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

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

Military health personnel learning how to use MHS GENESIS A team of 28th Medical Group staff learns how to use the new MHS GENESIS electronic health record system at Ellsworth Air Force Base, South Dakota, during the system go-live event April 24, 2021 (Photo by: Staff Sgt. Hannah Malone, 28th Bomb Wing Public Affairs).

Recommended Content:

MHS GENESIS

The Defense Health Agency’s Pay-It-Forward program was designed to leverage the experience of those who had gone through the Department of Defense transition to new modern electronic health record, MHS GENESIS, to help new users.

And, according to Navy Cmdr. Victor Lin, Navy Medical Forces Pacific chief medical informatics officer, it's working.

"These SMEs (subject matter experts) impart invaluable knowledge to new users, enabling a successful go-live evolution," he said.

The program started during the go-live for MHS GENESIS at Nellis Air Force Base in Nevada in September 2020, according to Air Force Col. (Dr.) Thomas Cantilina, MHS chief health informatics officer and the deputy EHR Functional Champion.

"Similar rollouts occurred at (Marine Corps Base) Camp Pendleton and (Naval Medical Center) San Diego and we have just completed additional rollouts at 25 other MTF (military medical treatment facility) commands within Wave CARSON plus. Our goal has been to ensure safe healthcare delivery during this transition," Cantilina said.

Once fully deployed across the enterprise, MHS GENESIS will provide a consolidated electronic health record for service members, retirees, and their families that will integrate inpatient, outpatient, medical and dental information from point of injury to definitive care.

New methods of training are evolving as the rollout continues. Initiatives like Pay-it-Forward demonstrate success through deployment of individuals who have completed the training and the go-live event, assisting new users and sharing their real "on the job" experience at future sites.

The initial operating sites were in the Pacific Northwest, which started to go live in February 2017.

"It was hard," said Christopher Gruber, MHS GENESIS project officer on DHA's Health Informatics team. "We had a real hard time adopting."

Gruber said that a year later, when the next waves were starting, the commanders at Madigan Army Medical Center at Joint Base Lewis-McChord and Naval Hospital Bremerton, both in Washington state, realized, "we've got people who have been using the system – we'll send people down to help."

"The services, of their own accord, sent their smart folks, their subject matter experts in different clinical areas," Gruber said.

It takes about 12 to 15 months to train people on MHS GENESIS, he noted.

"The Leidos Partnership for Defense Health (LPDH) sends coaches in, and architects, to help you with that transition process," Gruber said. "Well, what we discovered when LPDH built the system, they know how it was intended to be used, but they (didn't) have any experience in actually using it."

Michele McCormick, Chief of End User Engagement for DHA Health Informatics, noted that there is a big cost to send people on temporary duty, pulling them away from their position at their current facility, and from home.

"But the dividends, the payoffs, are huge," she said. "We are already getting feedback from our end users at sites where we haven't even gone live yet. When your customers start, word-of-mouth, saying, "Hey, we had people come here and help us learn the system," that is huge.

"We don't have to actually advertise this. Folks are hearing about it and asking, "When am I going to get my Pay-It-Forward people?" It's probably one of the best programs we've put in place in terms of supporting our end-users. We have seen a significant change in behavior in adapting to the system."

Said Cantilina: "So far, we've seen good results with our volunteers staying for one week. But we're open to exploring other durations of time as needed."

McCormick said the Pay-It-Forward program is about peer-to-peer.

This is 'I'm a provider in behavioral health medicine, and I need to talk to another provider in behavioral health medicine about how my flow is going to change, and how I'm going to be able to use the system and adapt to it quickly,'" she said. "That is the essence of it. That your peers are helping you adapt. You've got somebody sitting there at your elbow who is just like you and performs the same work you do, every day.

That's really the connection of the Pay-It-Forward program. Every three to six months another five to 20 hospitals go live, then we keep moving," concluded McCormick.

You also may be interested in...

DHA IPM 19-004: Utilization of the Case Management (CM) Registry (Active and Screening) for Military Health System (MHS) Beneficiaries

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), establishes the Defense Health Agency’s (DHA) procedures to: Outline responsibilities for MHS and Service Department CM personnel to utilize the CM Screening Registry; Identify requirements to utilize CM coding in alignment with current MHS CM coding guidance; and Require the use of standardized Adult and Pediatric Tri-Service Workflow (TSWF) forms for CM documentation (inclusive of telephonic, virtual, or face to face screening) located within AHLTA system and future Electronic Health Record MHS GENESIS

DHA-PI 6025.32: MHS GENESIS Medical Device

Policy

This DHA-PI establishes Defense Health Agency’s (DHA) procedures to provide key stakeholders’ responsibilities for connecting medical devices to MHS GENESIS; establish clinical expectations for connecting medical devices to MHS GENESIS; provide references for MTFs to use in procuring medical devices that will be connected to MHS GENESIS; and provide process for MTFs to elevate medical device connection issues related to MHS GENESIS.

DHA IPM 18-021: Guidance for Immediate Completion and Closure of Open Encounters and Records in Legacy Systems

Policy

This Defense Health Agency-Interim Procedures Memorandum (DHA-IPM), based on the authority of References (a) through (c), and in accordance with the guidance of References (d) and (e): • Establishes the Defense Health Agency’s (DHA) procedures to complete and close open encounters within the legacy systems in preparation for the implementation of Military Health System (MHS) GENESIS. • Identifies and delineates responsibilities associated with completing and closing open encounters within the legacy systems in preparation for the implementation of MHS GENESIS. • Should be used by DoD military treatment facilities (MTFs) to update procedures and workflows that pertain to the DoD Health Record Management, Patient Administration, and other MTF functions impacted by these decisions. • Is effective immediately; it must be incorporated into a DHA-Procedural Instruction. This DHA-IPM will expire effective 12 months from the date of issue.

Showing results 1 - 3 Page 1 of 1

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.