Skip to main content

Military Health System

Important Notice about Pharmacy Operations

Change Healthcare Cyberattack Impact on MHS Pharmacy Operations. Read the statement to learn more. 

How MHS GENESIS will become essential to patients' health journey

Image of Dr. Robert Marshall, program director of the Department of Defense Clinical Informatics Fellowship at Madigan Army Medical Center. Dr. Robert Marshall is the program director of the Department of Defense Clinical Informatics Fellowship at Madigan Army Medical Center.

In 2017, the Military Health System started deploying MHS GENESIS, a new electronic health record, worldwide.

Ensuring proper training of both providers and patients is essential for the successful integration and sustainment of MHS GENESIS into MHS care.

To best prepare users to get the most out of MHS GENESIS, that training needs to include two key elements: peer training by local and regional experts in the new EHR; and leveraging data and insights obtained through clinical informatics.

Augmenting peer training with clinical informatics maximizes providers’ ability to learn best practices for using MHS GENESIS and pass them on to patients. Armed with such knowledge, both groups can more effectively increase readiness, improve access, improve care, and lower costs. The goal is to help providers spend more quality time with patients and improve transition to care throughout the MHS.

It is critically important to teach patients and caregivers how to take care of themselves because we have them in front of us less than 1% of the time. The other 99+% of the time, they are with their families and out in the community, so we must do all we can to get them to engage in healthy lifestyles. The best way to do that is with evidence-based education in which peer experts teach providers, providers teach patients, and patients use what they’ve learned to keep themselves healthier.

Peer Training

Research shows that adults retain information better from scenario-based and workflow-based training in one-to-one or small group settings.

Naturally, the best people to know the scenarios and workflows providers encounter in their specific roles are peers in the same. Experts in a particular aspect of MHS GENESIS can teach peers to consistently apply best practices for the EHR in their respective roles.

Peer training incorporates embedded clinical decision support at the point of care. These peer experts can share best practice templates, auto text, order sets, and similar tools across the enterprise and encourage user buy-in and adoption. This training teaches providers who are new to MHS GENESIS the proper decision-making process for diagnosis as well as treatment, improving care for patients.

Clinical Informatics

Teaching providers how to use MHS GENESIS is one part of helping the new system succeed. Another essential element is clinical informatics, which helps in teaching providers how to collect, analyze, and use EHR data to support improve efficiency and outcomes. It's critically important to ensure data integrity is as high as possible. If you have bad data, you make bad decisions, and none of us wants that.

Using better data to drive decisions helps improve clinical workflow, an area of significant interest and expertise for clinical informaticists and something important to train providers to do. It includes educating people on how to evaluate their current EHR workflow and training them how to eliminate waste and potentially dangerous actions.

The key is to teach optimal standardized workflow across the enterprise, which standardizes care across the enterprise. This improves outcomes.

Benefits

Peer experts who know clinical informatics can be a huge asset to their organizations by helping new and struggling users to better learn MHS GENESIS.

For providers, better training leads to better teamwork. Improved efficiency leads to more readable notes and improved care with less effort. Improved efficiency also increases job satisfaction, reduces burnout, and improves retention.

For patients, improved efficiency equals more face-to-face time with providers. Standardized documentation improves the quality of data in the EHR, which leads to more informed and effective care and better outcomes.

Biting the Bullet

Peer training backed by clinical informatics is a force multiplier that helps providers deliver care more efficiently.

MHS organizations need to “bite the bullet” and ensure peer experts have time and resources as part of their official job responsibilities to learn best practices, learn how to teach others, and actually teach them so everyone will use the system better. If all that is a collateral duty, if peer experts have to do it on their own time, it’s not going to happen.

Proper training on equipment required for a mission is essential for success in any environment, operational or garrison. MHS GENESIS has now been deployed at 74 MTF Commands spanning the entire United States and will be fully deployed to all MTFs by the end of 2023.

Dr. Robert Marshall is the program director of the Department of Defense Clinical Informatics Fellowship at Madigan Army Medical Center.

 

You also may be interested in...

Article Around MHS
Feb 23, 2024

Medical Soldiers Compete in the Medical Readiness Command Europe 2024 Best Leader Competition

The 2nd Place of the 2024 Medical Readiness Command, Europe Best Leader Competition, held Feb 6-9 at Baumholder Training Area, Germany, are pictured with U.S. Army Brig. Gen. Roger Giraud, commander of Medical Readiness Command, Europe. The grueling four-day competition was rigorous, relevant, and realistic. Activities included a physical fitness assessment, M4 and M17 weapons zero and qualification, and a 12-mile foot march. (Photo by Kirk Frady)

More than 30 medical soldiers from across Europe competed in the 2024 Medical Readiness Command, Europe Best Leader competition, Feb. 6-9, at Baumholder Training Area in Germany. Teams from each of Medical Readiness Command, Europe’s four direct reporting units competed for a chance to represent the command at the 2024 U.S. Army Medical Command Best ...

Topic
Feb 20, 2024

MHS GENESIS: The Electronic Health Record

MHS GENESIS is the Military Health System's modern electronic health record. When fully deployed, MHS GENESIS will provide a single health record for service members, veterans, and their families.

