Back to Top Skip to main content Skip to sub-navigation

Advising on defense health

Chris Gruber, the MHS GENESIS project officer for the Regional Health Command -- Pacific, offers a demonstration of the Department of Defense's new electronic health record, MHS GENESIS, to the Defense Health Board as they visit Madigan Army Medical Center on Joint Base Lewis-McChord, Wash., on Nov. 5. (Photo Credit: John Wayne Liston (Madigan Army Medical Center) ) Chris Gruber, the MHS GENESIS project officer for the Regional Health Command -- Pacific, offers a demonstration of the Department of Defense's new electronic health record, MHS GENESIS, to the Defense Health Board as they visit Madigan Army Medical Center on Joint Base Lewis-McChord, Wash., on Nov. 5. (Photo Credit: John Wayne Liston (Madigan Army Medical Center) )

Recommended Content:

Defense Health Board | MHS GENESIS

MADIGAN ARMY MEDICAL CENTER, Joint Base Lewis-McChord, Wash.– For the first time in a number of years, the Defense Health Board visited the Pacific Northwest with a two-day meeting at Madigan on Nov. 4 and 5.

The DHB is a federal advisory committee to the Secretary of Defense. It provides independent advice and recommendations on matters of healthcare policy and program management in the Armed Forces.

The members of the board received overview briefs from all medical commands on Joint Base Lewis-McChord as well as one from Naval Hospital Bremerton's commander, Capt. Shannon Johnson.

Dr. Jeremy Lazarus, the president, and Navy Capt. (Dr.) Gregory Gorman, the executive director and designated federal officer, steered the meeting and joined in as the other dozen or so members in attendance asked a range of questions.

In addition to overviews, Lt. Col. Leilani Siaki, the chief of the Center for Nursing Sciences and Clinical Inquiry, Lt. Col. Elizabeth Nutter, the chief of Obstetrics/Gynecology Ambulatory Services and Midwifery Services, and Lori Trego, a retired colonel and Army nurse, offered a briefing and discussed active duty women's healthcare services on base.

Lt. Col. Kevin Goke, chief of the Department of Behavioral Health also offered the DHB a brief on behavioral health resources that included a follow-up discussion.

Also of significant interest was a demonstration and discussion of the Department of Defense's new electronic health record MHS GENESIS. The Pacific Northwest military treatment facilities served as initial operating capability sites for the new EHR, with Madigan being the first large MTF. Many eyes are on this area as the DoD, and soon the Department of Veterans Affairs, rolls out the EHR to all facilities. When the VA introduces the EHR in their networks, the Pacific Northwest will again serve as the testing ground.

The DHB members were eager to hear of the lessons learned, current capabilities as well as the future potential of the EHR.

Chris Gruber, the MHS GENESIS project officer for the Regional Health Command–Pacific, offered that Madigan has had "8 to 10 formal visits from the VA, and a lot of paintballing too."

He also noted that the Tri-Service efforts of the IOC sites–Fairchild Air Force Base outside Spokane, Naval Hospital Bremerton and Naval Health Clinic Oak Harbor, in addition to Madigan–are serving to benefit the VA's efforts to prepare for its own EHR implementation.

Col. Cristin Mount, Madigan's deputy commander for medical services, offered her perspective of the adoption of MHS GENESIS.

"This system fundamentally changed every way we provide healthcare. That took time to figure out. It's been hand-in-hand, Tri-Service all the way," she said.

Gruber pointed out that the EHR is a commercial product that was designed for capturing billable actions. Given that the military medicine model is not predicated upon collecting payment for each service rendered, this has meant that roles and workflows have had to be altered to more seamlessly fit the EHR.

DHB members engaged the subject matter experts in a spirited discussion of the EHR's ability to capture the cost, as military medicine is provided since the main reason Congress mandated the development of the Defense Health Agency was to streamline military medicine and improve efficiency.

Dr. Michael Parkinson, a retired Air Force colonel who is trained in both family medicine and preventive medicine, asked about the ability to capture the total cost of care so it can be seen and compared to civilian care.

"You do get that in this system; you can compare to other facilities that use Cerner," said Gruber.

One DHB member could not believe the depth of data capture of the system. He was told that even the housekeepers are on the system.

"Everyone who touches a patient is in the system," said Gruber.

That allows oversight of all the time that is spent by every staff member with each patient.

Air Force Lt. Col. William Toth, who is a Clinical Informatics fellow at Madigan explained, "The upfront work of loading things into the system correctly cannot be understated. The IOC sites have done a lot of work to set this up."

He continued by saying that there is so much data, the question is really what to use and how to manage it. He also noted that this is a big issue across healthcare.

Lt. Col. Christopher Weissman, the chief of Clinical Informatics, added his view of capturing costs.

"The capability is there; we are learning how to develop best practices," he said.

Parkinson said, "I'm happy to have that learning."

He also expressed interest in seeing the development of a manual by the IOC partners to aid future sites in getting to those best practices faster.

"What are the best practices? That's the Board's task," noted Parkinson.

Disclaimer: Re-published content may be edited for length and clarity. Read original post.

You also may be interested in...

