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

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...

COVID-19 Vaccine: All Adults Eligible MTF Option Screensaver2

Infographic
4/22/2021
A screensaver that encourages individuals to check in at their DOD vaccination sites to see appointment availability. Includes the TRICARE logo on the bottom right and a link at the bottom of the screensaver for individuals to learn more at www.tricare.mil/VaccineAppointments

A screensaver that encourages individuals to check in at their DOD vaccination sites to see appointment availability.

Recommended Content:

COVID-19 Vaccine Toolkit | Is It Your Time to Get the Vaccine? | Coronavirus

COVID-19 Vaccine: All Adults Eligible Graphic

Infographic
4/22/2021
A navy and gray graphic stating that all eligible and authorized DOD individuals can make a COVID vaccine appointment. Contains a QR code for individuals to use to sign up for an appointment. TRICARE logo is located at the bottom right corner.

Graphic stating that all eligible and authorized DOD individuals can make a COVID vaccine appointment. Contains sign up instructions.

Recommended Content:

COVID-19 Vaccine Toolkit | Is It Your Time to Get the Vaccine? | Coronavirus

COVID-19 Vaccine: All Adults Eligible Choices Screensaver

Infographic
4/22/2021
A navy and gray graphic with information on where adults can get the COVID-19 vaccine. Includes a link at the bottom of the graphic for www.tricare.mil/CovidVaccine and also has the TRICARE logo on the bottom right corner.

A screensaver that provides information on where adults can get the COVID-19 vaccine.

Recommended Content:

COVID-19 Vaccine Toolkit | Is It Your Time to Get the Vaccine? | Coronavirus

Clinic doors open wide for those wanting COVID-19 vaccine

Article
4/21/2021
Military personnel administering the COVID-19 vaccine

All eligible and authorized Department of Defense personnel can now get a COVID-19 vaccine if they want one.

Recommended Content:

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

Donate Blood: It's Mission Critical

Video
4/21/2021
DHA Seal

The pandemic has affected nearly every part of our lives, including reductions in blood donations. Find a military blood donor center today to donate blood in a safe environment where we take all precautions against COVID-19.

Recommended Content:

Armed Services Blood Program | Coronavirus

Laboratory professionals play important role in fight against COVID-19

Article
4/21/2021
Military health personnel wearing a face mask prepares COVID-19 test samples

Medical Laboratory Professionals Week, April 18-24, recognizes the behind-the-scenes work laboratorians do to generate clinical lab results and, ultimately, guide the courses of treatment for patients.

Recommended Content:

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

Tanker medics from McConnell AFB are fighting COVID-19 in St. Paul

Article
4/20/2021
Military health personnel wearing face masks hugging

Tanker Medics from McConnell Air Force Base travel to Minnesota to help fight COVID-19

Recommended Content:

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

From COVID-19 testing to MHS GENESIS support, lab techs do it all

Article
4/20/2021
Military health personnel wearing a face mask using a blood analyzer machine

To describe what lab techs do, Geisler chose a famed fictional detective to illustrate their importance and provide context.

Recommended Content:

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

Keesler uses post-vaccine waiting period to identify routine care gaps

Article
4/20/2021
Military health personnel wearing a face mask administering the COVID-19 vaccine

15 minutes is all it takes to get routine health care back on track.

Recommended Content:

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

VAX Fact Breastfeeding

Infographic
4/19/2021
VAX Fact Q and A: Can I get the COVID-19 vaccine if I'm breastfeeding? It's up to you to decide.  The CDC says COVID-19 vaccines can be offered to pregnant or breastfeeding women.  If you have questions about getting vaccinated, a conversation with your healthcare provider may help but is not required.

An infographic answering the question of whether you can get the COVID-19 vaccine if you're breastfeeding.

Recommended Content:

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

VAX Fact Other Medical Conditions

Infographic
4/19/2021
VAX Fact: Can I get a COVID-19 vaccine if I have other medical conditions? If you have underlying medical conditions, you can choose a COVID-19 vaccine if you have not had an immediate or severe allergic reaction to any ingredients in the shots. Vaccination is an important consideration for adults of any age to reduce risk of severe illness from COVID-19.

An infographic answering the question of whether you can get the COVID-19 vaccine if you have underlying medical conditions.

Recommended Content:

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

VAX Fact Protection Last

Infographic
4/19/2021
VAX Fact: How long does a COVID-19 vaccine protect me for? We do not know yet how long protection may last for those who receive a COVID-19 vaccine.  We do know a COVID-19 vaccine may reduce your chances of spreading the illness to others or facing more serious illness, including hospitalization. Getting a COVID-19 vaccine is a safer choice.

An infographic answering the question of how long the COVID-19 vaccine protection lasts.

Recommended Content:

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

VAX Fact Currently Pregnant

Infographic
4/19/2021
VAX Fact: Should I get a COVID-19 vaccine if I'm currently pregnant? Talk with your healthcare provider to help you decide if you should get a COVID-19 vaccine.  Clinical trials evaluating the safety and efficacy of COVID-19 vaccines may offer data and outcomes in the future.  The CDC has a smartphone tool called v-safe.  It offers personalized health check-ins that you can enroll in after a vaccination.

An infographic answering the question of whether to get the COVID-19 vaccine if you're currently pregnant.

Recommended Content:

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

VAX Fact Current Infection

Infographic
4/19/2021
VAX Facts: Can I get a COVID-19 vaccine if I currently have a positive COVID-19 infection: No. People with a COVID-19 positive test result or illness symptoms should wait to be vaccinated until they recover and meet the criteria for discontinuing isolation.  This also applies if you get COVID-19 between a first and second vaccine dose.

An infographic answering the question of whether to get the COVID-19 vaccine if you currently have a positive COVID-19 infection.

Recommended Content:

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

VAX Fact Affect Fertility

Infographic
4/19/2021
VAX Fact: Does a COVID-19 vaccine affect my fertility? There is currently no evidence of fertility impacts due to COVID-19 vaccines.  If you are trying to conceive or want to get pregnant in the future, you may choose to receive a COVID-19 vaccine when one is available.

An infographic answering the question of whether the COVID-19 vaccine affects a person's fertility.

Recommended Content:

COVID-19 Vaccine Toolkit | Coronavirus | COVID-19 Vaccine Efforts
<< < 1 2 3 4 5  ... > >> 
Showing results 1 - 15 Page 1 of 34

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.