Skip main navigation

Military Health System

Clear Your Browser Cache

This website has recently undergone changes. Users finding unexpected concerns may care to clear their browser's cache to ensure a seamless experience.

Federal EHR Patient Safety Outperforms Legacy, Per Industry Standards

Image of U.S. Air Force Tech. Sgt. Anthony Iannicello, 8th Health Care Operations Squadron, pharmacy noncommissioned officer in charge, prepares to issue medication to a patient at Kunsan Air Base, Republic of Korea, on Oct. 13, 2022. (Credit: Senior Airman Shannon Braaten 8th Fighter Wing Public Affairs). U.S. Air Force Tech. Sgt. Anthony Iannicello, 8th Health Care Operations Squadron, pharmacy noncommissioned officer in charge, prepares to issue medication to a patient at Kunsan Air Base, Republic of Korea, on Oct. 13, 2022. (Credit: Senior Airman Shannon Braaten 8th Fighter Wing Public Affairs)

An annual Leapfrog evaluation showed the Department of Defense’s new electronic heath record, known as MHS GENESIS, outperformed legacy systems on safe medication ordering.

As part of the Leapfrog Group Hospital Survey, the DOD added participation in the Computerized Provider Order Entry evaluation process in 2022. This industry standard tool uses randomized scenarios to assess the performance of the federal EHR patient medication ordering decision support tools. The evaluation helps providers at military hospitals and clinics identify strategies to improve safe medication ordering and enhance patient safety.

Through results of this survey, the federal EHR demonstrated that its clinical decision support tools improve medication and patient safety. The federal EHR rates a 3.36 out of 4.0 for safe medication ordering. Clinical decision support tools are computer-based programs that provide evidence-based prompts/reminders to help caregivers improve the quality/safety of care.

“The survey results show that the federal EHR supports enhanced patient safety,” said Bill Tinston, director of the Federal Electronic Health Record Modernization office. “The separate, legacy EHR systems are outdated and unable to create a seamless care experience as provided by the federal EHR. There is recognition that the federal EHR saves providers time and enables more standard workflows to support enhanced clinical decision-making and patient safety.”

Within a year of participating in the industry standard Leapfrog Group Hospital Survey, the Defense Health Agency Leapfrog Program Team, DHA Health Informatics, and Defense Healthcare Management Systems Modernization Program Management Office Baseline Clinical Informatics team developed a process for DOD Leapfrog CPOE testing and support. Together, they streamlined the workflow testing process, saving frontline clinicians and administrative teams countless hours—allowing them to stay focused on their mission of patient care.

The inclusion of DHMSM PMO and DHA-HI with the DHA Leapfrog Team allows for rapid identification and remediation of CPOE testing challenges.

In addition, this collaboration will allow efficient identification of other changes that may be needed to enhance patient care. Through the FEHRM’s Joint Sustainment and Adoption Board, changes are jointly approved. This allows all federal EHR participants to take advantage of these new capabilities.

“These capabilities demonstrate how the federal EHR allows for agile improvements that support patients and providers,” said Tinston. “The FEHRM and its partners continue to deliver common capabilities that evolve the federal EHR and respond to the needs of the departments and our patients and providers.”

The FEHRM, along with DOD, Department of Veterans Affairs, Department of Homeland Security’s U.S. Coast Guard, and Department of Commerce’s National Oceanic and Atmospheric Administration, are implementing a single, common federal EHR together. As of February 2023, there are more than 150,000 DOD, VA and USCG doctors, nurses, and other health care providers using the EHR. They account for 75% of all hospitals and clinics across DOD, five VA Medical Centers, and 109 USCG sites. More than 6.1 million unique patients are now able to engage with their new federal EHR system.

“With a vision for federal organizations to share a single, common federal EHR and meaningfully exchange and use data with participating provider organizations, patients benefi­t from a continuity of care that spans across health care systems,” said Tinston.

To learn more about the federal EHR, visit www.FEHRM.gov.

To learn more about MHS GENESIS, visit: www.Health.mil.

You also may be interested in...