Leadership Discusses Lessons Learned from Latest MHS GENESIS Waves

Article
6/15/2021
Military personnel during a virtual round table discussion

Representatives from PEO DHMSM, FEHRM, and the MHS provide an update on the progress and lessons learned since the most recent deployment of MHS GENESIS.

Recommended Content:

MHS GENESIS | Military Health System Transformation

Coast Guard set to roll out new electronic health record system soon

Article
5/28/2021
Hands typing on a computer

U.S. Coast Guard prepares to deploy new electronic health record, MHS GENESIS, at 14 clinics and 17 sickbays in the Pacific Area by the end of August 2021.

Recommended Content:

MHS GENESIS

MHS Minute May 2021

Video
5/28/2021
Image of MHS Minute Carousel

In this month's MHS Minute, the DHA's commitment to transforming military health continues. The DHA officially established the Tidewater market in SE Virginia, serving over 200,000 patients. The MHS is standing up 19 markets like Tidewater to allow healthcare providers to better meet the needs of their patients by improving coordination between facilities in the area.

Recommended Content:

Military Health System Transformation | MHS GENESIS | Health Readiness

Peer-to-peer Pay-It-Forward program paying dividends for MHS GENESIS

Article
5/24/2021
Military health personnel learning how to use MHS GENESIS

The Defense Health Agency’s Pay It Forward program was designed to leverage the experience of those who had gone through the congressionally ordered changeover to MHS GENESIS to help new users. It’s working.

Recommended Content:

MHS GENESIS

DHA Director visits MCAGCC to hear from the ‘Boots on the Ground’

Article
5/19/2021
Military personnel wearing face masks walking

DHA Director visits Marine Corps Air Ground Combat Center Twentynine Palms.

Recommended Content:

MHS GENESIS | Military Health System Transformation | Coronavirus | COVID-19 Vaccine Toolkit

DHA leadership recognizes, advances 60th MDG mission

Article
5/14/2021
Army Lt. Gen. Ronald Place visits Travis Air Force Base

DHA leadership visit 60th Medical Group at Travis AFB.

Recommended Content:

Coronavirus | COVID-19 Vaccine Toolkit | MHS GENESIS

Eielson nurse says technology, readiness integral to military nursing

Article
5/10/2021
Military health personnel checking the ears of a patient

Air Force 1st Lt. Katelyn Schoneweis, a clinical nurse at Eielson Medical Clinic at Eielson Air Force Base, Alaska, said technology like MHS GENESIS, working with the Army and her commander’s increased focus on readiness have already benefitted her early in her career.

Recommended Content:

National Nurses Week | MHS GENESIS | Nurses Week

DHA, HA leaders discuss MHS Transformation at AHA panel

Article
5/6/2021
Military personnel talking at a podium

Army Lt. Gen. (Dr.) Ronald Place and Dr. Terry Adirim discussed MHS Transformation, MHS GENESIS, and highlighted the DHA’s response to COVID-19 in a virtual roundtable hosted April 12 by the American Hospital Association.

Recommended Content:

MHS GENESIS | Military Health System Transformation | Genesis of MHS GENESIS | Coronavirus | Readiness Capabilities

Wave CARSON+ deploys new EHR to 25 more MTF commands

Article
4/30/2021
Military health personnel wearing face mask looking at  a computer

MHS GENESIS, the DOD’s new electronic health record launched at Wave CARSON + over the weekend.

Recommended Content:

MHS GENESIS | Military Health System Transformation

MHS GENESIS has successful launch at Naval Medical Center San Diego

Article
4/8/2021
Military personnel standing in front of Naval Medical Center cutting a red ribbon

The successful outcome was the result of a long-term strategy in the deployment process.

Recommended Content:

MHS GENESIS | MHS GENESIS Toolkit

MHS GENESIS Patient Portal expands new features

Article
4/5/2021
Military health personnel wearing a face mask looking at a computer screen

The MHS GENESIS patient portal is readying new features and expanding existing ones, including its online library, and has rolled out special COVID-19 capabilities.

Recommended Content:

MHS GENESIS | MHS GENESIS Toolkit

MHS GENESIS MassVax system rolling out with COVID19 vaccines

Article
3/9/2021
Military personnel wearing face mask sitting in a line waiting for their COVID-19 vaccine

The new MHS GENESIS MassVax record-keeping tool is expediting and simplifying the process of COVID-19 vaccinations across the DOD

Recommended Content:

Coronavirus | COVID-19 Vaccine Efforts | MHS GENESIS | COVID-19 Vaccine Toolkit | MHS GENESIS Toolkit

What is the MHS Genesis Patient Portal?

Video
3/3/2021
DHA Seal

Introduction to the MHS Genesis Patient Portal site

Recommended Content:

MHS GENESIS | MHS GENESIS Toolkit

MHS Genesis Patient Portal Registration

Video
3/3/2021
DHA Seal

Registering for the MHS Genesis Patient Portal

Recommended Content:

MHS GENESIS | MHS GENESIS Toolkit

MHS GENESIS Relocating

Video
3/3/2021
DHA Seal

MHS GENESIS Portal protocols if you are moving to a new duty station that does not offer GENESIS at this time.

Recommended Content:

MHS GENESIS | MHS GENESIS Toolkit
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 8

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.