Back to Top Skip to main content

‘Good things are happening’ as DoD continues to roll out MHS GENESIS

Air Force Maj. Gen. Lee Payne discusses MHS GENESIS at the 2018 AMSUS annual meeting. (Photo by MHS Communications) Air Force Maj. Gen. Lee Payne discusses MHS GENESIS at the 2018 AMSUS annual meeting. (Photo by MHS Communications)

Recommended Content:

MHS GENESIS

Adopting a new electronic health record, also known as an EHR, across a large, geographically diverse enterprise is no easy task. To meet the change management needs for this critical effort, the Defense Health Agency has established the Office of the Chief Health Informatics Officer. OCHIO will collaborate with a community of health care clinicians, health information technology experts, and testers to help users of this health information management system seamlessly transition to new technologies and processes. 

MHS GENESIS is the single, integrated medical and dental EHR. Scheduled to be systematically fielded at all military hospitals and clinics by 2024, initial testing phases of MHS GENESIS are now complete. The Military Health System is addressing challenges and issues as it prepares for the first wave of deployment next fall, said Air Force Maj. Gen. Lee E. Payne, who is dual-hatted as the Defense Health Agency Assistant Director for Combat Support and MHS EHR Functional Champion. 

“I have to set the stage for the frontline users about what they can expect and that’s part of my responsibility,” said Payne. “We’ve been building the capability of the Office of Chief Health Informatics Officer to help us manage the record more in real time and deal with these problems, [and] help build the content configuration necessary to improve the record.”

As the MHS EHR Functional Champion, Payne represents the voice of front-line users and will make critical decisions throughout its deployment. His responsibilities include ensuring solutions are seen from an enterprise perspective and evaluating potential process enhancements. He also serves as the DHA liaison to the Program Executive Office, Defense Healthcare Management Systems, which is responsible for the deployment of MHS GENESIS and management of the rollout plan.

“I want to give you a transparent review of where we are with MHS GENESIS,” said Payne, speaking at the annual meeting of the Society of Federal Health Professionals, better known as AMSUS, in November. “There are some good things happening and I want to be able to share these with you.”

MHS GENESIS launched at four initial operational capability sites in 2017: Fairchild Air Force Base, Naval Health Clinic Oak Harbor, Naval Hospital Bremerton, and Madigan Army Medical Center. Payne said lessons learned from the Pacific Northwest deployment focused on change management, workflows, issue resolution, and training methods.

“We had a change management strategy,” said Payne, adding that they underestimated the magnitude of the change. “I think in some of our minds, at least in my mind, it was, ‘OK, we’ll buy the commercial, off-the-shelf system, you just plug it in, you go to work and you do your job after you get training.’ The system comes about 80-percent configured already, but the MHS is continuing to refine workflows for the new system. 

Another critical component of the rollout strategy is helping users understand their workflows, Payne said. “If you try to take your existing business processes, whether that’s in AHLTA or Essentris, and you try to jam that into the new electronic health record, you will fail,” said Payne, referring to legacy EHR systems. “You must adapt your business practices to the new record.”  

Payne said MHS GENESIS is more than a system for documenting health care, as AHLTA does. It serves as a care coordination tool and provides standardized workflows that aren’t available in the current systems, a feature that has exposed inconsistencies across the MHS, he said. “Not only do we have variability between the services, but we have variability between our hospitals, and we have variability inside our hospitals and clinics,” said Payne. Communicating workflows and bridging knowledge gaps from old to new processes early in the transition was another important lesson, he continued. “We have to make decisions from an enterprise perspective, not from a local perspective.”

The MHS is also focusing on improving its training approach and content so it ties more closely to workflows. This will include retraining users at the initial sites when training methods change, he said. Peer expert training, where physicians and nurses get trained by experts in their specialty, has been the most effective method. 

“We want to get those peer experts trained and experienced with the record, so as we go live, there’s somebody at your elbow to be able to coach you through that process,” said Payne.  Having one peer expert per 10 physicians has shown to be a good ratio, he said, a ratio he aims to require for wave-one sites. These include Naval Air Station Lemoore, Travis Air Force Base, and Army Medical Health Clinic Presidio of Monterey, all in California, as well as Mountain Home Air Force Base in southwestern Idaho.

Payne said that as challenges at the IOC sites became evident, OCHIO prioritized the issues and incidents, addressing more than one-third of cases (tickets) so far. The functional community continues to discuss how to better measure and communicate findings with the field, and checks in with end users for feedback once the issues are resolved, he assured.

“Feedback and tickets are helping us improve the system and improve the usability,” said Payne. “It’s really focused on the end users and how they use the system, so it’s great information for us. It’s a roadmap for us to get better.” It also has the potential to be helpful for the Department of Veterans Affairs as it moves forward with its EHR modernization effort utilizing the same record as DoD.