Technical Document
Nov 4, 2021

RRC Safety Communication Bundle Flyer

.PDF | 283.69 KB

The RRC Safety Communication Bundle is a set of six standardized communication Practices designed to increase leadership engagement, improve communication and teamwork, and reduce burnout with the goal of reducing preventable harm.

Technical Document
Mar 15, 2018

Patient Safety Champion Nomination Form 2018

.PDF | 313.47 KB

The Patient Safety Champion Certificate of Recognition is a peer to-peer recognition program led by the DoD Patient Safety Program. This program gives Military Health System staff an opportunity to recognize peers for their patient safety efforts within their local military treatment facility.

Technical Document
Feb 29, 2016

ASD HA Patient Safety Survey Memo

.PDF | 351.15 KB

Memo from Dr. Jonathan Woodson, Assistant Secretary of Defense (Health Affairs), encouraging participation in the Patient Safety Culture Survey.

Technical Document
Apr 22, 2015

PIM TeamSTEPPS CE Process Timeline

.PDF | 338.60 KB

Document highlights the updated process timeline for course coordinators and participants to receive Continuing Education (CE) credits post-course facilitation of the TeamSTEPPS curriculum. This process has been udpated due to a recent transition to Postgraduate Institute for Medicine (PIM) accreditation for the curriculum.

Technical Document
Apr 22, 2015

TeamSTEPPS Course Coordinator PIM

.PDF | 1.27 MB

Document highlighting the roles and responsibilities of all TeamSTEPPS Course Coordinators, responsible for facilitating training utilizing the DoD Patient Safety Program's TeamSTEPPS curriculum.

Technical Document
Apr 22, 2015

TeamSTEPPS Train the Staff Agenda PM Example

.DOCX | 21.94 KB

Example of a TeamSTEPPS Train the Staff course agenda for an PM session. TeamSTEPPS Course Coordinators should utilize this example to submit a course request to the DoD Patient Safety Program. This is a requirement to receive accreditation approval for each course from the Postgraduate Institute for Medicine (PIM).

Technical Document
Apr 22, 2015

DoD PSP ORC Instructor Profile

.PDF | 3.36 MB

Document outlines the steps for course coordinators and instructors of the DoD Patient Safety Program (PSP) safety training curriculum TeamSTEPPS, to access their instructor profile in the Online Registration Center (ORC). Included in these steps is an overview of the instructor's responsibilities post-course in the ORC to ensure participants receive ...

Technical Document
Apr 22, 2015

TeamSTEPPS Train the Trainer Agenda Example

.DOCX | 24.53 KB

Example of a TeamSTEPPS Train the Trainer two day course agenda. TeamSTEPPS Course Coordinators should utilize this example to submit a course request to the DoD Patient Safety Program. This is a requirement to receive accreditation approval for each course from the Postgraduate Institute for Medicine (PIM).

Technical Document
Apr 22, 2015

TeamSTEPPS Train the Staff Agenda AM Example

.DOCX | 22.55 KB

Example of a TeamSTEPPS Train the Staff course agenda for an AM session. TeamSTEPPS Course Coordinators should utilize this example to submit a course requests to the DoD Patient Safety Program. This is a requirement to receive accreditation approval for each course from the Postgraduate Institute for Medicine (PIM).

Technical Document
Dec 17, 2014

Patient Safety Order Materials FAQs

.PDF | 363.04 KB

This DoD Patient Safety Program document outlines the frequently asked questions in reference to ordering patient safety materials from the Patient Safety portion of the Health.mil website. The document includes vital contact information for assistance and account registration information.

Technical Document
Apr 2, 2014

Sustainment Guide for Reducing Harm Associated with Patient Falls

.PDF | 428.63 KB

This Falls Sustainment Guide supports the 2012 - 2013 Military Health System (MHS) Partnership for Patients initiative to improve the quality and safety of health care in all Department of Defense (DoD) Medical Treatment Facilities (MTF). The purpose of this Falls Sustainment Guide is to provide the tools and resources to ensure a reduction in falls ...

Technical Document
Feb 11, 2014

Implementation Guide for Falls

.PDF | 641.27 KB

The Falls Implementation Guide was created to support the Partnership for Patients, a national initiative sponsored by the Department of Health and Human Services to reduce harm in health care facilities.

Skip subpage navigation
Refine your search
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