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Coast Guard launches electronic health record system in Pacific Area

Coast Guard medical personnel using MHS GENESIS Coast Guard medical personnel begin using the new electronic health record, MHS GENESIS, to provide care for Coast Guard personnel at 32 Pacific Area medical facilities (Photo by: U.S. Coast Guard).

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MHS GENESIS Toolkit | Electronic Health Record: MHS GENESIS | MHS GENESIS

Late last month, the Coast Guard deployed the MHS GENESIS electronic health record (EHR) system to 32 Coast Guard Pacific Area medical facilities, kicking off the first major implementation of an EHR system for the service.

"Our members have been working diligently to adopt the new electronic health record system while balancing the Coast Guard's mission during a global pandemic," said Rear Adm. Dana Thomas, director of health, safety and work life for the Coast Guard. "Leveraging lessons learned from the pilot wave deployment has helped us continue to carry momentum forward into the Pacific and Atlantic waves.

MHS GENESIS will improve access and quality across Coast Guard clinics and sickbays by providing safer and more efficient patient care. I applaud everyone for their hard work and dedication in this historical transformation."

Later this year, the service will deploy MHS GENESIS to Coast Guard Atlantic Area ashore medical facilities and, combined with those in the Pacific Area, will establish MHS GENESIS as the core EHR solution for the Coast Guard. Both deployments and associated support activities are collectively known as "Segment A" of the Coast Guard electronic health records acquisition program. When Segment A is complete, 43 ashore clinics and 67 ashore sick bays will be using MHS GENESIS for EHR management.

Segment B includes modernization of the Coast Guard's entire medical and dental radiology system. The Coast Guard is targeting completion of Segment B in June 2024. Segment C will extend an EHR capability to all afloat sickbays; that schedule is still being developed.

The electronic health records acquisition will modernize the Coast Guard's health care data management by acquiring an EHR solution in place of its primarily paper-based health record system. Having an EHR capability will make patient record retrieval easier and faster; reduce administrative errors; and allow electronic information exchange with the Department of Defense, the Department of Veterans Affairs and commercial care providers.

The Coast Guard's EHR program, once fully implemented, will service all Coast Guard clinics and sick bays - ashore and afloat.

For more information: eHRa Program page

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

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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

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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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