Strategies for Success Promoting Clinical Adoption of My HealtheVet

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Strategies for Success Promoting Clinical
Adoption of My HealtheVet
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Purpose of the project

• To promote clinician participation with the aim
  of optimizing patient involvement in their
  healthcare through the use of My HealtheVet
  (MHV).
• This project was part of the VISN 8 2007
  Competency Development for Leaders in the 21st
  Century Program.

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Why is this critical?

• VISN 8 is one of the leading VISNs in number of
  veterans registered for MHV (36,688 registered as
  of March 31, 2007)
• We must improve clinician use of MHV better serve
  our veteran population

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Methodology

• Consulted with national MHV experts and VISN 8
  MHV points of contact
• Conducted a survey of VISN 8 clinicians to
  determine their familiarity with MHV and the
  needs for further training

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Current barriers according to MHV experts

• Misinformation
• National rollout updates?
• Fears
• Time consumption
• Workload
• Information security
• No uniform means of spreading the word about My
  HealtheVet

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National Rollout
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• How well do VISN 8 clinicians
• know..

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Surveyed clinician demographics

• 149
• clinicians
• were surveyed

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• Of the clinicians surveyed
• 57 reported to be familiar with MHV
• 43 reported that were not

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Perspective of most valuable area of MHV Website
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59
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Do Clinicians want more MHV training?

• Approximately
• 68 of clinicians
• reported a need
• for more training
• With a preferred
• method as shown

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Training Pilot at Orlando VAMC

• Method of training used
• Clinician-facilitator guided
• Time frame One hour
• Tools
• Videos
• Moving Care to Where the Veteran Is  (6
  minutes)
• The Perfect Doctor Visit (4 .5 minutes)
• Workshop
• Began with Power Point Presentation.
• Followed by visit to www.myhealth.va.gov (using
  demo account) for a tour of the website.

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Results of training pilot

• After training, the clinician felt most likely
  to
• Promote the use of My HealtheVet (90)
• Encourage other clinicians to use My HealtheVet
  (90)
• Rated the information in allowing them to teach
  others about My HealtheVet?
• Very good (50)
• Good (40)

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Recommendations

• To identify MHV Clinical Champions at each
  facility with VISN wide support.
• To follow a standard training format with the MHV
  Clinical Champion as the facilitator.

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Recommended Tools

• My HealtheVet Clinical Champions Guidebook
• General guide
• Contains links, resources and framework train My
  HealtheVet Clinical Champions
• Establishes a schedule for periodic training and
  means to disseminate information
• Allows flexibility for each institutions needs

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MyHealtheVet A resource

• To provide reliable useful patient health
  education materials
• To reduce unnecessary clinic visits (through
  education and communication)
• To promote sharing information and support
  co-managed care
• To encourage patient engagement in their health
• To nurture informed patients
• To promote use of time saving technology for the
  optimal health care

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Take the Challenge

• Visit the site www.myhealth.va.gov
• Join the MHV team
• Meeting the highest standards of care,
• Helping through a participatory partnership and
  education, all
• Veterans to improve their health

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Project Team Members

• Tricia B. Pérez, MD (Leader) VACHS, Puerto Rico
  
• Nicole Hyler, RD (Facilitator) JAH VH, FL
• Margaret S. Haworth, RPh (Recorder) Orlando
  VAMC, FL
• Hector Delgado RN, BSN (Timekeeper) Miami
  VAHCS, FL
• Roxanne Lainhart, MBA (Member) Bay Pines VAHCS,
  FL
• Joanne B. Jerry, ARNP (Member) NF/SG VHS, FL
• Jessie E. Quick, RN BSN (Member) West Palm
  Beach VAMC, FL
• Diana Akins, MA. (Faculty liaison) Bay Pines
  VAHCS, FL
• Marsha White (Coach) NF/SG VHS, FL