Health Assessment Review Tool HART Overview

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Health Assessment Review Tool (HART)
Overview November 2006 Ollie Gray, RN, LTC
(Ret)
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What is a Coupler?

• Collect complete, relevant data about the Problem
• Couple with literature-based knowledge
• Improve guidance and plan of action at point-of-
  care
• Incorporate resources and guidelines from the
  user organization

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MHS Mission for SRTs
The MHS vision for self-reporting tools is to
develop an integrated, lifelong record of
self-reported health information, tailored to
population, time, and situation. These
self-reporting tools will use multiple electronic
modalities, provide patients and providers with
immediate feedback, support the delivery of
preventive services and health care to all
beneficiaries, improve healthcare outcomes,
enhance MHS, regional, and facility population
health programs, and support Force Health
Protection by contributing to a Fit and Healthy
Force. Self-Reporting Tools Systems Concept of
Operations. Dec 2002
Tools for Better Health
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SRT Life Cycle
Life-Cycle Event/Milestone
Inprocessing
Enroll in TRICARE
Occupational Exposure
Special Training
Basic Training
Visit with PCM
Yearly Update
Deployment
Redeployed
VA Entry Physical
Retirement
Report of Medical History
HART A
HART R
HART Survey
Post Deployment Health Reassessment
Occ Med Screening
Predeployment Screening
Retirement Health History
VA Disability Questionnaire
Postdeployment Questionnaire
Enrollment Health Screening
Tools for Better Health
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Evolution of the Health Assessment Review Tool

• HEAR 1.3
• Administered by MCSCs to all TRICARE Prime
  enrollees
• Access problems
• Poor return rate and poor utilization by MTFs
• HEAR 2.0
• Integrated with Preventive Health Care
  Application
• Redesign of HEAR Survey content and format
• Provided stand-alone access to HEAR
• HEAR 3.0
• Administered by MTF/Unit per draft Concept of
  Operations
• Content updated based upon independent Yale
  study DoD JAD
• Real-time review/interaction with
  Medic/Tech/Nurse enhances
• benefit of HEAR and facilitates preventive
  health interventions
• HART 1.0
• Renamed the Health Assessment Review Tool (HART)
  late 2005
• Content updated to include additional validated
  tools by DoD JAD
• Added HART-R for Readiness and HART-A for
  Accession
• CHCS II and TOL integration
• April 2006 HA Policy for use of HART for PHA

Tools for Better Health
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HART used as a Stand alone
Tools for Better Health
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HART R on The Web
http//couplers.pkc.com Username dod Password
hart For Post Deployment Reassessment Username
tricare Password reassess
Tools for Better Health
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Population Health Reports
Tools for Better Health
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HART as a module in CHCS II
Tools for Better Health