Article Around MHS
Feb 20, 2024

Forward Deployable Preventative Medical Unit Enhances Combat Effectiveness with Comprehensive Weapons and Threat Recognition Training

Forward Deployable Preventative Medical Unit Six member trains in weapons proficiency during a specialized course designed to enhance readiness for diverse deployments on Feb. 8, 2024. The training was tailored for the unit’s unique mission to ensure service members are prepared for their upcoming deployments. (U.S. Navy photo by Desmond Martin)

The Forward Deployable Preventative Medical Unit participated in a first-ever weapons and threat recognition training course, specifically designed and tailored for the unit’s unique mission. FDPMU’s are rapidly deployable and mobile units that support force health protection around the globe.

Topic
Feb 8, 2024

Health Care Technology

Health care technology is any technology, including medical devices, IT systems, algorithms, artificial intelligence, and more designed to support health care organizations.

Topic
Feb 8, 2024

Health Readiness & Combat Support

The Defense Health Agency provides support for operating forces engaged in planning for, or conducting, military operations, including support during conflict or in the conduct of other military activities related to countering threats to U.S. national security. Among DHA’s most important combat support responsibilities is its work to increase ...

Article Around MHS
Jan 23, 2024

MHS GENESIS Deploying in Guam

U.S. Air Force personnel assigned to the 36th Medical Group learn to use the Military Health System Genesis program at Andersen Air Force Base, Guam, Jan. 12, 2024. MHS Genesis is an advanced electronic health record, that has replaced several legacy systems. (U.S. Air Force photo by Airman 1st Class Allon Lapaix)

With Andersen Air Force Base, Guam being a part of the last wave to have the MHS GENESIS go online, members at Andersen now have access to the same information and systems that are being utilized by other bases around the world.

Article
Jan 19, 2024

Military Health System Stabilization: Rebuilding Health Care Access is ‘Critical to the Wellbeing of our Patients’

U.S. Army Col. (Dr.) Frank Valentin, chief of ophthalmology, checks a patient for double vision and convergence at Brooke Army Medical Center, Fort Sam Houston, Texas. Recruiting qualified health care providers across the MHS is the first step in the stabilization of MHS, aligning with the MHS Strategy.  (U.S. Army photo by Jason W. Edwards)

On Dec. 6, 2023, the Deputy Secretary of Defense signed a memo directing the stabilization of the MHS, adding the capacity to reattract beneficiaries, improve access to care in military hospitals and clinics, and increase opportunities to sustain military clinical readiness for our medical forces.

Article Around MHS
Jan 17, 2024

MHS GENESIS Fully Mobilized at Yokota Air Base

U.S. Air Force Staff Sgt. Nicholette Drew, 374th Healthcare Operation Squadron immunizations technician, cares for a patient at the 374th Medical Group immunizations clinic at Yokota Air Base, Japan, on Jan. 9, 2024. (Photo by U.S. Air Force Airman 1st Class Alexzandra Gracey)

After 18 months of preparation, MHS GENESIS finished its implementation stage and has entered a period of sustainment at the 374th Medical Group at Yokota Air Base, Japan.

Article Around MHS
Jan 16, 2024

Yokota Sustains 24/7 Air Medical Transport

U.S. Air Force Tech. Sgt. Jeovany Vasquez, 374th Operational Support Squadron, UH-1N Huey instructor flight engineer surveys a landing zone during a patient transport drill. (Photo: U.S. Air Force photo by Senior Airman Manuel G. Zamora)

The 459th Airlift Squadron performed a trial run of a new readiness posture for medical transport on Dec. 18, aiming to offer 24/7 airlift support, streamlining the patient transfers from the 374th Medical Group at Yokota Air Base, Japan, to other medical facilities in the region.

Article Around MHS
Jan 12, 2024

What Care at Sea Looks Like

U.S. Navy Chief Aviation Boatswain’s Mate Louis Mountain receives his flu shot from U.S. Navy Hospital Corpsman 3rd Class Stevie Shavers, from Ravenswood, W.Va., aboard the Nimitz-class aircraft carrier USS Theodore Roosevelt, on Oct. 27, 2023. A ship’s medical department is vital to keeping the entire crew healthy and safe during deployments. (Photo by U.S. Navy Mass Communication Specialist 3rd Class Jahred Johnson)

A ship’s medical department is a complicated, interwoven group of people with different responsibilities dedicated to the health and well-being of the crew. Ranging from the ship’s nurse to the enlisted corpsman, everyone has a purpose and a mission to complete.

Article
Jan 5, 2024

Ask the Doc: How Does MHS GENESIS Improve Patient Safety?

MHS GENESIS, the advanced electronic health record, has features that help improve safety and quality care for patients. (Photo: Robyn Mincher)

The Armed Forces Health Longitudinal Technology Application worked for what we needed back in 2002. Since then, technology and requirements have changed significantly—and the platform could not keep up. When the Department of Defense set out to replace AHLTA and the other legacy EHR systems, the primary requirement was two-fold: first, patient safety ...

Report
Jan 4, 2024

DHMS FY2023 Year in Review

.PDF | 5.07 MB

The Program Executive Office, Defense Healthcare Management Systems was chartered to transform the delivery of healthcare and advance data sharing through a modernized electronic health record for service members, Veterans, and their families. This Year in Review, “The End of the Beginning,” highlights our many FY2023 accomplishments and milestones.

Last Updated: November 14, 2023
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on X Follow us on YouTube Sign up on GovDelivery