Payne said MHS GENESIS breaks down barriers to care, not only between the services and throughout the stages of a patient’s life, but also between Departments, fostering a collaborative culture that supports an integrated system of health and readiness. 

Payne praised the testers at IOC sites for their great work during the initial phase of deployment, thanking them for making MHS GENESIS even better. 

“We want to do as much as we can possibly do prior to wave one to make it go much smoother,” said Payne. “It’s kind of a cycle of continuous process improvement. We’re learning and we’re going to learn things from wave one that we didn’t learn from the IOC sites. We are improving the system and I think we’re going to get some momentum as we move forward. Our goal is to make wave one wildly successful. We want it to be a home run.”

You also may be interested in...

DHA Director and PEO DHMS answer questions at DHITS 2018

Photo
7/25/2018
Vice Adm. Raquel C. Bono, director of the Defense Health Agency, and Ms. Stacy Cummings, Program Executive Officer for Defense Health Management Systems, answer questions about the progress of MHS GENESIS electronic Health record during the 2018 Defense Health Information Technology Symposium July 24 in Orlando, Florida.

Vice Adm. Raquel C. Bono, director of the Defense Health Agency, and Ms. Stacy Cummings, Program Executive Officer for Defense Health Management Systems, answer questions about the progress of MHS GENESIS electronic Health record during the 2018 Defense Health Information Technology Symposium July 24 in Orlando, Florida.

Recommended Content:

Defense Health Agency | Defense Healthcare Management Systems | Technology | DHITS 2018 | Military Health System Electronic Health Record | MHS GENESIS

MHS Genesis

Photo
7/3/2018
The official image of the MHS Genesis Logo

Official Image of MHS Genesis

Recommended Content:

Technology | MHS GENESIS

MHS GENESIS focal point for Defense Health Agency Director visit at Naval Hospital Bremerton

Article
7/3/2018
Navy Vice Adm. Raquel C. Bono, director of the Defense Health Agency, is welcomed by Hospital Corpsman 3rd Class Stephanie Manamon, assigned to Naval Hospital Bremerton's (NHB) Northwest Beginnings Family Birth Center, during a fact-finding visit to the military treatment facility. The visit provided the opportunity to focus with NHB leadership and staff on MHS GENESIS and exchange frank and candid assessment on both positive and negative experiences, process improvement, and deployment application of the new electronic health record. NHB deployed the new electronic health record on Sept. 23, 2017 for service members, veterans and their families as one of the four sites in the Pacific Northwest along with U.S. Air Force 92nd Medical Group at Fairchild Air Force Base, Naval Health Clinic Oak Harbor and Madigan Army Medical Center (Official Navy photo by Douglas H Stutz, Naval Hospital Bremerton Public Affairs Officer)

The trip included candid conversations regarding implementation, best practices, lessons learned, issues and improvements.

Recommended Content:

Technology | MHS GENESIS

Navy clinic first MHS GENESIS site to complete accreditation

Article
7/3/2018
The official image of the MHS Genesis Logo

Navy clinic first MHS GENESIS site to complete accreditation

Recommended Content:

Technology | MHS GENESIS

Fresh from HIMSS: Building a single tech platform will modernize MHS joint readiness

Article
3/8/2018
DHA leaders at HIMSS shared how creating one military health IT platform will help the MHS to better support joint readiness. Broadly standing up MHS GENESIS – the military’s integrated medical and dental electronic health record – will continue over the next few years and replace more than 50 legacy systems. (U.S. Air Force photo)

Defense leaders share military health IT advancement plans, standards, and activities

Recommended Content:

MHS GENESIS | Military Health System Electronic Health Record

Defense Healthcare Management Systems Fiscal Year 2017 Annual Report

Report
2/12/2018

The Program Executive Office, Defense Healthcare Management Systems (PEO DHMS) was chartered to transform the delivery of healthcare and advance data sharing through a modernized electronic health record (EHR) for service members, Veterans, and their families.This Annual Report, "Connecting Technology and Health," highlights our many accomplishments ...

