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Wave PENDLETON sees more MTFs deploy new electronic health record

Image of soldier, wearing a mask, in front of a computer screen Air Force Staff Sgt. Samantha Johnson, flight medicine technician, is using MHS GENESIS at the 354th Medical Group COVID-19 Clinic, Eielson Air Force Base, Alaska. (Air Force photo by Senior Airman Saruta Srisomboon)

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The Military Health System continues to make tremendous strides deploying the MHS GENESIS electronic health record across the enterprise when four additional sites deployed the system on October 31.

“Wave PENDLETON truly represents a milestone for the MHS,” said Army Brig. Gen. George Appenzeller, the Defense Health Agency MHS GENESIS functional champion. “We are returning to regular deployments of MHS GENESIS following a pause brought on by the COVID-19 pandemic. We are proud that our latest deployment sites truly demonstrate the commitment to patient safety and the future of the electronic medical record. I also thank this and the earlier deployment sites for all of the improvements made based on their feedback.”

The latest deployment on major bases and medical facilities, Wave PENDLETON brings advanced quality health care and patient safety to these locations.

Wave PENDLETON consists of the following locations:

  • Marine Corps Base Camp Pendleton, California
  • Joint Base Elmendorf-Richardson, Alaska
  • Fort Wainwright, Alaska
  • Eielson Air Force Base, Alaska

The DHA works in close coordination with the Program Executive Office, Defense Healthcare Management Systems to deploy this new EHR across the MHS.

”The COVID pandemic challenged us in ways that drove positive change for patients and providers,” according to DHMS Acting PEO Holly Joers. “We pivoted to develop tele-health capabilities sooner than anticipated. We leveraged our partners’ experience, VA in particular, to address the need for new and better tele-health support.” Joers also noted that, “Amidst all these new activities, the entire MHS GENESIS team pulled together to successfully deploy both Waves scheduled for 2020. We’re currently working seven simultaneous wave deployments across the U.S. That’s pretty remarkable when you stop to think about it.”

“Go-Live doesn’t just happen the day of an onsite launch, it is a long process that starts years prior, and results in a cascade in positive feedback, seamless integration, and the resolution of issues that develop as we deliberately expand the platform,” Appenzeller added.

Wave PENDLETON is the third major deployment of MHS GENESIS, following the September 26 Wave NELLIS launch and Wave TRAVIS in September 2019.  The initial operational capability, or “IOC,” was launched at four sites in the Pacific Northwest in 2017.

MHS GENESIS will deploy at military hospitals and clinics worldwide in planned waves through 2023.

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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

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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

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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.

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