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

MHS GENESIS improves patient experience for military families

Image of a military doctor and a family Air Force Maj. (Dr.) Joseph Migliuri and the Doberman family pose for a photo after the pediatrician used MHS GENESIS, the new electronic health record, to condense their scheduled appointments. [Note: Migliuri was a captain at the time of this photo.](Courtesy Photo.)

Recommended Content:

MHS GENESIS | Coronavirus | MHS GENESIS Toolkit

In 2017, Air Force Maj. (Dr.) Joseph Migliuri, a pediatrician at Fairchild Air Force Base in Spokane, Washington, became an early adopter of the Department of Defense’s new, modern electronic health record—MHS GENESIS.

Looking back, Migliuri acknowledges the initial rollout carried with it a steep learning curve. Now, more than three years into the integration, he sees dividends from the time and investment made by staff, especially during the current pandemic.

When COVID-19 led the governor of Washington to issue a stay-at-home order in March, Migliuri’s practice quickly adapted and moved to nearly 100% virtual visits using MHS GENESIS. As the state progressed into the first phase of reopening, his office adjusted to around 80% virtual care for nearly two months.

Using the scheduling feature to triage necessary in-person clinical care and visits that could take place transformed his practice. About half of his patient visits are now virtual. “It eliminates access issues and allows for safer care for families and staff,” he said. “It has really shifted our clinic workflow.”

Recently, when a military parent called about her child’s sore throat, Migliuri consulted using video telemedicine and confirmed a likely diagnosis of bacterial strep. “I was able to determine there were enough features of strep that we could proceed with treatment without an in-person clinic visit and swab,” he said. “To maintain social distancing and limit exposure, I e-prescribed amoxicillin through MHS GENESIS to a civilian drive-thru pharmacy near the patient's home.”

The ability to seamlessly prescribe medications electronically and send them to civilian pharmacies, which often have drive-thru windows, has been a benefit of using MHS GENESIS during COVID-19, Migliuri said. But the biggest benefit for his practice has been scheduling functionality that allows his office to take ownership of patient schedules and flex within the system.

“MHS GENESIS allows us to control the chaos of what is going to come in that day and make it manageable,” said Migliuri. “The extra autonomy gained by the provider and staff trickles down to the families and patients and allows for happier staff and families.”

That same autonomy thanks to MHS GENESIS—providers managing schedules with an easy click of a button—helped a military family with nine children. A year ago, Migliuri’s office rescheduled separate visits for the family’s children when the familiar calendar-like view within MHS GENESIS allowed a staff member to see the family had been booking up to three different appointments at a time to bring in all nine children for a visit.

“Within minutes, we rescheduled them all into one morning,” he said. “MHS GENESIS provides a lot of flexibility with our schedule to provide better care for our families.”

Watching the siblings interact in his office was a priceless moment giving Migliuri better insight into the family under his care. “This family has been in the military their entire lives and has never been able to come into a pediatric clinic all together,” he said. “I saw the interactions of all the siblings that day, and as their pediatrician, I feel more of a link to the whole family now. That was a morning I would never even have imagined before MHS GENESIS.”

Using a wireless workflow and the ability to be in multiple charts at once also helped ensure accuracy when ordering medications and referrals during the family’s visit.

As a pediatrician, Migliuri considers continuity of care for children to be top of mind as they grow up within the MHS amid permanent change-of-station moves that are a normal part of military life. A single electronic health record that stays with the child regardless of location and physician can only benefit the patient’s point of care, he said.

“Continuity of care helps us better know our patients right away. The faces may change for our patients every summer as they move to a new base or our doctors move to a new base, but the record system is continuous,” he added.

You also may be interested in...

Line Leader Presentation (Powerpoint)

Publication
8/4/2021

Leaders across the Department can leverage this briefing deck to discuss COVID-19 vaccines with their troops. Don't forget to reference speaker notes and to personalize the title slide!

Recommended Content:

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

Line Leader Presentation (PDF)

Publication
8/4/2021

This document is identical to the PowerPoint presentation for line leader reference and use.

Recommended Content:

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

Mask Guidance for Department of Defense Facilities

Infographic
7/30/2021
In accordance with CDC guidance, the Department of Defense (DOD) requires all Service members, Federal employees, onsite contractor employees, and visitors, regardless of vaccination status, to wear a mask in all indoor DOD facilities.   If you are not vaccinated, continue to physically distance consistent with applicable CDC and DOD Force Health Protection Guidance.

In accordance with CDC guidance, the Department of Defense (DOD) requires all Service members, Federal employees, onsite contractor employees, and visitors, regardless of vaccination status, to wear a mask in all indoor DOD facilities. If you are not vaccinated, continue to physically distance consistent with applicable CDC and DOD Force Health Protection Guidance.