Recommended Content:

Defense Healthcare Management Systems | MHS GENESIS | Military Health System Electronic Health Record

Year in Review: Innovations aid warfighters, families

Article
12/26/2017
Blue light produced by smartphones and computer monitors interferes with the brain’s production of melatonin, the hormone that makes people sleepy. The Navy’s Bureau of Medicine is working on lens tinting to block blue light and enhance the sleep of service members. MHS announced this innovation among many others in 2017. (U.S. Air Force photo by Greg L. Davis)

MHS explores world-class solutions for beneficiaries

Recommended Content:

Military Health System Electronic Health Record | MHS GENESIS | Warrior Care | Medical Research and Development

2017 Year in Review: Places where Military Health System leaders, experts gathered

Article
12/21/2017
Navy Vice Adm. Raquel Bono, director, Defense Health Agency, speaks at the Defense Health Information Technology Symposium, July 25, in Orlando, Florida. Conferences like this one help MHS and other health care personnel to exchange ideas and information to help improve care to beneficiaries. (Courtesy photo)

Conferences offer opportunities to focus on the best health care for beneficiaries

Recommended Content:

Innovation | Military Health System Electronic Health Record | MHS GENESIS | Extremity Trauma and Amputation Center of Excellence | Warrior Care

Decisions, decisions: Experts aim for higher quality, safer care in building electronic health record

Article
12/7/2017
Dr. Paul Cordts, director of the Defense Health Agency Office of the Functional Champion, speaks on a panel regarding the decision-making behind a large scale electronic health record while at the AMSUS Annual Meeting at the Gaylord Resort and Convention Center in Oxon Hill, Maryland, on November 29. (Courtesy photo)

Experts discuss ongoing progress, overall goals for MHS GENESIS

Recommended Content:

Military Health System Electronic Health Record | MHS GENESIS

Military health: All for one, one for all

Article
12/1/2017
From left, Retired Army Maj. Gen. Richard Thomas, president of Uniformed Services University of the Health Sciences;  Navy Rear Adm. Colin Chinn, Joint Staff surgeon; Air Force Lt. Gen. Mark Ediger, Air Force surgeon general; Navy Vice Adm. Forrest Faison III, Navy surgeon general; Army Maj. Gen. Ronald Place, for the Army surgeon general; Navy Vice Adm. Raquel Bono, director of the Defense Health Agency; and Tom McCaffery, acting assistant secretary of defense for health affairs. (Courtesy photo)

Joint interoperability is theme of leadership session

Recommended Content:

MHS GENESIS | TRICARE Health Program

MHS GENESIS deployed in Pacific Northwest

Article
11/16/2017
Commanding officers of the military treatment facilities involved in the initial deployment of MHS GENESIS, the Department of Defense's new electronic health record pose for a commemorative photo with senior leadership during the MHS GENESIS Recognition Ceremony Nov. 15 at Madigan Army Medical Center. The Pacific Northwest was selected as the initial deployment site for the new EHR, which has now been fielded at Fairchild Air Force Base, Naval Health Clinic Oak Harbor, Naval Hospital Bremerton and Madigan Army Medical Center. Pictured from left, Army Col. Michael Place, commander, Madigan Army Medical Center; Navy Vice Adm. Raquel Bono, director, Defense Health Agency; Air Force Col. Michaelle Guerrero, 92nd Medical Group at Fairchild Air Force Base, Washington; Stacy Cummings, program executive officer, Defense Healthcare Management System; Navy Capt. Jeffrey Bitterman, commanding officer, Naval Hospital Bremerton; Navy Capt. Christine Sears, commanding officer, Naval Health Clinic Oak Harbor; and Thomas McCaffery, acting assistant secretary of defense for Health Affairs. (U.S. Army photo by Flavia Hulsey)

The Pacific Northwest was selected as the initial deployment site for the new EHR

Recommended Content:

Military Health System Electronic Health Record | MHS GENESIS

MHS GENESIS Brochure

Publication
10/23/2017

This brochure includes high-level information about MHS GENESIS capabilities, the patient portal, and key benefits.

Recommended Content:

MHS GENESIS

MHS GENESIS deployed at Naval Hospital Bremerton

Article
9/28/2017
Official MHS GENESIS Logo

MHS GENESIS will provide a single integrated electronic health record for service members, veterans and their families

Recommended Content:

MHS GENESIS | Military Health System Electronic Health Record

DHA director visits Ramstein, discusses healthcare changes

Article
9/8/2017
Recently, Navy Vice Adm. Raquel C. Bono, Defense Health Agency director, visited Ramstein Air Base, to discuss future changes to the healthcare program for military members. (U.S. Air Force file photo)

The DHA is working with the Defense Enrollment Eligibility Reporting System office to ensure the transition goes smoothly

Recommended Content:

TRICARE Health Program | MHS GENESIS

MHS GENESIS Postcard

Publication
9/5/2017

This postcard is for MHS GENESIS locations to provide to beneficiaries as introductory information.

Recommended Content:

MHS GENESIS | Military Health System Electronic Health Record | Technology
<< < 1 2 3 > >> 
Showing results 16 - 30 Page 2 of 3

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing... Download a PDF Reader or learn more about PDFs.