{"id":24859,"date":"2018-10-05T19:05:36","date_gmt":"2018-10-05T19:05:36","guid":{"rendered":"https:\/\/one.sightlinemg.com\/federaltimes\/uncategorized\/2018\/10\/05\/dod-rolls-out-new-wave-of-genesis-sites-with-hopes-of-fewer-complaints\/"},"modified":"2026-08-08T04:51:00","modified_gmt":"2026-08-08T04:51:00","slug":"dod-rolls-out-new-wave-of-genesis-sites-with-hopes-of-fewer-complaints","status":"publish","type":"post","link":"https:\/\/one.sightlinemg.com\/federaltimes\/it-networks\/2018\/10\/05\/dod-rolls-out-new-wave-of-genesis-sites-with-hopes-of-fewer-complaints\/","title":{"rendered":"DoD rolls out new GENESIS sites, with hopes of fewer complaints about electronic medical records system"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Defense planners are now testing their new electronic medical records system at a second set of sites, confident that better training and better messaging will lead to fewer conflicts and concerns than they saw in the first wave of rollouts, officials told Federal Times this week.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The move comes about five months after the military\u2019s transition to the MHS GENESIS records system was <a href=\"https:\/\/www.federaltimes.com\/it-networks\/health-it\/2018\/05\/11\/dods-new-electronic-health-system-deemed-neither-effective-nor-suitable\/\" target=_blank>blasted by internal department watchdogs<\/a> as \u201cnot operationally effective\u201d and lacking \u201cenough workable functionality\u201d as the system was deployed to its first four medical sites.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But military officials and industry partners in the sweeping medical records overhaul insist that most of those concerned <a href=\"https:\/\/www.federaltimes.com\/it-networks\/health-it\/2018\/03\/09\/leidos-dod-officials-user-feedback-taken-out-of-context-in-ehr-rollout\/\" target=_blank>expected challenges in adapting military personnel to using a new system<\/a>, not critical flaws in the multi-year plan to replace legacy records with the updated option.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cI definitely see a shift in adoption and in excitement,\u201d said Stacy Cummings, head of the Program Executive Office for Defense Healthcare Management Systems, in an interview with Federal Times.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cEverybody I have talked to would say this is our future \u2026 from legacy to MHS GENESIS is a very positive comparison.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The records overhaul \u2014 expected to be introduced at every military medical facility in waves over the next five years \u2014 came under even greater scrutiny last year when Department of Veterans Affairs officials announced plans to adopt similar medical systems in an effort to provide seamless, lifetime medical care to troops.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The four new sites \u2014 California\u2019s Naval Health Clinic Lemoore, Travis Air Force Base, Presidio of Monterey and Idaho\u2019s Mountain Home Air Force Base \u2014 come after months of work at four other West Coast military medical installations. Deployment to those sites was pushed back by several months because of issues brought up at the previous sites.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to Cummings, all of the problems that surfaced in that initial testing fell into three categories: users didn\u2019t like the new system; users requested additional improvements; or users found errors in design.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cummings said while trouble tickets and reports generally work to address the last two types of issues, fixing the first required better training and explanation for why the system was changing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cArmy, Navy, Air Force, Marines all have deeply embedded cultures, a great sense of pride about their culture, including the way they deliver care,\u201d said Jerry Hogge, senior vice president of military and health solutions at Leidos Health, which is managing the records overhaul.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cAs people go through the learning curve process, they get past the frustration of not knowing where to click or where to look at on the screen. People get more efficient, and there\u2019s acceptance of a new way of doing things.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Planners are hopeful those changes will lead to fewer problems and complaints with the next wave facilities to start working with the new medical records.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cFor the first [testing] sites we focused on kind of a button-ology approach, versus training against the workflows in the context of each role,\u201d Hogge said.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cSo that\u2019s the most fundamental change: the pacing and the timing of the training, the intensity of the at-the-elbow support, the systems of trainers post go-live.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The initial four sites will also see updates to their training to address some of the gaps that were identified during the earlier parts of their MHS GENESIS deployment. That includes developing advanced users at each of the sites that can help train their colleagues.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe\u2019re really focused on getting the right people trained from a functional perspective to be able to have that conversation,\u201d said Cummings.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe\u2019re restructuring the way we\u2019re delivering training to incorporate some of our lessons learned but also to incorporate some of the things we\u2019ve heard about commercial best practice thinking.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Officials said they\u2019ve already seen patient care improvements at the initial test sites as a result of the new system. Outpatient visits were up 32 percent in the first half of the year as appointment efficiency improved. Hospital staffers estimated more than 2,300 duplicate lab orders were eliminated.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">And, according to Hogge and Cummings, current MHS GENESIS operations meet about 85 percent of commercial best practices.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That number could go higher, but it also accounts for practices within the Department of Defense \u2014 such as identity management and pharmacy policies \u2014 that don\u2019t match up with the private sector. There are also areas for which the private sector has no single best practice for GENESIS to align with.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Assuming the records system work proceeds without the problems seen earlier this year, Cummings said the next wave of deployments should come at the end of FY19. That pushes the full deployment of MHS GENESIS from 2022 to the end of 2023.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">But Hogge said that timing isn\u2019t a done deal, as training and advancements made in the first few waves can reduce the planned timing for later waves so that the full deployment is brought back into a 2022 timeframe.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The <a href=\"https:\/\/www.federaltimes.com\/it-networks\/health-it\/2018\/04\/09\/coast-guard-to-join-dods-electronic-healthcare-system\/\" target=_blank>Coast Guard announced in April 2018 that it would join the DoD\u2019s GENESIS contract<\/a> and, according to Cummings, Coast Guard officials are currently included in planning in the program office, but not yet ready to deploy at a particular site.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWhat we\u2019re doing now is trying to understand the uniqueness of the Coast Guard geographically, what does their network look like, what is the best way to deploy to the Coast Guard. And we\u2019re working through those right now,\u201d Cummings said.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Planners look to resolve problems and conflicts after new system 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