Recommended Content:

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

COVID-19 Vaccines: Benefits Still Outweigh the Risks

Article
7/30/2021
Military personnel getting vaccinated

Breakthrough COVID-19 Infections are extremely rare, DHA’s Place says

Recommended Content:

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

DOD Directs Employees to Start Wearing Face Masks Again

Article
7/29/2021
Military personnel wearing a face masks

Following guidance issued by the Centers for Disease Control and Prevention, the DOD has directed employees working in areas at high risk for transmission to begin using face masks again

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus | COVID-19 Delta Variant

Got Your 6

Video
7/27/2021
Got Your 6

‘Got Your 6’ is TRICARE’s COVID vaccine video series that delivers important information and updates, three times a month. It includes the latest information about DoD vaccine distribution, the TRICARE health benefit, and vaccine availability. Got a question about ‘Got Your 6’? Send an email to dha.ncr.comm.mbx.dha-internal-communications@mail.mil Find your local military provider at tricare.mil/MTF, or go to tricare.mil/vaccineappointments and schedule yours today!

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus

It’s Not Over Yet: Some COVID Safety Precautions Remain Necessary

Article
7/22/2021
a crowd of people

Returning to society when fully vaccinated is great but keep that mask handy

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus

How COVID-19 fast-tracked innovation in the Military Health System

Article
7/20/2021
Military personnel receiving the COVID-19 test

As the COVID-19 pandemic disrupted every aspect of healthcare delivery, the Military Health System responded with new and innovative ways to fight the disease and deliver safe, quality care to patients.

Recommended Content:

Health Innovation Month | Innovation | COVID-19 Vaccine Toolkit | Coronavirus

Got Your 6

Video
7/16/2021
Got your 6

‘Got Your 6’ is TRICARE’s COVID vaccine video series that delivers important information and updates, three times a month. It includes the latest information about DoD vaccine distribution, the TRICARE health benefit, and vaccine availability. Got a question about ‘Got Your 6’? Send an email to dha.ncr.comm.mbx.dha-internal-communications@mail.mil. Find your local military provider at tricare.mil/MTF, or go to tricare.mil/vaccineappointments and schedule yours today!

Recommended Content:

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

COVID vaccinations rise -- but so do concerns of the Delta variant

Article
7/1/2021
Military personnel wearing a face mask preparing a COVID-19 vaccine

MHS expected to reach 70% COVID-10 vaccination rate in July.

Recommended Content:

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

The Battle Against the COVID-19 Delta Variant

Video
6/29/2021
COVID-19 Delta war infographic

Like our enemies in the past, the coronavirus has adapted and we're now dealing with the most transmissible variant yet, Delta. The fight can be won with vaccination. If you're not yet vaccinated against the coronavirus, go get your shot today. Otherwise you're at high risk for severe disease, hospitalization, and death.

Recommended Content:

COVID-19 Vaccine Toolkit | COVID-19 Delta Variant | Coronavirus | COVID-19 Vaccine Efforts

The Delta Variant

Infographic
6/28/2021
Graphic stating that the Delta variant is a reason to get vaccinated. The TRICARE logo is on the bottom right. Links to www.tricare.mil/COVIDVaccine

The Delta variant of the virus is a reason to get vaccinated. The variant is expanding, especially where vaccination rates are low.

Recommended Content:

COVID-19 Vaccine Toolkit | COVID-19 Delta Variant | COVID-19 Vaccine Efforts | Coronavirus

The Delta Variant: Are You Protected?

Infographic
6/28/2021
Graphic with the title, “Are you Protected?” and the TRICARE logo on the bottom right. States that the Delta variant of the virus is spreading and that the Pfizer and Moderna vaccines are effective. Links to www.tricare.mil/COVIDVaccine

Pfizer and Moderna vaccines are effective against the Delta Variant. If you've received your first dose, don't forget to get your second dose.

Recommended Content:

COVID-19 Vaccine Toolkit | COVID-19 Delta Variant | Coronavirus | COVID-19 Vaccine Efforts

The Delta Variant: Fact Check

Infographic
6/28/2021
A Fact Check graphic. Features a quote in the center of the graphic and states that the Delta variant is a reason to get vaccinated. The TRICARE logo is on the bottom right. Links to www.tricare.mil/COVIDVaccine

The Delta variant of the virus is a reason to get vaccinated. This variant spreads easily, with increased rates of sickness and hospitalization.

Recommended Content:

COVID-19 Vaccine Toolkit | COVID-19 Delta Variant | Coronavirus | COVID-19 Vaccine Efforts

The Delta Variant: Stop the Spread

Infographic
6/28/2021
Graphic describing the Delta variant. Includes three bullet points describing the variant and a link to www.tricare.mil/COVIDVaccine and includes the TRICARE logo on the bottom right.

The Delta variant is expanding, especially where vaccination rates are low. Visit www.tricare.mil/COVIDVaccine to learn more.

Recommended Content:

COVID-19 Vaccine Toolkit | COVID-19 Delta Variant | Coronavirus | COVID-19 Vaccine Efforts
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 38

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.