProgramForce Health Protection MHS is dedicated to support Force Health Protection (FHP) • Healthy and Fit Force • Casualty Prevention • Casualty Care Management FHP is much more than individual health care delivery: • Involves full spectrum of health services • Medical Surveillance is a keystone to support FHP Pillars

  5. Military Health System IM/IT ProgramLevels of Care Care Outside Theater Enroute Care Theater Hospitalization Forward Resuscitative Surgery First Responder

  6. Military Health System IM/IT ProgramIntegrating the Health Record RESERVISTS AHLTA TMIP CASUALTY PREVENTION DEPLOYMENT TRAINING BATTALION AID HEALTHY & FIT FORCE INTERIM THEATER DATA REPOSITORY CLINICAL DATA REPOSITORY ACCESSION FORWARD RESUSCITATIVE SURGERY GARRISON THEATER THEATER HOSPITALIZATION CARE OUTSIDE THEATER ENROUTE CARE TRAC2ES

  7. Military Health System IM/IT Program Wartime Information Flow EIC EIC Interim Theater Data Base Clinical Data Repository On Demand By Permission Air Force LDB AHLTA-T Maritime LDB AHLTA–T SAMS GCCS COP Army LDB JMAR AHLTA-T Joint Staff JTAV EIC – Electronic Information Carrier (Personal Medical Information) LDB – Local Data Base Service HQ JMAR – Joint Medical Asset Repository JTAV – Joint Total Asset Visibility GCCS - Global Command and Control System COP – Common Operational Picture

  8. The Military Computer-BasedPatient Record (CPR) Screens for Basic Medical Scenario

  9. Military Health SystemIM/IT ProgramPatient Encounter Process Vitals Screening/Wellness • Pre-/Post-Deployment • Immunizations • Screening Tests • Pre-Deployment Preparation Patient Check-In • Subjective • Objective • Assessment • Plan Patient Check-Out Physician/Patient Encounter Patient Education

  10. Splash Screen

  11. What AHLTA Does • Provides 24 X 7 access to complete and legible medical and dental patient records at the point of care • No more lost records!

  12. What AHLTA Does (cont.) • Documents patient encounter • Use of health history and physical templates • Order entry / summary of care • Collects structured data as by-product of clinical workflow • Populates standard database • Enables viewing and tracking of empanelled patient information

  13. What AHLTA Does (cont.) • Promotes team approach to health care delivery (enhances the Services’ optimization efforts) • Builds single encounter document out of team effort • Supports health care delivery and management • Standardizes data elements using a robust, industry standard health data dictionary • Standardizes and automatically codes encounters

  14. What AHLTA Does (cont.) • Provides reminders for prevention measures • Improves quality of care

  15. What AHLTA Does (cont.) • Tracks medical needs of population • Predicts future appointment needs • Future PAP smear needs • Mammogram demand • Dental recall exams • Predicts and manages resource needs

  16. AHLTA • Tool for individual and population health improvement • Supports Force Health Protection, Population Health Management, Personnel Readiness, and Medical Surveillance • Tool for health care resource management • Provides data for efficient management of health care delivery within the MHS • Provides clinical functionality for Theater Medical Information Program (CHCS II-T)

  17. Questions?

  18. Back Up Slides

  19. Military Health System IM/IT ProgramRequirements Approval Process CHCS II (AHLTA) Operational Requirements Document September 2000 CHCS II (AHLTA) Block 1 Revalidation October 2002 CHCS II (AHLTA) Block 2 Approved April 2004 CHCS II JROC-Approved Requirements Joint Requirements Oversight Council Approve Joint Capabilities Board (JCB) Brief Review Functional Capabilities Board (FCB) Brief Review Joint Staff, Combatant Commanders, Army, Navy, Air Force, Marine Corps, Agencies Flag Level Review and Comment Submit requirements to Joint Staff Joint Staff, Combatant Commanders, Army, Navy, Air Force, Marine Corps, Agencies O-6 Level Review and Comment

  20. Military Health System IM/IT ProgramStrategic Direction TRAIN AS WE FIGHT Operational Continuum Military Medical Readiness Deployed Forces Sustaining Base

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